scholarly journals Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial

2016 ◽  
Vol 64 (3) ◽  
pp. 477
Author(s):  
Maricel Garrido-Montenegro ◽  
Evelyn Álvarez-Espinoza ◽  
Sebastián Vergara-Ruiz
Keyword(s):  
Clinical Trial ◽  
Activities Of Daily Living ◽  
Randomized Clinical Trial ◽  
Daily Living ◽  
Group Versus ◽  
Emg Biofeedback ◽  
Control Group ◽  
Stroke Patients ◽  
Repetitive Movement ◽  
Current Task

Introduction: Sequels in stroke patients include hemiparesis and dependency for performing basic activities of daily living (BADL). EMG biofeedback has yielded some benefits but has been limited to repetitive movement, therefore, it is insufficient for current task-oriented neurorehabilitation paradigms.Objective: To assess whether the application of EMG biofeedback in upper limbs during BADL training improves motor, occupational and satisfaction performances compared to BADL training without this feedback.Materials and methods: A pilot randomized clinical trial was conducted with stroke patients of more than six months of evolution, who showed hemiparesis and no cognitive deterioration. These patients were randomly classified into two groups: control group, who underwent conventional occupational therapy (COT), and experimental group, who underwent COT+EMG-BF. Patients were given 10 therapy sessions. Entry, evaluation and data analysis were masked.Results: Seven patients were included in each group, showing the same initial clinical and demographic characteristics (p>0.05). The group that underwent COT+EMG-BF showed a significantly better performance in all assessments. For example, the Barthel scale obtained a median of 100 points [85-100] for the COT+EMG-BF group versus 85 [80-90] for the control group (p<0.05), whereas ARAT score was 42 [40-47] points versus 20 [15-38] (p=0.03), respectively.Conclusion: The combination of COT+EMG-BF for BADL may be considered as an alternative for treatment of stroke patients.

scholarly journals Is neuromuscular electrical stimulation effective for improving pain, function and activities of daily living of knee osteoarthritis patients? A randomized clinical trial

2013 ◽  
Vol 131 (2) ◽  
pp. 80-87 ◽  
Author(s):  
Aline Mizusaki Imoto ◽  
Maria Stella Peccin ◽  
Lucas Emmanuel Pedro de Paiva Teixeira ◽  
Kelson Nonato Gomes da Silva ◽  
Marcelo Abrahão ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Electrical Stimulation ◽  
Knee Osteoarthritis ◽  
Activities Of Daily Living ◽  
Randomized Clinical Trial ◽  
Daily Living ◽  
Neuromuscular Electrical Stimulation ◽  
Intensity Difference ◽  
Control Group ◽  
Lequesne Index

CONTEXT AND OBJECTIVE Neuromuscular electrical stimulation (NMES) has been used in rehabilitation protocols for patients suffering from muscle weakness resulting from knee osteoarthritis. The purpose of the present study was to assess the effectiveness of an eight-week treatment program of NMES combined with exercises, for improving pain and function among patients with knee osteoarthritis. DESIGN AND SETTING Randomized clinical trial at Interlagos Specialty Ambulatory Clinic, Sao Paulo, Brazil. METHODS One hundred were randomized into two groups: NMES group and control group. The following evaluation measurements were used: numerical pain scale from 0 to 10, timed up and go (TUG) test, Lequesne index and activities of daily living (ADL) scale. RESULTS Eighty-two patients completed the study. From intention-to-treat (ITT) analysis comparing the groups, the NMES group showed a statistically significant improvement in relation to the control group, regarding pain intensity (difference between means: 1.67 [0.31 to 3.02]; P = 0.01), Lequesne index (difference between means: 1.98 [0.15 to 3.79]; P = 0.03) and ADL scale (difference between means: -11.23 [-19.88 to -2.57]; P = 0.01). CONCLUSION NMES, within a rehabilitation protocol for patients with knee osteoarthritis, is effective for improving pain, function and activities of daily living, in comparison with a group that received an orientation program. CLINICAL TRIAL REGISTRATION ACTRN012607000357459.

scholarly journals Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

HortScience ◽  
2018 ◽  
Vol 53 (1) ◽  
pp. 110-119 ◽  
Author(s):  
A-Young Lee ◽  
Sin-Ae Park ◽  
Hye-Gyeong Park ◽  
Ki-Cheol Son
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Daily Living ◽  
Control Group ◽  
Stroke Patients ◽  
Horticultural Therapy ◽  
Limb Function ◽  
Rehabilitation Hospital ◽  
Upper Limb Function ◽  
Task Oriented

