scholarly journals Electromyography-controlled gamified exercise system for the distal upper extremity: a usability assessment in subacute post-stroke patients

2021 ◽  
pp. 1-6
Author(s):  
Kazuki Ito ◽  
Shintaro Uehara ◽  
Akiko Yuasa ◽  
Chang Man Kim ◽  
Shin Kitamura ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Stroke Patients ◽  
Post Stroke ◽  
Usability Assessment

scholarly journals Non-Immersive Virtual Reality for Post-Stroke Upper Extremity Rehabilitation: A Small Cohort Randomized Trial

2020 ◽  
Vol 10 (9) ◽  
pp. 655
Author(s):  
Roxana Miclaus ◽  
Nadinne Roman ◽  
Silviu Caloian ◽  
Brindusa Mitoiu ◽  
Oana Suciu ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Rank Test ◽  
Immersive Virtual Reality ◽  
Stroke Patients ◽  
Control Groups ◽  
Post Stroke ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Upper Extremity Rehabilitation ◽  
Post Therapy

Immersive and non-immersive virtual reality (NIVR) technology can supplement and improve standard physiotherapy and neurorehabilitation in post-stroke patients. We aimed to use MIRA software to investigate the efficiency of specific NIVR therapy as a standalone intervention, versus standardized physiotherapy for upper extremity rehabilitation in patients post-stroke. Fifty-five inpatients were randomized to control groups (applying standard physiotherapy and dexterity exercises) and experimental groups (applying NIVR and dexterity exercises). The two groups were subdivided into subacute (<six months post-stroke) and chronic (>six months to four years post-stroke survival patients). The following standardized tests were applied at baseline and after two weeks post-therapy: Fugl–Meyer Assessment for Upper Extremity (FMUE), the Modified Rankin Scale (MRS), Functional Independence Measure (FIM), Active Range of Motion (AROM), Manual Muscle Testing (MMT), Modified Ashworth Scale (MAS), and Functional Reach Test (FRT). The Kruskal–Wallis test was used to determine if there were significant differences between the groups, followed with pairwise comparisons. The Wilcoxon Signed-Rank test was used to determine the significance of pre to post-therapy changes. The Wilcoxon Signed-Rank test showed significant differences in all four groups regarding MMT, FMUE, and FIM assessments pre- and post-therapy, while for AROM, only experimental groups registered significant differences. Independent Kruskal–Wallis results showed that the subacute experimental group outcomes were statistically significant regarding the assessments, especially in comparison with the control groups. The results suggest that NIVR rehabilitation is efficient to be administered to post-stroke patients, and the study design can be used for a further trial, in the perspective that NIVR therapy can be more efficient than standard physiotherapy within the first six months post-stroke.

scholarly journals Effects of attentional focus on upper extremity motor performance in post stroke patients

Medicine ◽  
2021 ◽  
Vol 100 (9) ◽  
pp. e24656
Author(s):  
Camila L. A. Gomes ◽  
Roberta O. Cacho ◽  
Viviane T. B. Nobrega ◽  
Fabio Galvão ◽  
Denise S. de Araújo ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Motor Performance ◽  
Attentional Focus ◽  
Stroke Patients ◽  
Post Stroke

scholarly journals Gambaran Peningkatan Kemampuan Motorik Ekstremitas Atas Setelah Pemberian Mirror Therapy Pada Pasien Pasca Stroke : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1536-1541
Author(s):  
Infa Dirah Pangestika Oktafiani ◽  
Wahyu Ersila
Keyword(s):  
Literature Review ◽  
Upper Extremity ◽  
Motor Skills ◽  
Functional Limitations ◽  
Upper Extremities ◽  
Google Scholar ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Post Stroke ◽  
Incidence And Mortality

