scholarly journals Reaching exercise for chronic paretic upper extremity after stroke using a novel rehabilitation robot with arm-weight support and concomitant electrical stimulation and vibration: before-and-after feasibility trial

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Yumeko Amano ◽  
Tomokazu Noma ◽  
Seiji Etoh ◽  
Ryuji Miyata ◽  
Kentaro Kawamura ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Upper Extremity ◽  
Feasibility Trial ◽  
Rehabilitation Robot ◽  
Weight Support ◽  
Before And After ◽  
Arm Weight Support

scholarly journals EFFECTIVENESS OF COMBINED USE OF ARM ABILITY TRAINING WITH ARM WEIGHT SUPPORT TO IMPROVE UPPER EXTREMITY FUNCTIONAL SKILLS AND ADL SKILLS IN PARKINSONISM PATIENTS

2021 ◽  
pp. 283-289
Author(s):  
Dr.Feba Jose ◽  
Dr. Surendra Kumar Meena ◽  
Dr. Neha Jain
Keyword(s):  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Daily Living ◽  
Baseline Assessment ◽  
Functional Skills ◽  
Weight Support ◽  
Katz Index ◽  
Combined Use ◽  
Post Test ◽  
Arm Weight Support

OBJECTIVE: This study is to determine the effectiveness of combined use of arm ability training with arm weight support to improve upper extremity functional skills and ADL skills in Parkinsonism patients. METHOD: Thirty subjects with parkinsonism ( 5 months to 10 years of Parkinson’s disease) were selected, who fulfilled the inclusion and exclusion criteria and according to the screening measures using UPDRS, Hoehn and Yahr scale and MMSE. Baseline assessment (Pre-test) was done using FMA, UEFI, and Katz index. After baseline assessment arm ability training (AAT) combined with arm weight support (45 minutes) was given to the patients for 12 weeks, 45 minutes in a day for 3 days in a week and post-intervention assessment (Post-test) was taken after 12 weeks by using the same outcome measures. RESULT: Post- training there was a significant improvement in all the outcome measures. The result of the study showed evidence of benefit of the practice of Arm ability training with Arm weight support in Parkinsonism; enhance improvement as a result of Arm ability training along with Arm weight support were found in FMA-UE is x= 97.00 (volitional movement), UEFI is x= 46.20 ( Hand functionality), Katz Index is x= 5.20 (Autonomy of ADL). The post-test has showed a greater improvement than from the pre-test in all the outcome measure (FMA-UE-P=0.001, UEFI-P=0.001 and Katz Index- P=0.001). The Pre and Post score comparison of outcome variables shown improvement in upper extremity functional skills and in Activities of Daily living skills following the intervention programme. CONCLUSION: The Arm ability training techniques with Arm weight support was found to be effective in improving upper extremity functional skills as well as ADL skills among the Parkinsonism patients. The Arm ability training combined with Arm weight support can be used with other occupational therapy intervention to provide additional benefits to the Parkinsonism patients. KEYWORDS: upper extremity functional skills, Activities of Daily Living, Arm ability training, Arm weight support, Parkinson’s disease.

scholarly journals Compensating the effects of FES-induced muscle fatigue by rehabilitation robotics during arm weight support

2017 ◽  
Vol 3 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Paul Meyer-Rachner ◽  
Arne Passon ◽  
Christian Klauer ◽  
Thomas Schauer
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Electrical Stimulation ◽  
Muscle Fatigue ◽  
Upper Limb ◽  
Functional Electrical Stimulation ◽  
Rehabilitation Robotics ◽  
Weight Support ◽  
Cord Injury ◽  
Arm Weight Support

Abstract:Motor functions can be hindered in consequence to a stroke or a spinal cord injury. This often results in partial paralyses of the upper limb. The effectiveness of rehabilitation therapy can be improved by the use of rehabilitation robotics and Functional Electrical Stimulation (FES). We consider a hybrid arm weight support combining both. In order to compensate the effect of FES-induced muscle fatigue, we introduce a method to substitute the decreasing level of FES support by cable-driven robotics. We evaluated the approach in a trial with one healthy subject performing repetitive arm lifting. The controller automatically adapted the support and thus no increase in user generated volitional effort was observed when FES induced muscle fatigue occured.

scholarly journals Effects of Arm Weight Support Training to Promote Recovery of Upper Limb Function for Subacute Patients after Stroke with Different Levels of Arm Impairments

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Irene H. L. Chan ◽  
Kenneth N. K. Fong ◽  
Dora Y. L. Chan ◽  
Apple Q. L. Wang ◽  
Eddy K. N. Cheng ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Muscle Tone ◽  
Gain Scores ◽  
Upper Limb Function ◽  
Subacute Stroke ◽  
Weight Support ◽  
Shoulder Flexion ◽  
Upper Extremity Impairment ◽  
Arm Weight Support ◽  
Different Levels

Purpose.The goal of this study was to investigate the effects of arm weight support training using the ArmeoSpring for subacute patients after stroke with different levels of hemiplegic arm impairments.Methods.48 inpatients with subacute stroke, stratified into 3 groups from mild to severe upper extremity impairment, were engaged in ArmeoSpring training for 45 minutes daily, 5 days per week for 3 weeks, in addition to conventional rehabilitation. Evaluations were conducted at three measurement occasions: immediately before training (T1); immediately after training (T2); and at a 3-week follow-up (T3) by a blind rater.Results.Shoulder flexion active range of motion, Upper Extremity Scores in the Fugl-Meyer Assessment (FMA), and Vertical Catch had the greatest differences in gain scores for patients between severe and moderate impairments, whereas FMA Hand Scores had significant differences in gain scores between moderate and mild impairments. There was no significant change in muscle tone or hand-path ratios between T1, T2, and T3 within the groups.Conclusion.Arm weight support training is beneficial for subacute stroke patients with moderate to severe arm impairments, especially to improve vertical control such as shoulder flexion, and there were no adverse effects in muscle tone.

