Active Range of Motion Predicts Upper Extremity Function 3 Months After Stroke

AbstractThis study was performed to evaluate the effects of Mirror therapy combined with EMG-triggered Functional Electrical Stimulation on upper extremity function in patient with Chronic Stroke. A total of 24 chronic stroke patients were divided into 3 groups. Group I (n=8) was given with traditional physical therapy (TPT), group II (n=7) was given with traditional physical therapy and mirror therapy (MT), and group III (n=9) was given with traditional physical therapy and mirror therapy in conjunction with EMG-triggered Functional Electrical Stimulation (EMGFES-MT). Each group performed one hour a day 5 times a week for 6 weeks.We obtained the following result between before and after treatments about changes of elbow flexion muscle strength (EFMS), elbow extension muscle strength (EEMS), wrist flexion muscle strength (WFMS), wrist extension muscle strength (WEMS), elbow flexion range of motion (EFROM), elbow extension range of motion (EEROM), wrist flexion range of motion (WFROM), wrist extension range of motion (WEROM), grip strength (GS) and upper extremity function.Each group showed a significant difference in EFMS, EEMS, WFMS, WEMS, EFROM, EEROM, WFROM, WEROM, GS and upper extremity function (p<0.05) EMFES-MT group revealed significant differences in EEMS, WEROM, grip strength and upper extremity function as compared to the other groups (p<0.05). No difference was found in the change of spasticity among the 3 groups.Our results showed that EMFES-MT was more effective on elbow, WFMS, WEMS, AROM, grip strength and upper extremity function in patients with chronic stroke. We suggest that this study will be able to be used as an intervention data for recovering upper extremity function in chronic stroke patients

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Effect of scapular proprioceptive neuromuscular facilitation on shoulder pain, range of motion, and upper extremity function in hemiplegic patients: A randomized controlled trial

Indian Journal of Health Sciences and Biomedical Research (KLEU) ◽

10.4103/kleuhsj.kleuhsj_44_17 ◽

2017 ◽

Vol 10 (3) ◽

pp. 276

Author(s):

Deepak Joshi ◽

Jeba Chitra

Keyword(s):

Randomized Controlled Trial ◽

Range Of Motion ◽

Upper Extremity ◽

Shoulder Pain ◽

Controlled Trial ◽

Randomized Controlled ◽

Extremity Function ◽

Proprioceptive Neuromuscular Facilitation ◽

Upper Extremity Function

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Comparison of Upper Extremity Function in Women With and Women Without a History of Breast Cancer

Physical Therapy ◽

10.1093/ptj/pzaa015 ◽

2020 ◽

Vol 100 (3) ◽

pp. 500-508 ◽

Cited By ~ 1

Author(s):

Mary Insana Fisher ◽

Gilson Capilouto ◽

Terry Malone ◽

Heather Bush ◽

Timothy L Uhl

Keyword(s):

Breast Cancer ◽

Surgical Treatment ◽

Range Of Motion ◽

Upper Extremity ◽

Current Evidence ◽

Muscular Endurance ◽

Ctrl Group ◽

Extremity Function ◽

Upper Extremity Function

Abstract Background Breast cancer treatments often result in upper extremity functional limitations in both the short and long term. Current evidence makes comparisons against a baseline or contralateral limb, but does not consider changes in function associated with aging. Objective The objective of this study was to compare upper extremity function between women treated for breast cancer more than 12 months in the past and women without cancer. Design This was an observational cross-sectional study. Methods Women who were diagnosed with breast cancer and had a mean post–surgical treatment time of 51 months (range = 12–336 months) were compared with women who did not have breast cancer (CTRL group). Self-reported upper extremity function using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and shoulder range of motion, strength, and muscular endurance were measured. Participants were divided into 3 groups: breast cancer involving the nondominant limb (BC-ND), breast cancer involving the dominant limb (BC-DOM), and CTRL. Results A total of 59 women in the CTRL group, 23 women in the BC-ND group, and 28 women in the BC-DOM group completed measures. Mean DASH scores in women with breast cancer were higher than those of women in the CTRL group, regardless of the limb on which cancer occurred (Cohen d = 1.13; 95% CI = 2.20 to 16.21) Range of motion for the BC-ND group was significantly less for flexion (Cohen d = 1.19, 95% CI = −13.08 to −0.11) and external rotation (Cohen d = 1.11, 95% CI = −18.62 to −1.98) compared with the CTRL group. Strength in the BC-ND group was 23% to 25% lower in the CTRL group for external (Cohen’s d = 0.89, 95% CI = 0.09 to 0.12) and internal rotation (Cohen d = 0.92, 95% CI = 0.10 to 0.13). Endurance was not significantly different in the 3 groups. Limitations Some participants had rehabilitation, which may have skewed results. The range of post–surgical treatment times was broad, making it difficult to determine when function returned. Muscular endurance measures demonstrated a ceiling effect and large variance, limiting the ability to distinguish differences among participants. These results may not be generalizable to the subset of women who were treated with lumpectomy, sentinel node biopsy, or chest wall radiation alone or who underwent a contralateral prophylactic mastectomy. Conclusion In the long term, women with breast cancer have lower self-reported shoulder function than women without breast cancer. Motion and strength are lower among women who have experienced cancer on the nondominant limb.

