Efficacy of motor imagery additional to motor-based therapy in the recovery of motor function of the upper limb in post-stroke individuals: a systematic review

2019 ◽  
Vol 26 (7) ◽  
pp. 548-553 ◽  
Author(s):  
Tácia Cotinguiba Machado ◽  
Adriani Andrade Carregosa ◽  
Matheus S. Santos ◽  
Nildo Manoel da Silva Ribeiro ◽  
Ailton Melo
Keyword(s):  
Systematic Review ◽  
Motor Function ◽  
Motor Imagery ◽  
Upper Limb ◽  
Post Stroke ◽  
Recovery Of Motor Function

scholarly journals Efektivitas Intervensi Motor Imagery (MI) terhadap Rehabilitasi Pasien Post stroke: A Systematic Review

2020 ◽  
Vol 11 ◽  
pp. 70
Author(s):  
Bernadetta Germia Aridamayanti ◽  
Gevi Melliya Sari ◽  
Wimar Anugrah Romadhon
Keyword(s):  
Systematic Review ◽  
Motor Imagery ◽  
Stroke Rehabilitation ◽  
Body Parts ◽  
Stroke Patients ◽  
Post Stroke ◽  
Cerebral Arterioles ◽  
The Brain ◽  
Regional Metabolism ◽  
Recovery Of Motor Function

Background: Motor Imagery (MI) is an intervention to improve motor skills in post stroke hemiparesis patients by focusing on weak body parts. Objective: To describe the effectiveness of providing MI in the rehabilitation of post stroke patients. Method: The database used to identify suitable articles obtained from Scopus, ProQuest and Pubmed was limited to the last 5 years of publication from 2016 to 2020, English, and fulltext articles. The literature review used the keyword "Motor Imagery" AND "Stroke Rehabilitation". In searching articles used "AND". Only 8 articles met the inclusion criteria. This review was from these 8 articles. Results: MI has effectiveness in cognitive, sensory and motor post-stroke patients by stimulating neuroplasticity in various areas of the brain so that it accelerates the increase in O2, glucose and various metabolites that lead to increased regional metabolism through dilation of cerebral arterioles and capillaries. MI which is given routinely will help the recovery of motor function of post-stroke patients and increase patient independence. Conclusion: MI has a lot of effectiveness in the rehabilitation of post stroke patients. Suggestion: MI is considered necessary to be applied in hospitals in Indonesia. Keywords: motor imagery; stroke; rehabilitation ABSTRAK Latar belakang: Motor Imagery (MI) merupakan intervensi untuk meningkatkan keterampilan motorik pada pasien hemiparesis post stroke dengan berfokus pada bagian tubuh yang lemah. Tujuan: Untuk menjabarkan efektivitas pemberian MI pada rehabilitasi pasien post stroke. Metode: Database yang digunakan dalam penelitian ini adalah Scopus, Proquest dan Pubmed terbatas untuk publikasi 5 tahun terakhir dari 2016 hingga 2020, full text article dan berbahasa Inggris. Kata kunci yang digunakan adalah “Motor Imagery” AND “Stroke Rehabilitation”. Systematic review ini menggunakan 8 artikel yang sesuai dengan kriteria inklusi. Hasil: MI memiliki efektivitas pada kognitif, sensorik dan motorik pasien post stroke dengan merangsang neuroplastisitas pada berbagai area otak sehingga memperlancar peningkatan O2, glukosa dan berbagai metabolit yang mengarah ke peningkatan metabolisme regional melalui dilatasi arteriol serebral dan kapiler. Motor Imagery (MI) yang diberikan secara rutin akan membantu pemulihan fungsi motorik pasien post stroke dan meningkatkan kemandirian pasien. Simpulan: MI memiliki banyak efektivitas pada rehabilitasi pasien post stroke Saran: MI dipandang perlu untuk diterapkan di rumah sakit yang ada di Indonesia. Kata kunci: motor imagery; stroke; rehabilitation

scholarly journals Tools and Techniques Used With Robotic Devices to Quantify Upper-Limb Function in Typically Developing Children: A Systematic Review

2020 ◽  
Vol 9 ◽  
pp. 117957272097901
Author(s):  
Stephan CD Dobri ◽  
Hana M Ready ◽  
Theresa Claire Davies
Keyword(s):  
Systematic Review ◽  
Outcome Measures ◽  
Motor Function ◽  
Upper Limb ◽  
Rate Of Change ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Upper Limb Function ◽  
Robotic Devices ◽  
Tools And Techniques

Background: Robotic devices have been used to quantify function, identify impairment, and rehabilitate motor function extensively in adults, but less-so in younger populations. The ability to perform motor actions improves as children grow. It is important to quantify this rate of change of the neurotypical population before attempting to identify impairment and target rehabilitation techniques. Objectives: For a population of typically developing children, this systematic review identifies and analyzes tools and techniques used with robotic devices to quantify upper-limb motor function. Since most of the papers also used robotic devices to compare function of neurotypical to pathological populations, a secondary objective was introduced to relate clinical outcome measures to identified robotic tools and techniques. Methods: Five databases were searched between February 2019 and August 2020, and 226 articles were found, 19 of which are included in the review. Results: Robotic devices, tasks, outcome measures, and clinical assessments were not consistent among studies from different settings but were consistent within laboratory groups. Fifteen of the 19 articles evaluated both typically developing and pathological populations. Conclusion: To optimize universally comparable outcomes in future work, it is recommended that a standard set of tasks and measures is used to assess upper-limb motor function. Standardized tasks and measures will facilitate effective rehabilitation.