AbstractStroke is a serious health problem with high incidence and mortality, and causes disability in patients. It causes complex problems, one of which is motor disorders, especially the upper extremities. Impaired motor function causes functional limitations and disabilities in stroke patients. Mirror Therapy is a new technique that is simple and able to improve upper extremity function with the concept of visual illusion. This study aimed to describe of the motoric improvement of the upper extremities after the implementation of Mirror Therapy in post-stroke patients. This study was a literature review by searching for articles from databases such as PubMed, Science Direct, and Google Scholar. The articles were chosen based on several inclusion and exclusion criteria as well as a feasibility test. The number of articles that was appropriate and reviewed was five. The results of review of the five articles showed that Mirror Therapy was proven to be able to improve the motoric skills of post-stroke patients with an average difference of 13.68 using the Fugl Meyer Assessment of Upper Extremity (FMA-UE) measuring instrument. The most common type of stroke was ischemic stroke (64.6%), and it was more common in males (72.3%) with an average age of 52.84 years. Mirror Therapy could improve the upper extremity motor skills in post-stroke patients. This study is expected to be the basis of action in performing physiotherapy management, especially in improving upper extremity motor skills in post-stroke patients with Mirror Therapy interventions.Keywords : Mirror skills; Motor Therapy; Post stroke AbstrakStroke merupakan masalah kesehatan yang penting dengan kejadian dan kematian tinggi dan menyebabkan kecacatan pada penderita. Permasalahan yang ditimbulkan kompleks, salah satunya gangguan motorik khususnya ekstremitas atas. Fungsi motorik yang terganggu menyebabkan keterbatasan fungsional dan disabilitas pada pasien stroke sehari-hari. Mirror therapy merupakan teknik baru yang sederhana dan mampu memperbaiki fungsi ekstremitas atas dengan konsep ilusi visual. Penelitian ini bertujuan untuk mengetahui gambaran peningkatan motorik ekstremitas atas setelah pemberian mirror therapy pada pasien pasca stroke. Penelitian menggunakan literature review dengan pencarian artikel melalui database seperti PubMed, Science Direct, dan Google Scholar. Artikel diambil berdasarkan kriteria inklusi dan eksklusi, serta dilakukan uji kelayakan. Jumlah artikel yang sesuai dan dilakukan review (n=5). Hasil literature review lima artikel menunjukkan bahwa pemberian mirror therapy terbukti dapat meningkatkan kemampuan motorik ekstremitas atas pasien pasca stroke dengan rata-rata selisih peningkatan sebesar 13,68 menggunakan alat ukur Fugl Meyer Assessment of Upper Extremity (FMA-UE). Jenis stroke terbanyak yaitu stroke iskemik 64,6% dan jenis kelamin laki-laki lebih banyak 72,3% dengan karakteristik rata-rata usia 52,84 tahun. Mirror Therapy dapat meningkatkan kemampuan motorik ekstremitas atas pasien pasca stroke. Diharapkan menjadi dasar tindakan dalam melakukan manajemen fisioterapi, mengenai masalah peningkatan kemampuan motorik ekstremitas atas pada pasien pasca stroke dengan intervensi mirror therapy.Kata kunci: Kemampuan motorik; Mirror therapy; Pasca stroke

scholarly journals Kinematic parameters obtained with the ArmeoSpring for upper-limb assessment after stroke: a reliability and learning effect study for guiding parameter use

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Nabila Brihmat ◽  
Isabelle Loubinoux ◽  
Evelyne Castel-Lacanal ◽  
Philippe Marque ◽  
David Gasq
Keyword(s):  
Upper Extremity ◽  
Repeated Measures ◽  
Learning Effect ◽  
Assessment Tool ◽  
Peak Velocity ◽  
Minimal Detectable Change ◽  
Kinematic Parameters ◽  
Stroke Patients ◽  
Post Stroke ◽  
Significant Difference

Abstract Background After stroke, kinematic measures obtained with non-robotic and robotic devices are highly recommended to precisely quantify the sensorimotor impairments of the upper-extremity and select the most relevant therapeutic strategies. Although the ArmeoSpring exoskeleton has demonstrated its effectiveness in stroke motor rehabilitation, its interest as an assessment tool has not been sufficiently documented. The aim of this study was to investigate the psychometric properties of selected kinematic parameters obtained with the ArmeoSpring in post-stroke patients. Methods This study involved 30 post-stroke patients (mean age = 54.5 ± 16.4 years; time post-stroke = 14.7 ± 26.7 weeks; Upper-Extremity Fugl-Meyer Score (UE-FMS) = 40.7 ± 14.5/66) who participated in 3 assessment sessions, each consisting of 10 repetitions of the ‘horizontal catch’ exercise. Five kinematic parameters (task and movement time, hand path ratio, peak velocity, number of peak velocity) and a global Score were computed from raw ArmeoSpring’ data. Learning effect and retention were analyzed using a 2-way repeated-measures ANOVA, and reliability was investigated using the intra-class correlation coefficient (ICC) and minimal detectable change (MDC). Results We observed significant inter- and intra-session learning effects for most parameters except peak velocity. The measures performed in sessions 2 and 3 were significantly different from those of session 1. No additional significant difference was observed after the first 6 trials of each session and successful retention was also highlighted for all the parameters. Relative reliability was moderate to excellent for all the parameters, and MDC values expressed in percentage ranged from 42.6 to 102.8%. Conclusions After a familiarization session, the ArmeoSpring can be used to reliably and sensitively assess motor impairment and intervention effects on motor learning processes after a stroke. Trial registration The study was approved by the local hospital ethics committee in September 2016 and was registered under number 05-0916.