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Combined Effect Of Botulinum Toxin And Splinting On Motor Components And Function Of People With Stroke

Advances in Bioscience and Clinical Medicine ◽

10.7575/aiac.abcmed.ca1.18 ◽

2017 ◽

pp. 18 ◽

Cited By ~ 1

Author(s):

Aryan Shamili ◽

Bijan Forogh ◽

Marzieh Pashmdarfard

Keyword(s):

Botulinum Toxin ◽

Range Of Motion ◽

Upper Extremity ◽

Muscle Tone ◽

Botulinum Toxin A ◽

Botulinum Toxin Injection ◽

Extremity Function ◽

Combined Use ◽

Upper Extremity Function ◽

The Difference

Background and objective: Spasticity is one of the problems following stroke. Due to this increase in muscle tone, patients are confronted to problems in motor control and difficulties in activities of daily living and complications such as shortness and contracture. The aim of this study was to examine the effects of Simultaneous use of both splint and botulinum toxin-A (BTX-A) injection on spasticity, range of motion and upper extremity function in a 3-month period.Methods: The design of this study was a comparison between 3 groups of interventions, conducted in rehabilitation clinics in Tehran. Sixty people with chronic stroke were recruited. Based on the inclusion criteria, a total of 39 stroke patients after completing the consent forms were entered to intervention groups; splint or botulinum toxin injection or combined splint/botulinum toxin injection. They were followed up about 3 months and the evaluations were done monthly. Goniometry was the method to measure range of motion, and Modified Ashworth scale was used to examine the spasticity and the upper extremity function was scored based on Fugl-Meyer assessment. Statistical analysis was done using SPSS 17. And ANOVAs was used for comparison between groups and times. Significance was set at 0.05.Results: All outcome measures improved within each group but the differences between splint group and BTX-A group and the BTX-A-splint group was not significant in most outcomes during 3 periods (first evaluation until end of the first month, the end of first month until the end of second month, the end of second month until the end of the third month) (p> 0 / 05). The results also showed that the changes in elbow`s spasticity {p= 0.05} and wrist`s spasticity {p= 0.007} and upper extremity function { p = 0.04} were obvious between the three groups over the 3-months and the difference in the group of combined use of botulinum toxin and splint was more than other groups.Conclusion: In this study, the effects of botulinum toxin injection and Volar-Dorsal Wrist/Hand Immobilization splint and the combined use of botulinum injection and splint were obvious in all groups but was not significantly different between the interventions in a 3-month follow-up.

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Effect of Gravity and Task Specific Training of Elbow Extensors on Upper Extremity Function after Stroke

Neurology Research International ◽

10.1155/2018/4172454 ◽

2018 ◽

Vol 2018 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Mohamed E. Khallaf

Keyword(s):

Range Of Motion ◽

Upper Extremity ◽

Motor Planning ◽

Control Group ◽

Elbow Extension ◽

Specific Training ◽

Extremity Function ◽

Upper Extremity Function ◽

Hemiparetic Stroke ◽

Nine Hole Peg Test

Background.In individuals with hemiparetic stroke, reaching with the paretic arm can be impaired by abnormal muscle coactivation. Prior trails for improving upper extremity functions after stroke have underestimated the role of gravitational force in motor planning and execution.Objective.The aims this trial were to study the effect of gravity as a facilitator for elbow extension and to estimate the immediate and retention effects of task specific training of elbow extensors on upper extremity function after stroke.Methods.Twenty-six right handed patients with first ever stroke represented the sample of the study. The participants were randomly assigned into two equal groups. The study group received treatment through two phases. Phase one included training for the elbow extensors in an antigravity position. Phase two included a set of task specific exercise for 16 weeks. The control group received traditional passive stretch and range of motion exercises. Manual dexterity and upper limb function were assessed by Nine-Hole Peg Test and Fugl-Meyer upper extremity. Goniometry was used for measuring elbow extension and forearm supination active ranges of motion.Results.Significant improvements were observed in Nine-Hole Peg Test, Fugl-Meyer upper extremity, and ranges of motion at postintervention and follow-up compared to preintervention at P≤0.05.Conclusions.The results of this study provide an evidence that antigravity positions can be used as a centrally presented facilitator of elbow extension. Additionally, task specific training was effective in improving upper extremity function and elbow extension range of motion.

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Development and Reliability of the PRESS to Function Approach: A Systematic Method for Upper Extremity Assessment

American Journal of Occupational Therapy ◽

10.5014/ajot.2021.75s2-rp70 ◽

2021 ◽

Vol 75 (Supplement_2) ◽

pp. 7512500070p1-7512500070p1

Author(s):

Phyllis Ross ◽

Felecia Banks

Keyword(s):

Range Of Motion ◽

Upper Extremity ◽

Musculoskeletal Disorders ◽

Functional Ability ◽

Function Approach ◽

Systematic Method ◽

Extremity Function ◽

The Press ◽

Upper Extremity Function ◽

Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The PRESS to Function Approach is designed to provide a systematic method of evaluating upper extremity function of musculoskeletal disorders. It is based on six constructs: pain, range of motion, edema, strength, sensibility, and functional ability. The approach avoids rendering incomplete hand and upper extremity evaluations and reassessments. The acronym is catchy enough for the novice therapist to make a mental check of what areas may be relevant during the session. Primary Author and Speaker: Phyllis Ross Additional Authors and Speakers: Felecia Banks

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