Compensating Hand Function in Chronic Stroke Patients Through the Robotic Sixth Finger

Introduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Conclusion: There were improvement of wrist and hand FMA scores in the experimental as well as control group Results: Median of wrist FMA scores in the experimental and control group before intervention were 2 and 3 respectively whereas median of wrist FMA scores in the experimental and control group after intervention were 5 and 4 respectively. Median of hand FMA scores in the experimental and control group before intervention were 4 and 4 respectively whereas median of hand FMA scores in the control and experimental group after intervention were 6 and 5 respectively. The scores of wrist- hand FMA in the control and experimental group after intervention were increased P = 0.001P < 0.001 (wrist) and P = 0.001 P < 0.001 (hand) respectively. However, difference increased of wrist and hand FMA scores in the experimental group after intervention were more significant. Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

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Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/2019.ikfr.07(1).01 ◽

2019 ◽

pp. 2-12

Author(s):

M. Kamaluddin K ◽

Erna Setiawati ◽

Tanti Ajoe Kesoema

Keyword(s):

Shock Wave ◽

Motor Function ◽

Hand Function ◽

Chronic Stroke ◽

Control Group ◽

Shock Wave Therapy ◽

Stroke Patients ◽

Before And After ◽

And Control ◽

Experimental Group

IIntroduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

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Effects of mental imagery technique in addition to conventional physical therapy to improve hand functions in chronic stroke patient

Journal of the Pakistan Medical Association ◽

10.47391/jpma.998 ◽

2021 ◽

pp. 1-15

Author(s):

Iqra Mubeen ◽

Ashfaq Ahmad ◽

Waqar Afzal

Keyword(s):

Physical Therapy ◽

Mental Imagery ◽

Hand Function ◽

Chronic Stroke ◽

P Value ◽

Stroke Patients ◽

Maximum Duration ◽

Significant Difference ◽

Group A ◽

Group B

Abstract Objective: To find the effect of mental imagery and conventional physical therapy for the treatment of hand function in chronic stroke patients. Methods: A randomized controlled trial was conducted at Rana and Alvi welfare society. A sample of 50 stroke patients was selected and divided in two groups; group A (experimental) and group B (control). Inclusion and exclusion criteria were established and patients meeting inclusion criteria were included in the study. P value was set as 0.05. Group A was treated with conventional physical therapy combined with mental imagery whereas Group B was treated with conventional physical therapy alone. Wolf motor function test and action research arm test was used as outcome measures. Results: Group A consisted of 68% of females and 32% of males and group B comprised of 44% females and 32% males. Mean age of group A and B were 59.68 + 2.37 and 58.52 + 2.46 respectively. Mean duration (in months) of stroke for group A was 16.32+3.77 (minimum and maximum duration 13 and 23 months respectively). The stroke mean duration of group B was 16.00 +2.34 (minimum and maximum duration 13 and 20 months respectively). Both groups did not show significant difference at 5th week (P=0.721) whereas a significant difference was observed at 10th week (P=0.000) Conclusion: It was concluded that mental imagery technique in combination with conventional physical therapy is significantly effective to improve hand function among chronic stroke patients in comparison to conventional physical therapy alone. Continuous...

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Abstract WP205: Home-Based Virtual Reality Therapy for Hand Recovery After Stroke

Stroke ◽

10.1161/str.51.suppl_1.wp205 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Adam MacLellan ◽

Catherine Legault ◽

Alay Parikh ◽

Leonel Lugo ◽

Stephanie Kemp ◽

...

Keyword(s):

