scholarly journals A Mixed Methods Small Pilot Study to Describe the Effects of Upper Limb Training Using a Virtual Reality Gaming System in People with Chronic Stroke

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Rachel C. Stockley ◽  
Deborah A. O’Connor ◽  
Phil Smith ◽  
Sylvia Moss ◽  
Lizzie Allsop ◽  
...  
Keyword(s):  
Pilot Study ◽  
Motor Activity ◽  
Upper Limb ◽  
Chronic Stroke ◽  
Rehabilitation Centre ◽  
Small Pilot Study ◽  
Upper Limb Rehabilitation ◽  
Community Rehabilitation ◽  
Before And After ◽  
The Uk

Introduction. This small pilot study aimed to examine the feasibility of an upper limb rehabilitation system (the YouGrabber) in a community rehabilitation centre, qualitatively explore participant experiences, and describe changes after using it. Methods and Material. Chronic stroke participants attending a community rehabilitation centre in the UK were randomised to either a YouGrabber or a gym group and completed 18 training sessions over 12 weeks. The motor activity log, box and block, and fatigue severity score were administered by a blinded assessor before and after the intervention. Semistructured interviews were used to ascertain participants’ views about using the YouGrabber. Results. Twelve participants (6 females) with chronic stroke were recruited. All adhered to the intervention. There were no adverse events, dropouts, or withdrawal. There were no significant differences between the YouGrabber and gym groups although there were significant within group improvements on the motor activity log (median change: 0.59, range: 0.2–1.25; p<0.05) within the YouGrabber group. Participants reported that the YouGrabber was motivational but they expressed frustration with technical challenges. Conclusions. The YouGrabber appeared practical and may improve upper limb activities in people several months after stroke. Future work could examine cognition, cost effectiveness, and different training intensities.

Influence of task-oriented circuit training on upper limb function among rural community-dwelling survivors of stroke

2020 ◽  
Vol 27 (8) ◽  
pp. 1-8
Author(s):  
Shruti Deshpande ◽  
Sidhiparada Mohapatra ◽  
N Girish
Keyword(s):  
Upper Limb ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
Rank Test ◽  
Circuit Training ◽  
Rehabilitation Centre ◽  
Limb Function ◽  
Upper Limb Rehabilitation ◽  
Upper Limb Function ◽  
Task Oriented

Background Task-oriented circuit training using a Multi-Activities workstation emphasises goal-oriented tasks practiced in a circuit or series in order to learn a new skill. It can be used for upper limb rehabilitation among stroke patients in a community setting, but there is currently very little evidence available regarding its use in this patient group and setting. This study aimed to explore the influence of task-oriented circuit training using a Multi-Activities workstation on upper limb function among community-dwelling individuals with chronic stroke. Methods A pre-test–post-test study was conducted involving 17 community-dwelling individuals with chronic stroke who were attending a stroke rehabilitation centre. Six weeks of task-oriented circuit training was given using a Multi-Activities workstation aimed to improve strength, range of motion and dexterity. Streamlined Wolf Motor Function Test and Chedoke Arm and Hand Activity Inventory were used to measure outcomes. Wilcoxon signed-rank test was used for data analysis. Results A total of 12 sessions of task-oriented circuit training using Multi-Activities workstations did not result in any statistically significant differences in outcome measures. Conclusions Task-oriented circuit training using the Multi-Activities workstation did not improve upper limb function in community-dwelling individuals with chronic stroke.

Kinesthetic illusion induced by visual stimulation influences sensorimotor event-related desynchronization in stroke patients with severe upper-limb paralysis: A pilot study

2020 ◽  
pp. 1-11
Author(s):  
Megumi Okawada ◽  
Fuminari Kaneko ◽  
Keiichiro Shindo ◽  
Masaki Yoneta ◽  
Katsuya Sakai ◽  
...  
Keyword(s):  
Pilot Study ◽  
Motor Imagery ◽  
Upper Limb ◽  
Visual Stimulation ◽  
Chronic Stroke ◽  
Beta Band ◽  
Event Related Desynchronization ◽  
Before And After ◽  
Kinesthetic Illusion ◽  
Kinesthetic Perception

