Frustrated and invisible--younger stroke patients' experiences of the rehabilitation process

2003 ◽  
Vol 25 (15) ◽  
pp. 867-874 ◽  
Author(s):  
JENNY RÖDING ◽  
BRITTA LINDSTRÖM ◽  
JAN MALM ◽  
ANN ÖHMAN
Keyword(s):  
Stroke Patients ◽  
Rehabilitation Process

scholarly journals The influence of dance-based activities on recovery and improvement of motor functions in post-stroke patients: A systematic review

2019 ◽  
Vol 9 (2) ◽  
pp. 57-67
Author(s):  
Jelena Nikolić ◽  
Fadilj Eminović ◽  
Ljiljana Šimpraga ◽  
Angelka Pešterac-Kujundžić
Keyword(s):  
Motor Skills ◽  
Causes Of Death ◽  
Rehabilitation Program ◽  
Clinical Syndrome ◽  
Stroke Patients ◽  
Research Papers ◽  
Motor Functions ◽  
Rehabilitation Process ◽  
Post Stroke ◽  
Motor Abilities

Stroke is a clinical syndrome, and one of the leading causes of death and disability, occurring under the influence of a large number of risk factors. The symptoms of a stroke are in correlation with the size, time and location of the lesion. Rehabilitation, which involves the application of conventional and supplementary methods, relates to the assessment of the ability, the level of damage of the affected functions, and an adequately designed rehabilitation program. The use of dance, as a rehabilitation procedure in post-stroke patients, requires listening and active participation of an individual with a specific motor reaction to the stimulus. The primary aim of this article is to demonstrate the importance and effects of the application of dance in the rehabilitation process in post-stroke patients, with a special emphasis on the process of improving motor skills and functions. In accordance with the set criteria and purpose of study, scientific research papers were collected and analysed from the PubMed/MEDLINE, Science Direct and Oxford Academic databases, all published in the period between 2010 and 2019, and all indicating the importance of the application of dance when treating post-stroke conditions. The obtained results suggest that dance, which is basically a sports-recreational activity, when applied for therapeutic purposes in persons after stroke, contributes to the development and recovery of motor abilities, balance, mobility, endurance, coordination, motor skills, stance, walking and precision. Also, dancing is of great importance for the improvement of the functioning of the whole organism, which directly or indirectly affects the recovery of motor functions and the overall welfare of an individual.

scholarly journals Mental Practice Combined with Motor Rehabilitation to Treat Upper Limb Hemiparesis of Post-Stroke Patients: Clinical and Experimental Evidence

2016 ◽  
Vol 12 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Sergio Machado ◽  
Eduardo Lattari ◽  
Flávia Paes ◽  
Nuno B.F. Rocha ◽  
Antonio E. Nardi ◽  
...  
Keyword(s):  
Daily Living ◽  
Mental Practice ◽  
Motor Deficits ◽  
Motor Rehabilitation ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Post Stroke ◽  
Sensorimotor Deficits ◽  
The World ◽  
Per Se

Stroke is one of the major causes of disability in the world. Due to the extended lifetime of the world's population, the number of people affected by stroke has increased substantially over the last years. Stroke may lead to sensorimotor deficits, usually causing hemiplegia or hemiparesia. In order to reduce motor deficits and accelerate functional recovery, MP combined with motor rehabilitation was introduced to the rehabilitation process of post-stroke patients. Evidence has shown that MP combining with motor rehabilitation based on activities of daily living was more effective than conventional motor rehabilitation used per se. This combination proved very useful and effective, with significant results in improvement of motor deficits in post-stroke patients. However, further studies must be conducted to determine specific parameters, such as type of imagery, frequency or duration.

