Effect of Proprioceptive Neuromuscular Facilitation and Action Observation Training on Upper Extremity Motor Function in Stroke Patient: A Single-Subject Study

2015 ◽  
Vol 22 (1) ◽  
pp. 69-78
Author(s):  
Hye-ryoung Park ◽  
◽  
Moon-kyu Lee ◽  
Tae-won Yun
Keyword(s):  
Upper Extremity ◽  
Motor Function ◽  
Stroke Patient ◽  
Action Observation ◽  
Single Subject ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Observation Training

scholarly journals Effect of Action Observation Training on Spasticity, Gross Motor Function, and Balance in Children with Diplegia Cerebral Palsy

Children ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 64
Author(s):  
Young-a Jeong ◽  
Byoung-Hee Lee
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Action Observation ◽  
Training Group ◽  
Control Group ◽  
Spastic Diplegia ◽  
Post Intervention ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Observation Training

This study evaluated the effect of action observation training on spasticity, gross motor function, and balance in children with spastic diplegia cerebral palsy. Eighteen children with cerebral palsy participated in this study. The participants were randomized into the action observation training group (n = 9) and a control group (n = 9). The action observation training group repeatedly practiced the action with their motor skills, while the control group practiced conventional physical therapy. Both groups received 30 min sessions, 3 days a week, for 6 weeks. To confirm the effects of intervention, the spasticity, gross motor function measurement (GMFM), and pediatric reaching test (PRT) were evaluated. The results showed that in the plantar flexor contracture test of both sides, the Modified Tardieu Scale (MTS) of the right side of knee joints, GMFM-B, C, and D were significantly increased between pre- and post-intervention within both groups (p < 0.05). PRT was significantly increased between pre- and post-intervention within the both groups (p < 0.05), and there was a significant difference between the two groups (p < 0.05). These results suggest that action observation training is both feasible and beneficial for improving spasticity, gross motor function, and balance in children with spastic diplegia cerebral palsy.

scholarly journals Action observation training to improve motor function recovery: a systematic review

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Elisabetta Sarasso ◽  
Mariano Gemma ◽  
Federica Agosta ◽  
Massimo Filippi ◽  
Roberto Gatti
Keyword(s):  
Systematic Review ◽  
Motor Function ◽  
Action Observation ◽  
Improve Motor Function ◽  
Function Recovery ◽  
Observation Training

scholarly journals The Effect of Priming on Outcomes of Task-Oriented Training for the Upper Extremity in Chronic Stroke: A Systematic Review and Meta-analysis

2020 ◽  
Vol 34 (6) ◽  
pp. 479-504
Author(s):  
Erika Shirley Moreira da Silva ◽  
Gabriela Nagai Ocamoto ◽  
Gabriela Lopes dos Santos-Maia ◽  
Roberta de Fátima Carreira Moreira Padovez ◽  
Claudia Trevisan ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Motor Function ◽  
Effect Size ◽  
Action Observation ◽  
Chronic Stroke ◽  
Upper Extremities ◽  
Body Function ◽  
Task Oriented ◽  
Activity Domain ◽  
Quality Evidence

Background. Priming results in a type of implicit memory that prepares the brain for a more plastic response, thereby changing behavior. New evidence in neurorehabilitation points to the use of priming interventions to optimize functional gains of the upper extremity in poststroke individuals. Objective. To determine the effects of priming on task-oriented training on upper extremity outcomes (body function and activity) in chronic stroke. Methods. The PubMed, CINAHL, Web of Science, EMBASE, and PEDro databases were searched in October 2019. Outcome data were pooled into categories of measures considering the International Classification Functional (ICF) classifications of body function and activity. Means and standard deviations for each group were used to determine group effect sizes by calculating mean differences (MDs) and 95% confidence intervals via a fixed effects model. Heterogeneity among the included studies for each factor evaluated was measured using the I2 statistic. Results. Thirty-six studies with 814 patients undergoing various types of task-oriented training were included in the analysis. Of these studies, 17 were associated with stimulation priming, 12 with sensory priming, 4 with movement priming, and 3 with action observation priming. Stimulation priming showed moderate-quality evidence of body function. Only the Wolf Motor Function Test (time) in the activity domain showed low-quality evidence. However, gains in motor function and in use of extremity members were measured by the Fugl-Meyer Assessment (UE-FMA). Regarding sensory priming, we found moderate-quality evidence and effect size for UE-FMA, corresponding to the body function domain (MD 4.77, 95% CI 3.25-6.29, Z = 6.15, P < .0001), and for the Action Research Arm Test, corresponding to the activity domain (MD 7.47, 95% CI 4.52-10.42, Z = 4.96, P < .0001). Despite the low-quality evidence, we found an effect size (MD 8.64, 95% CI 10.85-16.43, Z = 2.17, P = .003) in movement priming. Evidence for action observation priming was inconclusive. Conclusion. Combining priming and task-oriented training for the upper extremities of chronic stroke patients can be a promising intervention strategy. Studies that identify which priming techniques combined with task-oriented training for upper extremity function in chronic stroke yield effective outcomes in each ICF domain are needed and may be beneficial for the recovery of upper extremities poststroke.

scholarly journals Effect of Short Period Simultaneous Stimulation of Transcranial Direct Current Stimulation (tDCS) on Occupational Therapy to Motor Function of Upper Extremity in Stroke Subject

2020 ◽  
Vol 2 (2) ◽  
pp. 66
Author(s):  
Adrian Utomo ◽  
I Lukitra Wardhani ◽  
I Putu Alit Pawana
Keyword(s):  
Occupational Therapy ◽  
Ischaemic Stroke ◽  
Upper Extremity ◽  
Motor Function ◽  
Stroke Patient ◽  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Intervention Group ◽  
Control Group ◽  
Direct Current Stimulation

ABSTRACTObjective: Stroke could cause upper extremity motor function disturbances that may affect to quality of life. The affected brain has an ability to get recovery by neuroplasticity process. Transcranial direct current stimulation (tDCS) is a non-invasive modality that could induce brain neuroplasticity Goal: To determine the effect of tDCS stimulation on recovery of upper extremity motor function in subacute ischaemic stroke patient. Methods: 22 stroke patients included in inclusion criteria, divided into 2 groups, control group and intervention group. Control group had occupational therapy for 5 days consecutively and intervention group had occupational therapy and tDCS stimulation simultaneously for 5 days consecutively. Upper extremity motor function was evaluated with Fugl-Meyer Assessment (FMA) before and after the treatment. Results: Significant improvement of FMA score on control group (p=0,018) and intervention group (p=0,000). Comparison of the result after the treatment revealed that the intervention group showed more significant improvement in FMA score than the control group (p=0,000). Conclusion: Application of tDCS stimulation on occupational therapy simultaneously showed improvement of upper extremity motor function in subacute ischaemic stroke patient better than only occupational therapy. Key Words: Transcranial direct current stimulation, occupational therapy, Fugl-Meyer Assessment, upper extremity motor function, subacute ischemic stroke.

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