Music-supported therapy (MST) in improving post-stroke patients' upper-limb motor function: a randomised controlled pilot study

2015 ◽  
Vol 37 (5) ◽  
pp. 434-440 ◽  
Author(s):  
Yanna Tong ◽  
Brian Forreider ◽  
Xinting Sun ◽  
Xiaokun Geng ◽  
Weidong Zhang ◽  
...  
Keyword(s):  
Pilot Study ◽  
Motor Function ◽  
Upper Limb ◽  
Stroke Patients ◽  
Post Stroke ◽  
Randomised Controlled

Virtual Reality effect on upper limb Motor function paretic in post stroke

2015 ◽  
Vol 23 (04) ◽  
pp. 493-498 ◽  
Author(s):  
Maria Luiza Galvão ◽  
Príscila Gouvêa ◽  
Gabriela Ocamoto ◽  
Adriana Silva ◽  
Luciana Reis ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Motor Function ◽  
Upper Limb ◽  
Post Stroke ◽  
Reality Effect

Effect of botulinum toxin type A, motor imagery and motor observation on motor function of hemiparetic upper limb after stroke

Brain Injury ◽  
2010 ◽  
Vol 24 (9) ◽  
pp. 1108-1112 ◽  
Author(s):  
Andrea Santamato ◽  
Francesco Panza ◽  
Serena Filoni ◽  
Maurizio Ranieri ◽  
Vincenzo Solfrizzi ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Motor Function ◽  
Motor Imagery ◽  
Upper Limb ◽  
Botulinum Toxin Type A ◽  
Type A ◽  
Botulinum Toxin Type

Mirror therapy simultaneously combined with electrical stimulation for upper limb motor function recovery after stroke: a systematic review and meta-analysis of randomized controlled trials

2020 ◽  
pp. 026921552095193
Author(s):  
Alberto Saavedra-García ◽  
Jose A Moral-Munoz ◽  
David Lucena-Anton
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Motor Function ◽  
Upper Limb ◽  
Meta Analysis ◽  
Mean Difference ◽  
Current Evidence ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Mirror Therapy

Objective: To evaluate the current evidence on the effectiveness of simultaneous combination of mirror therapy and electrical stimulation in the recovery of upper limb motor function after stroke, compared with conventional therapy, mirror therapy or electrical stimulation isolated. Data sources: Articles published in PubMed, Web of Science, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Central register of controlled trials and ScienceDirect up to July 2020. Review methods: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. Methodological quality was assessed using the PEDro tool. The RevMan 5.4 statistical software was used to obtain the meta-analysis, through the standardized mean difference and 95% confidence intervals (CI), and to evaluate the risk of bias. The GRADE approach was employed to assess the certainty of evidence. Results: Eight articles were included in this systematic review, seven were included in the meta-analysis. A total of 314 participants were analyzed. The overall quality of the articles included in this review was good. There was no overall significant mean difference on upper limb motor function after stroke using the Upper-Extremity Fugl-Meyer Assessment by 1.56 (95% CI = –2.08, 5.20; P = 0.40; moderate-certainty evidence) and the Box and Block Test results by 1.39 (95% CI = –2.14, 4.92; P = 0.44; high-certainty evidence). There was overall significant difference in the Action Research Arm Test by 3.54 (95% CI = 0.18, 6.90; P = 0.04; high-certainty evidence). Conclusion: Direct scientific evidence about the effectiveness of the combined therapy of mirror therapy and electrical stimulation simultaneously for the improvement of the upper limb motor function after stroke is lacking. Further high-quality and well-designed research is needed.

scholarly journals β-Oscillations Reflect Recovery of the Paretic Upper Limb in Subacute Stroke

2020 ◽  
Vol 34 (5) ◽  
pp. 450-462 ◽  
Author(s):  
Chih-Wei Tang ◽  
Fu-Jung Hsiao ◽  
Po-Lei Lee ◽  
Yun-An Tsai ◽  
Ya-Fang Hsu ◽  
...  
Keyword(s):  
Motor Function ◽  
Upper Limb ◽  
Primary Motor Cortex ◽  
Hand Movement ◽  
Stroke Recovery ◽  
Stroke Survivors ◽  
Healthy Controls ◽  
Functional Changes ◽  
Post Stroke ◽  
Subacute Stroke

Background. Recovery of upper limb function post-stroke can be partly predicted by initial motor function, but the mechanisms underpinning these improvements have yet to be determined. Here, we sought to identify neural correlates of post-stroke recovery using longitudinal magnetoencephalography (MEG) assessments in subacute stroke survivors. Methods. First-ever, subcortical ischemic stroke survivors with unilateral mild to moderate hand paresis were evaluated at 3, 5, and 12 weeks after stroke using a finger-lifting task in the MEG. Cortical activity patterns in the β-band (16-30 Hz) were compared with matched healthy controls. Results. All stroke survivors (n=22; 17 males) had improvements in action research arm test (ARAT) and Fugl-Meyer upper extremity (FM-UE) scores between 3 and 12 weeks. At 3 weeks post-stroke the peak amplitudes of the movement-related ipsilesional β-band event-related desynchronization (β-ERD) and synchronization (β-ERS) in primary motor cortex (M1) were significantly lower than the healthy controls (p<0.001) and were correlated with both the FM-UE and ARAT scores (r=0.51-0.69, p<0.017). The decreased β-ERS peak amplitudes were observed both in paretic and non-paretic hand movement particularly at 3 weeks post-stroke, suggesting a generalized disinhibition status. The peak amplitudes of ipsilesional β-ERS at week 3 post-stroke correlated with the FM-UE score at 12 weeks (r=0.54, p=0.03) but no longer significant when controlling for the FM-UE score at 3 weeks post-stroke. Conclusions. Although early β-band activity does not independently predict outcome at 3 months after stroke, it mirrors functional changes, giving a potential insight into the mechanisms underpinning recovery of motor function in subacute stroke.

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