The effect of a finger training application using a tablet PC in chronic hemiparetic stroke patients

Background/Aims Strokes lead to different levels of disability. During the chronic stage, hemiparesis, spasticity and motor deficits may cause loss of functional independence. Mirror therapy aims to reduce deficits and increase functional recovery of the impaired upper limb. This study aimed to evaluate the effects of mirror therapy on upper limb spasticity and motor function, as well as its impact on functional independence in chronic hemiparetic patients. Methods In this quasi-experimental study, eight chronic hemiparetic patients (age 55.5 ± 10.8 years) were assessed to determine their degree of spasticity (Modified Ashworth Scale), level of upper limb motor function (Fugl-Meyer Assessment) and functionality (Functional Independence Measure). All participants received 12 sessions of mirror therapy delivered three times per week, over a period of 4 weeks. Participants were re-evaluated post-intervention and these results were compared to their pre-intervention scores to determine the impact of mirror therapy. Results A decrease in spasticity was observed, with significant improvements in shoulder extensors (P=0.033) and a significant increase in motor function (P=0.002). The therapeutic protocol adopted did not have a significant effect on functional independence (P=0.105). Conclusions Mirror therapy led to improvements in upper limb spasticity and motor function in chronic hemiparetic stroke patients. No effects on functional independence were observed. Further research with a larger number of patients is needed to provide more robust evidence of the benefits of mirror therapy in chronic hemiparetic stroke patients.

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The Effect of a Hand-Stretching Device During the Management of Spasticity in Chronic Hemiparetic Stroke Patients

Annals of Rehabilitation Medicine ◽

10.5535/arm.2013.37.2.235 ◽

2013 ◽

Vol 37 (2) ◽

pp. 235 ◽

Cited By ~ 13

Author(s):

Eun Hyuk Kim ◽

Min Cheol Jang ◽

Jeong Pyo Seo ◽

Sung Ho Jang ◽

Jun Chan Song ◽

...

Keyword(s):

Stroke Patients ◽

Hemiparetic Stroke ◽

Chronic Hemiparetic Stroke

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Modified Speed-Dependent Treadmill Training Plus Body Weight Support Enhances Cardiorespiratory Function in Ambulatory Chronic Hemiparetic Stroke Patients

Journal of adapted physical activity and exercise ◽

10.17006/kjapa.2007.15.4.223 ◽

2007 ◽

Vol 15 (4) ◽

pp. 223-243 ◽

Cited By ~ 2

Author(s):

HyunHee Choi

Keyword(s):

Body Weight ◽

Treadmill Training ◽

Body Weight Support ◽

Stroke Patients ◽

Cardiorespiratory Function ◽

Weight Support ◽

Hemiparetic Stroke ◽

Chronic Hemiparetic Stroke

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Neural substrates underlying motor skill learning in chronic hemiparetic stroke patients

Frontiers in Human Neuroscience ◽

10.3389/fnhum.2015.00320 ◽

2015 ◽

Vol 9 ◽

Cited By ~ 11

Author(s):

Laurence Dricot ◽

Patrice Laloux ◽

Wojciech Gradkowski ◽

Philippe Desfontaines ◽

...

Keyword(s):

Motor Skill ◽

Neural Substrates ◽

Skill Learning ◽

Motor Skill Learning ◽

Stroke Patients ◽

Hemiparetic Stroke ◽

Chronic Hemiparetic Stroke

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Correlations between motor and sensory functions in upper limb chronic hemiparetics after stroke

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2011000500010 ◽

2011 ◽

Vol 69 (4) ◽

pp. 624-629 ◽

Cited By ~ 15

Author(s):

Thais Botossi Scalha ◽

Erica Miyasaki ◽

Núbia Maria Freire Vieira Lima ◽

Guilherme Borges

Keyword(s):

Upper Limb ◽

Visual Information ◽

Stroke Patients ◽

Weight Discrimination ◽

Test Items ◽

Hemiparetic Stroke ◽

And Performance ◽

Chronic Hemiparetic Stroke ◽

Sensory Functions ◽

Somatosensory Function

OBJECTIVE: Describe the somatosensory function of the affected upper limb of hemiparetic stroke patients and investigate the correlations between measurements of motor and sensory functions in tasks with and without visual deprivation. METHOD: We applied the Fugl-Meyer Assessment (FMA), Nottingham Sensory Assessment (NSA), and several motor and sensory tests: Paper manipulation (PM), Motor Sequences (MS), Reaching and grasping (RG) Tests Functional (TF), Tactile Discrimination (TD), Weight Discrimination (WD) and Tactile Recognition of Objects (RO). RESULTS: We found moderate correlations between the FMA motor subscale and the tactile sensation score of the NSA. Additionally, the FMA sensitivity was correlated with the NSA total; and performance on the WD test items correlated with the NSA. CONCLUSION: There was a correlation between the sensory and motor functions of the upper limb in chronic hemiparetic stroke patients. Additionally, there was a greater reliance on visual information to compensate for lost sensory-motor skills.

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