scholarly journals Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients

2021 ◽  
pp. 136-144
Author(s):  
Roh Hastuti Prasetyaningsih ◽  
Hendri Kurniawan
Keyword(s):  
Upper Extremity ◽  
Motor Recovery ◽  
The Body ◽  
P Value ◽  
Mirror Therapy ◽  
Research Subjects ◽  
Hand Rehabilitation ◽  
Stroke Patients ◽  
Post Stroke ◽  
Significant Difference

Background: Stroke is a health problem for both developed and developing countries, including Indonesia. Paralysis in stroke is mainly due to damage to the internal capsule. This damage requires neuroplasticity involving a number of parts of the brain to restore. One therapy that is beneficial for neuroplasticity is Mirror Therapy (MT). MT is a rehabilitation tool that aims to restore some of the pathological conditions in which the body representation is affected, including post-stroke motor impairment. Methods: This research is a quantitative pre-experimental design with the type one group pretest-postest. The research subjects were 15 post-stroke patients in residency of Semarang. Research data were collected in August-September 2020. Sample selection with  purposive sampling technique who conform inclusion criteria. The Fulg-Meyer Upper Extremity Assessment (FMA-UE) as an aoutcame measure that be avowed valid and reliabel. Data analysis using Paired Sample T-Test because of normally distributed. Results: Statistically the results represent a significant difference in the UE  motor ability of post-stroke patients between baseline and after mirror therapy intervention, with a mean difference (5,14) and p value =  0.000  (ρ < 0,05). Application  of MT effect on upper extremity motor recovery in post-stroke patients. Conclusions: MT program is an effective intervention for UE motor recovery and motor function improvement in post- stroke patients. MT program can be used as a standardized of hand rehabilitation intervention in hospital, clinics and homes.

scholarly journals EFFECT OF ACTION OBSERVATION THERAPY ON RECOVERY IN UPPER EXTREMITY POST STROKE PATIENTS

2018 ◽  
Vol 4 (8) ◽  
Author(s):  
Keziya Mary Philip ◽  
Jossy P Jose ◽  
Shanmuga Sundaram Rajagopal ◽  
Joice Maria Jose
Keyword(s):  
Upper Extremity ◽  
Action Observation ◽  
Stroke Patients ◽  
Post Stroke

scholarly journals Kinematic analysis of upper extremity movement in stroke patients as a rehabilitation supporting tool

2020 ◽  
Author(s):  
Konieczny Mariusz ◽  
Paweł Pakosz ◽  
Błaszczyszyn Monika
Keyword(s):  
Ischemic Stroke ◽  
Upper Extremity ◽  
Kinematic Analysis ◽  
Disability Evaluation ◽  
Movement Time ◽  
3D Analysis ◽  
Movement Trajectory ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Post Stroke

Abstract Background: Ischemic stroke often results in reduced mobility of the upper extremity and subsequent long-term disability. Evaluation of the effects of rehabilitation monitoring is often insufficient, while technological progress in 3D analysis application is more objective in the assessment of motor deficits. The aim of the study was to examine the use of kinematic analysis indicators for diagnosing the rehabilitation process in post-stroke patients. Methods: 20 ischemic stroke patients in the early post-stroke phase (up to three months after the stroke) took part in the study. The study tests were conducted at the beginning of the rehabilitation process and after its completion. The procedure comprised moving the index finger and reaching for four target points (closer, farther, contralaterally, ipsilaterally) placed on a table in front of the patient. The analysis of movement time and movement trajectory was carried out using the OptiTrack system. Movement time and movement smoothness (trajectory smoothness) were calculated with the use of normalized jerk score (JERK). Results: The JERK parameter changed significantly in three movement trajectory directions: closer (p ≤ 0.01; d = 1.82), further (p ≤ 0.05; d = 1.02), and contralaterally (p ≤ 0.05; d = 0.91). Conclusions: The results confirm the usefulness of the applied measurements in diagnosing the effects of rehabilitation of patients in the early post-stroke phase.Trial registration: (not applicable)

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