Virtual Reality ◽

Upper Extremity ◽

Large Scale ◽

Controlled Trial ◽

Hand Function ◽

Chronic Stroke ◽

Stroke Survivors ◽

Hand Rehabilitation ◽

Stroke Patients ◽

Home Based

Background: Stroke is the leading cause of disability worldwide, with many stroke survivors having persistent upper limb functional impairment. Aside from therapist-directed rehabilitation, few efficacious recovery tools are available for use by stroke survivors in their own home. Game-based virtual reality systems have already shown promising results in therapist-supervised settings and may be suitable for home-based use. Objective: We aimed to assess the feasibility of unsupervised home-based use of a virtual reality device for hand rehabilitation in stroke survivors. Methodology: Twenty subacute/chronic stroke patients with upper extremity impairment were enrolled in this prospective single-arm study. Participants were instructed to use the Neofect Smart Glove 5 days per week for 8 weeks, in single sessions of 50 minutes or two 25-minute sessions daily. We measured (1) compliance to prescribed rehabilitation dose, (2) patient impression of the intervention, and (3) efficacy measures including the upper extremity Fugl-Meyer (UE-FM), the Jebsen-Taylor hand function test (JTHFT) and the Stroke Impact Scale (SIS). Results: Seven subjects (35%) met target compliance of 40 days use, and 6 subjects (30%) used the device for 20-39 days; there were no age or gender differences in use. Subjective patient experience was favorable, with ninety percent of subjects reporting satisfaction with their overall experience, and 80% reporting perceived improvement in hand function (figure 1). There was a mean improvement of 26.6±48.8 seconds in the JTHFT ( p =0.03) and 16.1±15.3 points in the domain of the SIS that assesses hand function ( p <0.01). There was a trend towards improvement in the UE-FM (2.2±5.5 points, p =0.10). Conclusions: A novel virtual reality gaming device is suitable for unsupervised use in stroke patients and may improve hand/arm function in subacute/chronic stroke patients. A large-scale randomized controlled trial is needed to confirm these results.

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Compensating Hand Function in Chronic Stroke Patients Through the Supernumerary Robotic Finger

Biosystems & Biorobotics - Augmenting Human Manipulation Abilities with Supernumerary Robotic Limbs ◽

10.1007/978-3-030-52002-1_3 ◽

2020 ◽

pp. 25-38

Author(s):

Irfan Hussain ◽

Domenico Prattichizzo

Keyword(s):

Hand Function ◽

Chronic Stroke ◽

Stroke Patients

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Individual finger synchronized robot-assisted hand rehabilitation in subacute to chronic stroke: a prospective randomized clinical trial of efficacy

Clinical Rehabilitation ◽

10.1177/0269215511431473 ◽

2012 ◽

Vol 26 (8) ◽

pp. 696-704 ◽

Cited By ~ 56

Author(s):

Chang Ho Hwang ◽

Jin Wan Seong ◽

Dae-Sik Son

Keyword(s):

Clinical Trial ◽

Hand Function ◽

Intervention Group ◽

Chronic Stroke ◽

Sensory Loss ◽

Hand Rehabilitation ◽

Stroke Patients ◽

Robot Assisted ◽

Individual Finger ◽

Taylor Test

Objective: To evaluate individual finger synchronized robot-assisted hand rehabilitation in stroke patients. Design: Prospective parallel group randomized controlled clinical trial. Subjects: The study recruited patients who were ≥18 years old, more than three months post stroke, showed limited index finger movement and had weakened and impaired hand function. Patients with severe sensory loss, spasticity, apraxia, aphasia, disabling hand disease, impaired consciousness or depression were excluded. Interventions: Patients received either four weeks (20 sessions) of active robot-assisted intervention (the FTI (full-term intervention) group, 9 patients) or two weeks (10 sessions) of early passive therapy followed by two weeks (10 sessions) of active robot-assisted intervention (the HTI (half-term intervention) group, 8 patients). Patients underwent arm function assessments prior to therapy (baseline), and at 2, 4 and 8 weeks after starting therapy. Results: Compared to baseline, both the FTI and HTI groups showed improved results for the Jebsen Taylor test, the wrist and hand subportion of the Fugl-Meyer arm motor scale, active movement of the 2nd metacarpophalangeal joint, grasping, and pinching power ( P < 0.05 for all) at each time point (2, 4 and 8 weeks), with a greater degree of improvement for the FTI compared to the HTI group ( P < 0.05); for example, in Jebsen Taylor test (65.9 ± 36.5 vs. 46.4 ± 37.4) and wrist and hand subportion of the Fugl-Meyer arm motor scale (4.3 ± 1.9 vs. 3.4 ± 2.5) after eight weeks. Conclusions: A four-week rehabilitation using a novel robot that provides individual finger synchronization resulted in a dose-dependent improvement in hand function in subacute to chronic stroke patients.

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