scholarly journals Insights into the combination of neuromuscular electrical stimulation and motor imagery in a training-based approach

2021 ◽  
Author(s):  
Amandine Bouguetoch ◽  
Alain Martin ◽  
Sidney Grosprêtre
Keyword(s):  
Electrical Stimulation ◽  
Motor Imagery ◽  
Neural Plasticity ◽  
Neuromuscular Electrical Stimulation ◽  
Voluntary Contraction ◽  
Muscle Architecture ◽  
Fascicle Length ◽  
Before And After ◽  
V Wave ◽  
And Control

Abstract Introduction Training stimuli that partially activate the neuromuscular system, such as motor imagery (MI) or neuromuscular electrical stimulation (NMES), have been previously shown as efficient tools to induce strength gains. Here the efficacy of MI, NMES or NMES + MI trainings has been compared. Methods Thirty-seven participants were enrolled in a training program of ten sessions in 2 weeks targeting plantar flexor muscles, distributed in four groups: MI, NMES, NMES + MI and control. Each group underwent forty contractions in each session, NMES + MI group doing 20 contractions of each modality. Before and after, the neuromuscular function was tested through the recording of maximal voluntary contraction (MVC), but also electrophysiological and mechanical responses associated with electrical nerve stimulation. Muscle architecture was assessed by ultrasonography. Results MVC increased by 11.3 ± 3.5% in NMES group, by 13.8 ± 5.6% in MI, while unchanged for NMES + MI and control. During MVC, a significant increase in V-wave without associated changes in superimposed H-reflex has been observed for NMES and MI, suggesting that neural adaptations occurred at supraspinal level. Rest spinal excitability was increased in the MI group while decreased in the NMES group. No change in muscle architecture (pennation angle, fascicle length) has been found in any group but muscular peak twitch and soleus maximal M-wave increased in the NMES group only. Conclusion Finally, MI and NMES seem to be efficient stimuli to improve strength, although both exhibited different and specific neural plasticity. On its side, NMES + MI combination did not provide the expected gains, suggesting that their effects are not simply cumulative, or even are competitive.

Effects of Mirror Therapy Combined With EMG-triggered Functional Electrical Stimulation to Improve on Upper Extremity Function in Patient with Chronic Stroke

2020 ◽  
Author(s):  
Joo Yeol Jung ◽  
Pong Sub Youn ◽  
Dong Hoon Kim
Keyword(s):  
Electrical Stimulation ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Functional Electrical Stimulation ◽  
Chronic Stroke ◽  
Mirror Therapy ◽  
Extremity Function ◽  
Upper Extremity Function

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

Cross-talk along gastrointestinal tract during electrical stimulation: effects and mechanisms of gastric/colonic stimulation on rectal tone in dogs

2005 ◽  
Vol 288 (6) ◽  
pp. G1195-G1198 ◽  
Author(s):  
Shi Liu ◽  
Lijie Wang ◽  
J. D. Z. Chen
Keyword(s):  
Electrical Stimulation ◽  
Inhibitory Effect ◽  
Adrenergic Blockade ◽  
Rectal Compliance ◽  
Rectal Tone ◽  
Before And After ◽  
Sensory Functions ◽  
Sympathetic Pathway ◽  
Colonic Electrical Stimulation ◽  
Stimulation Of

Gastric electrical stimulation (GES) has been shown to alter motor and sensory functions of the stomach. However, its effects on other organs of the gut have rarely been investigated. The study was performed in 12 dogs implanted with two pairs of electrodes, one on the serosa of the stomach and the other on the colon. The study was composed of two experiments. Experiment 1 was designed to study the effects of GES on rectal tone and compliance in nine dogs compared with colonic electrical stimulation (CES). Rectal tone and compliance were assessed before and after GES or CES. Experiment 2 was performed to study the involvement of sympathetic pathway in 8 of the 12 dogs. The rectal tone was recorded for 30–40 min at baseline and 20 min after intravenous guanethidine. GES or CES was given for 20 min 20 min after the initiation of the infusion. It was found that both GES and CES reduced rectal tone with comparable potency. Rectal compliance was altered neither with GES, nor with CES. The inhibitory effect of GES but not CES on rectal tone was abolished by an adrenergic blockade, guanethidine. GES inhibited rectal tone with a comparable potency with CES but did not alter rectal compliance. The inhibitory effect of GES on rectal tone is mediated by the sympathetic pathway. It should be noted that electrical stimulation of one organ of the gut may have a beneficial or adverse effect on another organ of the gut.

scholarly journals Activity-Based Electrical Stimulation Training in a Stroke Patient With Minimal Movement in the Paretic Upper Extremity

2008 ◽  
Vol 23 (6) ◽  
pp. 595-599 ◽  
Author(s):  
Stephen J. Page ◽  
Samantha Maslyn ◽  
Valerie Hill Hermann ◽  
Andy Wu ◽  
Kari Dunning ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Upper Extremity ◽  
Stroke Patient
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