Prediction of arm and hand function recovery in stroke patients

Background. No strongly clinical evidence about the use of hand robot-assisted therapy in stroke patients was demonstrated. This preliminary observer study was aimed at evaluating the efficacy of intensive robot-assisted therapy in hand function recovery, in the early phase after a stroke onset.Methods. Seven acute ischemic stroke patients at their first-ever stroke were enrolled. Treatment was performed using Amadeo robotic system (Tyromotion GmbH Graz, Austria). Each participant received, in addition to inpatients standard rehabilitative treatment, 20 sessions of robotic treatment for 4 consecutive weeks (5 days/week). Each session lasted for 40 minutes. The exercises were carried out as follows: passive modality (5 minutes), passive/plus modality (5 minutes), assisted therapy (10 minutes), and balloon (10 minutes). The following impairment and functional evaluations, Fugl-Meyer Scale (FM), Medical Research Council Scale for Muscle Strength (hand flexor and extensor muscles) (MRC), Motricity Index (MI), and modified Ashworth Scale for wrist and hand muscles (AS), were performed at the beginning (T0), after 10 sessions (T1), and at the end of the treatment (T2). The strength hand flexion and extension performed by Robot were assessed at T0 and T2. The Barthel Index and COMP (performance and satisfaction subscale) were assessed at T0 and T2.Results. Clinical improvements were found in all patients. No dropouts were recorded during the treatment and all subjects fulfilled the protocol. Evidence of a significant improvement was demonstrated by the Friedman test for the MRC (P<0.0123). Evidence of an improvement was demonstrated for AS, FM, and MI.Conclusions. This original rehabilitation treatment could contribute to increase the hand motor recovery in acute stroke patients. The simplicity of the treatment, the lack of side effects, and the first positive results in acute stroke patients support the recommendations to extend the clinical trial of this treatment, in association with physiotherapy and/or occupational therapy.

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Prediction of arm and hand function recovery in stroke patients

International Journal of Rehabilitation Research ◽

10.1097/00004356-198700105-00022 ◽

1987 ◽

Vol 10 ◽

pp. 110-112 ◽

Cited By ~ 3

Author(s):

W. de Weerdt ◽

N. B. Lincoln ◽

M. A. Harrison

Keyword(s):

Hand Function ◽

Stroke Patients ◽

Function Recovery

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High-definition Transcranial Direct Current Stimulation for Facilitating Hand Function Recovery After Stroke

Case Medical Research ◽

10.31525/ct1-nct03875677 ◽

2019 ◽

Author(s):

Keyword(s):

Direct Current ◽

Transcranial Direct Current Stimulation ◽

Hand Function ◽

High Definition ◽

Direct Current Stimulation ◽

Function Recovery

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Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-020-00170-7 ◽

2020 ◽

Vol 56 (1) ◽

Author(s):

Asmaa Sabbah ◽

Sherine El Mously ◽

Hanan Helmy Mohamed Elgendy ◽

Mona Adel Abd Eltawab Farag ◽

Abeer Abo Bakr Elwishy

Keyword(s):

Functional Outcome ◽

Hand Function ◽

Chronic Stroke ◽

Stroke Patients ◽

Joint Mobilization ◽

Task Oriented

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The effects of sensory re-education on hand function recovery after peripheral nerve repair: A systematic review

Neurorehabilitation ◽

10.3233/nre-201612 ◽

2021 ◽

pp. 1-12

Author(s):

Weili Xia ◽

Zhongfei Bai ◽

Rongxia Dai ◽

Jiaqi Zhang ◽

Jiani Lu ◽

...