MR-Tractography in the evaluation of the rehabilitation process in stroke patients

2015 ◽  
Author(s):  
Ricardo Lugokenski ◽  
Adriano Pasqualotti ◽  
Veronica Lucatelli ◽  
Lara de Castro Welter ◽  
Rafael Biancini
Keyword(s):  
Stroke Patients ◽  
Rehabilitation Process

scholarly journals Recovery of Motor Imagery Ability in Stroke Patients

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Sjoerd de Vries ◽  
Marga Tepper ◽  
Bert Otten ◽  
Theo Mulder
Keyword(s):  
Motor Imagery ◽  
Mental Imagery ◽  
Hand Function ◽  
Mental Practice ◽  
Imagery Ability ◽  
Stroke Patients ◽  
Motor Functioning ◽  
Rehabilitation Process ◽  
Implicit Motor ◽  
The Relationship

Objective. To investigate whether motor imagery ability recovers in stroke patients and to see what the relationship is between different types of imagery and motor functioning after stroke.Methods. 12 unilateral stroke patients were measured at 3 and 6 weeks poststroke on 3 mental imagery tasks. Arm-hand function was evaluated using the Utrecht Arm-Hand task and the Brunnström Fugl-Meyer Scale. Age-matched healthy individuals (N=10) were included as controls.Results. Implicit motor imagery ability and visual motor imagery ability improved significantly at 6 weeks compared to 3 weeks poststroke.Conclusion. Our study shows that motor imagery can recover in the first weeks after stroke. This indicates that a group of patients who might not be initially selected for mental practice can, still later in the rehabilitation process, participate in mental practice programs. Moreover, our study shows that mental imagery modalities can be differently affected in individual patients and over time.

What can virtual reality offer to stroke patients? A narrative review of the literature

2020 ◽  
Vol 47 (2) ◽  
pp. 109-120
Author(s):  
Joanna Szczepańska-Gieracha ◽  
Błażej Cieślik ◽  
Sebastian Rutkowski ◽  
Paweł Kiper ◽  
Andrea Turolla
Keyword(s):  
Virtual Reality ◽  
Psychiatric Disorders ◽  
Behavioral Problems ◽  
Physical Rehabilitation ◽  
Stroke Patients ◽  
Psychological Disturbance ◽  
Rehabilitation Process ◽  
Post Stroke ◽  
Increased Risk ◽  
Therapeutic Tools

BACKGROUND: Studies demonstrated the efficacy of virtual reality (VR) as a method supporting the post-stroke neuro-rehabilitation process by activating motor learning processes. Nevertheless, stroke is frequently accompanied by serious psychological problems including depression, which is associated with an increased risk of mortality, lower post-stroke physical activity, and higher disability in stroke patients. OBJECTIVES: To explore the current use of VR as a method supporting the neuro-rehabilitation process, both in physical and psychological dimensions. METHODS: An exploratory review was conducted with a narrative synthesis. PubMed was used for literature search. Search includes the use of VR in physical rehabilitation, and as support therapy in psychiatric disorders. Both primary research and systematic reviews were included. RESULTS: In neurological disorders rehabilitation, out of 22 studies, 16 concerned stroke survivors. In psychiatric disorders, 44 literature reviews were included. CONCLUSION: The studies confirmed the effectiveness of various forms of VR treatment in the alleviation of psychological and behavioral problems and psychiatric disorders. There is a shortage of VR-based technological solutions that would, besides physical rehabilitation, offer stroke patients therapeutic tools to alleviate psychological disturbance and improve the patient’s mood and motivation. Such solutions will most likely become a field of intensive research in the coming years.

scholarly journals Gait Event Detection for Stroke Patients during Robot-Assisted Gait Training

Sensors ◽  
2020 ◽  
Vol 20 (12) ◽  
pp. 3399
Author(s):  
Andreas Schicketmueller ◽  
Juliane Lamprecht ◽  
Marc Hofmann ◽  
Michael Sailer ◽  
Georg Rose
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Gait Training ◽  
Patient Specific ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Rehabilitation Process ◽  
Type 1 Error ◽  
Movement Data ◽  
Measurement Units

Functional electrical stimulation and robot-assisted gait training are techniques which are used in a clinical routine to enhance the rehabilitation process of stroke patients. By combining these technologies, therapy effects could be further improved and the rehabilitation process can be supported. In order to combine these technologies, a novel algorithm was developed, which aims to extract gait events based on movement data recorded with inertial measurement units. In perspective, the extracted gait events can be used to trigger functional electrical stimulation during robot-assisted gait training. This approach offers the possibility of equipping a broad range of potential robot-assisted gait trainers with functional electrical stimulation. In particular, the aim of this study was to test the robustness of the previously developed algorithm in a clinical setting with patients who suffered a stroke. A total amount of N = 10 stroke patients participated in the study, with written consent. The patients were assigned to two different robot-assisted gait trainers (Lyra and Lokomat) according to their performance level, resulting in five recording sessions for each gait-trainer. A previously developed algorithm was applied and further optimized in order to extract the gait events. A mean detection rate across all patients of 95.8% ± 7.5% for the Lyra and 98.7% ± 2.6% for the Lokomat was achieved. The mean type 1 error across all patients was 1.0% ± 2.0% for the Lyra and 0.9% ± 2.3% for the Lokomat. As a result, the developed algorithm was robust against patient specific movements, and provided promising results for the further development of a technique that can detect gait events during robot-assisted gait training, with the future aim to trigger functional electrical stimulation.