Background: Repetition of motor imagery improves the motor function of patients with stroke. However, patients who develop severe upper-limb paralysis after chronic stroke often have an impaired ability to induce motor imagery. We have developed a method to passively induce kinesthetic perception using visual stimulation (kinesthetic illusion induced by visual stimulation [KINVIS]). Objective: This pilot study further investigated the effectiveness of KINVIS in improving the induction of kinesthetic motor imagery in patients with severe upper-limb paralysis after stroke. Methods: Twenty participants (11 with right hemiplegia and 9 with left hemiplegia; mean time from onset [±standard deviation], 67.0±57.2 months) with severe upper-limb paralysis who could not extend their paretic fingers were included in this study. The ability to induce motor imagery was evaluated using the event-related desynchronization (ERD) recorded during motor imagery before and after the application of KINVIS for 20 min. The alpha- and beta-band ERDs around the premotor, primary sensorimotor, and posterior parietal cortices of the affected and unaffected hemispheres were evaluated during kinesthetic motor imagery of finger extension and before and after the intervention. Results: Beta-band ERD recorded from the affected hemisphere around the sensorimotor area showed a significant increase after the intervention, while the other ERDs remained unchanged. Conclusions: In patients with chronic stroke who were unable to extend their paretic fingers for a prolonged period of time, the application of KINVIS, which evokes kinesthetic perception, improved their ability to induce motor imagery. Our findings suggest that although KINVIS is a passive intervention, its short-term application can induce changes related to the motor output system.

scholarly journals Home-based telerehabilitation shows improved upper limb function in adults with chronic stroke: A pilot study

2013 ◽  
Vol 45 (2) ◽  
pp. 217-220 ◽  
Author(s):  
J Langan ◽  
K DeLave ◽  
L Phillips ◽  
P Pangilinan ◽  
S Brown
Keyword(s):  
Pilot Study ◽  
Upper Limb ◽  
Chronic Stroke ◽  
Limb Function ◽  
Upper Limb Function ◽  
Home Based

scholarly journals Mirror therapy for upper limb rehabilitation in chronic patients after stroke

2016 ◽  
Vol 29 (2) ◽  
pp. 287-293 ◽  
Author(s):  
Dreyzialle Vila Nova Mota ◽  
André Luís Ferreira de Meireles ◽  
Marcelo Tavares Viana ◽  
Rita de Cássia de Albuquerque Almeida
Keyword(s):  
Upper Limb ◽  
Mirror Therapy ◽  
Chronic Patients ◽  
Upper Limb Rehabilitation ◽  
Postural Alignment ◽  
Paretic Limb ◽  
Before And After ◽  
Quasi Experimental ◽  
Conventional Physiotherapy ◽  
Limb Rehabilitation

Abstract Introduction: Individuals with stroke sequelae present changes in the postural alignment and muscle strength associated with hemiplegia or hemiparesis. Mirror therapy is a technique that aims to improve the motor function of the paretic limb. Objective: The aim of this study was to evaluate the effect of mirror therapy, associated with conventional physiotherapy, for range of motion (ROM), degree of spasticity of the affected upper limb, and the level of independence in the activities of daily living (ADL) of chronic patients after stroke. Methods: This was a quasi-experimental (before and after) study. The study included ten stroke survivors undertaking physiotherapy and presenting with upper limb paresis. The following gauges were used for the present study: goniometry, the Modified Ashworth Scale, Fugl-Meyer and Barthel Index. Fifteen sessions were performed, each lasting 30 minutes, consisting of stretching of the flexor and extensor muscles of the wrist and elbow, pronators and supinators, followed by mirror therapy with gradual functional exercises. Results: Improvement was observed in all aspects studied, however with significant differences for ROM wrist extension (p = 0.04) and forearm supination (p = 0.03) Conclusion: It can be concluded that mirror therapy contributed to the participants' good performance in the aspects studied, mainly in relation to ROM of the affected upper limb.

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