Keyword(s):

Systematic Review ◽

Peripheral Nerve ◽

Nerve Repair ◽

Hand Function ◽

Current Evidence ◽

Motor Deficits ◽

Peripheral Nerve Repair ◽

Hand Functions ◽

Function Recovery ◽

Short And Long Term

BACKGROUND: Peripheral nerve injury can result in both sensory and motor deficits, and these impairments can last for a long period after nerve repair. OBJECTIVE: To systematically review the effects of sensory re-education (SR) on facilitating hand function recovery after peripheral nerve repair. METHODS: This systematic review was limited to articles published from 1970 to 20 December 2020. Electronic searching was performed in CINAHL, Embase, PubMed, Web of Science, and Medline databases to include trials investigating the effects of SR training on hand function recovery after peripheral nerve repair and included only those studies with controlled comparisons. RESULTS: Sixteen articles were included in final data synthesis. We found that only four studies could be rated as having good quality and noted obvious methodological limitations in the remaining studies. The current evidence showed that early SR with mirror visual feedback and the combinational use of classic SR and topical temporary anesthetic seemed to have long- and short-term effects, respectively on improving the sensibility and reducing the disabilities of the hand. The evidence to support the effects of conventional classical SR on improving hand functions was not strong. CONCLUSIONS: Further well-designed trials are needed to evaluate the effects of different SR techniques on hand function after nerve repair over short- and long-term periods.

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Abstract 2580: How Frequent Is Impaired Arm And Hand Function After First Occasion Of Stroke? An Unselected Population From A Stroke Unit With A Geographical Catchment.

Stroke ◽

10.1161/str.43.suppl_1.a2580 ◽

2012 ◽

Vol 43 (suppl_1) ◽

Author(s):

Katharina Stibrant Sunnerhagen ◽

Hanna C Persson

Keyword(s):

Upper Extremity ◽

Stroke Unit ◽

Catchment Area ◽

Hand Function ◽

Stroke Onset ◽

Stroke Patients ◽

Extremity Function ◽

Unselected Population ◽

Upper Extremity Function ◽

Impaired Motor Function

Introduction Reduced upper extremity function after stroke has previously been reported in 70-80% of patients with stroke in the acute stage and is one of the most common impairments after acute stroke impaired motor function, both in upper and lower extremity, influence the stroke unit care and planning of the rehabilitation, partly due to the economic costs. There is limited information in upper extremity function within the first days after a stroke. Prior studies include either both first and recurrent stroke or only one type of stroke. Objectives To investigate the frequency impaired arm and hand function in an unselected group of patients with first occasion of stroke. Method All patients at a stroke unit at Sahlgrenska University Hospital were assessed during 18 months. From the hospital records, the patients were identified, the patient charts were read and first stroke diagnosis was confirmed (by either imaging or clinical assessment). Impaired upper extremity function was defined in the following manner: assessed with the Modified Motor Assessment Scale (M-MAS UAS -95) by physiotherapist working at the stroke unit within 72 hours after stroke onset or if this was found in the patients chart, other standardized assessments of upper extremity function performed by the physical therapist, the occupational therapist or the physicians on the ward. Results During the study period 984 patients with first ever stroke (438 women 44.5%) were admitted to the stroke unit. A total of 213 patients were not at the stroke unit within 72 hours after onset and therefore excluded; 90 patients had unclear stroke onset time, 49 patients were located at another ward, 36 patients were in the intensive care unit, 25 in other hospitals in Sweden and 12 patients were hospitalized in another country. There were 771 patients over 18 years old at the stroke unit within 72 hours after stroke onset. Of these 56 patients (7.3%), were not living in the catchment area and therefore excluded. Of the 715 patients living in the geographical catchment area, 58, (8.1%) hade other upper extremity injury prior the stroke onset. Of the remaining first ever stroke patients (n=657), 311 patients (47.3%) hade impaired arm and hand function within 72 hours after stroke onset. Conclusion The frequency of impaired upper extremity function in this unselected population of first occasion of stroke is lower than previously reported. The Copenhagen stroke study noted 69 % impaired at admission and 43 % at one week. This indicates that today’s stroke patients present less frequent with impaired motor function in the upper extremity. However, they may have difficulties in functional activities which may influence content of rehabilitation process.

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