scholarly journals Design of a Game-Based Rehabilitation System Using Kinect Sensor

2019 ◽  
Author(s):  
Venketesh N. Dubey ◽  
Soumya K. Manna
Keyword(s):  
Recovery Process ◽  
Joint Torque ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Rehabilitation System ◽  
Voice Control ◽  
Interactive Nature ◽  
Joint Parameters ◽  
Game Therapy ◽  
Joint Velocity

As technological innovation is fused into the rehabilitation process, it gives conventional therapy a new direction with the products of interactive nature and easy to measure techniques. In the recent years, virtual reality based game therapy has turned out to be a promising option for post-stroke patients since it engages patients with fun based exercises during rehabilitation process. It also triggers their neuro-motor functions and accelerates the recovery process. Nevertheless it is necessary to extract some valuable information from the joint movements to measure the recovery condition of patients. Most of the designed games have introduced features to make them interesting as well as challenging for patients, however, only a few measure the joint parameters. We have designed a Kinect based game in Unity3D platform where patients can play game by moving their joints which results in different orthopaedic lessons required for rehabilitation therapy. In contrast to many Kinect based games where only joint movements are considered for playing the game, we have also introduced voice control through speech recognition and feedback provided in terms of audio-visual command to enhance patient’s engagement. Different joint parameters such as trajectory, range of motion, joint velocity, acceleration, reaching time and joint torque are also measured to help quantify the heath condition.

scholarly journals A robot goes to rehab: a novel gamified system for long-term stroke rehabilitation using a socially assistive robot—methodology and usability testing

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Ronit Feingold-Polak ◽  
Oren Barzel ◽  
Shelly Levy-Tzedek
Keyword(s):  
Stroke Rehabilitation ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Post Stroke ◽  
Assistive Robots ◽  
Use Of Technology ◽  
Arm Rehabilitation ◽  
Registration Number ◽  
Rehabilitation Needs

Abstract Background Socially assistive robots (SARs) have been proposed as a tool to help individuals who have had a stroke to perform their exercise during their rehabilitation process. Yet, to date, there are no data on the motivating benefit of SARs in a long-term interaction with post-stroke patients. Methods Here, we describe a robot-based gamified exercise platform, which we developed for long-term post-stroke rehabilitation. The platform uses the humanoid robot Pepper, and also has a computer-based configuration (with no robot). It includes seven gamified sets of exercises, which are based on functional tasks from the everyday life of the patients. The platform gives the patients instructions, as well as feedback on their performance, and can track their performance over time. We performed a long-term patient-usability study, where 24 post-stroke patients were randomly allocated to exercise with this platform—either with the robot or the computer configuration—over a 5–7 week period, 3 times per week, for a total of 306 sessions. Results The participants in both groups reported that this rehabilitation platform addressed their arm rehabilitation needs, and they expressed their desire to continue training with it even after the study ended. We found a trend for higher acceptance of the system by the participants in the robot group on all parameters; however, this difference was not significant. We found that system failures did not affect the long-term trust that users felt towards the system. Conclusions We demonstrated the usability of using this platform for a long-term rehabilitation with post-stroke patients in a clinical setting. We found high levels of acceptance of both platform configurations by patients following this interaction, with higher ratings given to the SAR configuration. We show that it is not the mere use of technology that increases the motivation of the person to practice, but rather it is the appreciation of the technology’s effectiveness and its perceived contribution to the rehabilitation process. In addition, we provide a list of guidelines that can be used when designing and implementing other technological tools for rehabilitation. Trial registration: This trial is registered in the NIH ClinicalTrials.gov database. Registration number NCT03651063, registration date 21.08.2018. https://clinicaltrials.gov/ct2/show/NCT03651063.

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