Training of Reaching in Stroke Survivors With Severe and Chronic Upper Limb Paresis Using a Novel Nonrobotic Device

Abstract Background Technology is being increasingly investigated as an option to allow stroke survivors to exploit their full potential for recovery by facilitating home-based upper limb practice. This review seeks to explore the factors that influence perseverance with technology-facilitated home-based upper limb practice after stroke. Methods A systematic mixed studies review with sequential exploratory synthesis was undertaken. Studies investigating adult stroke survivors with upper limb disability undertaking technology-facilitated home-based upper limb practice administered ≥ 3 times/week over a period of ≥ 4 weeks were included. Qualitative outcomes were stroke survivors’ and family members’ perceptions of their experience utilising technology to facilitate home-based upper limb practice. Quantitative outcomes were adherence and dropouts, as surrogate measures of perseverance. The Mixed Methods Appraisal Tool was used to assess quality of included studies. Results Forty-two studies were included. Six studies were qualitative and of high quality; 28 studies were quantitative and eight were mixed methods studies, all moderate to low quality. A conceptual framework of perseverance with three stages was formed: (1) getting in the game; (2) sticking with it, and; (3) continuing or moving on. Conditions perceived to influence perseverance, and factors mediating these conditions were identified at each stage. Adherence with prescribed dose ranged from 13 to 140%. Participants were found to be less likely to adhere when prescribed sessions were more frequent (6–7 days/week) or of longer duration (≥ 12 weeks). Conclusion From the mixed methods findings, we propose a framework for perseverance with technology-facilitated home-based upper limb practice. The framework offers opportunities for clinicians and researchers to design strategies targeting factors that influence perseverance with practice, in both the clinical prescription of practice and technology design. To confirm the clinical utility of this framework, further research is required to explore perseverance and the factors influencing perseverance. Registration: PROSPERO CRD42017072799—https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=72799

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The Feasibility of Action Observation and Repetitive Task Practice for Impairment, Function, and Spasticity Upper Limb Outcomes in Chronic Moderately Impaired Stroke Survivors

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2021.07.611 ◽

2021 ◽

Vol 102 (10) ◽

pp. e49-e50

Author(s):

Christine Griffin ◽

Anne Kloos ◽

John Buford

Keyword(s):

Upper Limb ◽

Action Observation ◽

Stroke Survivors ◽

Task Practice

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Effectiveness of the RAPAEL Smart Board for Upper Limb Therapy in Stroke Survivors: A Pilot Controlled Trial

2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) ◽

10.1109/embc.2018.8512813 ◽

2018 ◽

Author(s):

Joonwoo Park ◽

Hee-Tae Jung ◽

Jean-Francois Daneault ◽

Sungji Park ◽

Taekyeong Ryu ◽

...

Keyword(s):

Upper Limb ◽

Controlled Trial ◽

Stroke Survivors ◽

Smart Board

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Robotic unilateral and bilateral upper-limb movement training for stroke survivors afflicted by chronic hemiparesis

2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR) ◽

10.1109/icorr.2013.6650506 ◽

2013 ◽

Cited By ~ 10

Author(s):

Matt Simkins ◽

Hyuchul Kim ◽

Gary Abrams ◽

Nancy Byl ◽

Jacob Rosen

Keyword(s):

Upper Limb ◽

Limb Movement ◽

Stroke Survivors ◽

Movement Training

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Upper Limb Paresis: Phenotype, Anatomy, and Physiology

Broken Movement ◽

10.7551/mitpress/9310.003.0004 ◽

2017 ◽

Keyword(s):

Upper Limb ◽

Anatomy And Physiology ◽

Upper Limb Paresis

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The effects of anxiety and dual-task on upper limb motor control of chronic stroke survivors

Scientific Reports ◽

10.1038/s41598-020-71845-7 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Mahnaz Hejazi-Shirmard ◽

Laleh Lajevardi ◽

Mehdi Rassafiani ◽

Ghorban Taghizadeh

Keyword(s):

Motor Control ◽

Upper Limb ◽

Dual Task ◽

Chronic Stroke ◽

Stroke Survivors ◽

High Anxiety ◽

Reach And Grasp ◽

Stroke Group ◽

Task Conditions ◽

Hand Opening

Abstract This study was designed to investigate the effects of anxiety and dual-task on reach and grasp motor control in chronic stroke survivors compared with age- and sex-matched healthy subjects (HC). Reach and grasp kinematic data of 68 participants (high-anxiety stroke (HA-stroke), n = 17; low-anxiety stroke (LA-stroke), n = 17; low-anxiety HC, n = 17; and high-anxiety HC, n = 17) were recorded under single- and dual-task conditions. Inefficient reach and grasp of stroke participants, especially HA-stroke were found compared with the control groups under single- and dual-task conditions as evidenced by longer movement time (MT), lower and earlier peak velocity (PV) as well as delayed and smaller hand opening. The effects of dual-task on reach and grasp kinematic measures were similar between HCs and stroke participants (i.e., increased MT, decreased PV that occurred earlier, and delayed and decreased hand opening), with greater effect in stroke groups than HCs, and in HA-stroke group than LA-stroke group. The results indicate that performing a well-learned upper limb movement with concurrent cognitive task leads to decreased efficiency of motor control in chronic stroke survivors compared with HCs. HA-stroke participants were more adversely affected by challenging dual-task conditions, underlying importance of assessing anxiety and designing effective interventions for it in chronic stroke survivors.

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