The objective of this study was to assess the physical and psychological effects of an 18-session horticultural therapy (HT) program based on task-oriented training in stroke patients and investigate patient satisfaction. The HT program consisted of horticultural activities including the motions such as reaching–grasping, squatting, stepping, and stooping. A total of 31 stroke inpatients (16 males, 15 females) at B rehabilitation hospital in Seongnam, South Korea, participated in this study. Fourteen stroke patients participated in a thrice weekly HT program (6 weeks, ≈60 minutes per session) between Aug. and Sept. 2016, whereas another 17 stoke patients comprised the control group. At the completion of the 18-session HT program, upper limb function [manual function test (MFT)], grip strength (hydraulic hand dynamometer), pinch force (hydraulic pinch gauge), fine motor skills (9-hole pegboard), balance [Berg Balance Scale (BBS)], and activities of daily living (Modified Barthel Index) were evaluated in both groups. In addition, depression [The Korean version of the short form of Geriatric Depression Scales (SGDS-K)], rehabilitation stress (Rehabilitation Stress Scales), rehabilitation motivation (Rehabilitation Motivation Scales), and fall efficacy (The Korean version of the Falls Efficacy Scale) were evaluated. Stroke patients in the HT group showed significantly improved upper limb function, hand force, balance, fall efficacy, activities of daily living, and decreased depression (P < 0.05). By contrast, no significant change was noted in the control group. In addition, 85.7% of the stroke patients in the HT group reported being very satisfied or satisfied with the HT program. In conclusion, the HT program based on task-oriented training improved the patients’ physical and psychological function after stroke rehabilitation. These study results suggest that implementing an HT program in a rehabilitation hospital will effectively contribute to functional recovery after stroke.

scholarly journals PENGARUH AKUPRESUR TERHADAP PENINGKATAN KEKUATAN OTOT DAN ACTIVITIES OF DAILY LIVING (ADL) PADA PASIEN STROKE NON HEMORAGIK DI UNIT STROKE RSUD A. WAHAB SJAHRANIE SAMARINDA

2019 ◽  
Vol 1 (1) ◽  
pp. 32-42
Author(s):  
Theresia Tutik Ismiati
Keyword(s):  
Muscle Strength ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Intervention Group ◽  
Complementary Therapy ◽  
World Health ◽  
Control Group ◽  
Stroke Patients ◽  
Range Of Movement ◽  
Permanent Disability

Stroke is a disease caused by the interruption of blood supply to the brain. WHO (World Health Organization) stated 15 million people world wide suffer a stroke each year. As many as 5 million people are death sand 5 million people have permanent disability. Stroke Foundation of Indonesia (Yastroki) noted that Indonesia ranks  first in Asia with the majority of stroke patients and become leading causes of death in Indonesia. Stroke affects extremity dysfunction such decreased muscle strength which will contribute to the decline ability of Activities of daily living (ADL). There are several the rapies that have been done to over come muscle weakness and limitations of the ADL such as range of movement exercises, positioning, and acupressure is one form of therapy that can be done to restore extremity function. This study aims to determine the effect of acupressure intervention on limb muscle strength and Activities Of Daily Living (ADL) In Stroke Patients. Quantitative Study of quasi-experiment pre-post test design involved 113 respondents into two groups: the intervention group with 88 respondents and the control group with 25 respondents.The result showed male respondents (51.3%), aged 45-59 years (58.4%), and the first attack (85%). After the intervention of 7 day sine ach ofthe respondents, found significant differences increase muscle strength and ADL before the after intervention:  right limbmuscle strength(p =0.000); left limbstrength (p =0.000); and ADL (p =0.000). Respondent characteristics that influence muscle strength and ADL were age and frequency of stroke (P <0.05), where as no influence of gender (p> 0.05). The conclusions of this study that acupressureis an effective therapy on increase muscle strength and ADL of stroke patients. This research recommended acupressure as a complementary therapy to improve muscle strength andADLof stroke patients.

scholarly journals Robot-Assisted Therapy and Constraint-Induced Movement Therapy for Motor Recovery in Stroke: Results From a Randomized Clinical Trial

2021 ◽  
Vol 15 ◽  
Author(s):  
Thais Tavares Terranova ◽  
Marcel Simis ◽  
Artur César Aquino Santos ◽  
Fábio Marcon Alfieri ◽  
Marta Imamura ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Activities Of Daily Living ◽  
Randomized Clinical Trial ◽  
Upper Limb ◽  
Daily Living ◽  
Movement Therapy ◽  
Rehabilitation Program ◽  
Motor Recovery ◽  
Robot Assisted ◽  
Constraint Induced Movement Therapy

Background: Stroke is one of the leading causes of adult disability, and up to 80% of stroke survivors undergo upper extremity motor dysfunction. Constraint-Induced Movement Therapy (CIMT) and Robot-Assisted Therapy (RT) are used for upper limb stroke rehabilitation. Although CIMT and RT are different techniques, both are beneficial; however, their results must be compared. The objective is to establish the difference between RT and CIMT after a rehabilitation program for chronic stroke patients.Method: This is a randomized clinical trial, registered at ClinicalTrials.gov (ID number NCT02700061), in which patients with stroke received sessions of RT or CIMT protocol, combined with a conventional rehabilitation program for 12 weeks. The primary outcome was measured by Wolf Motor Function Test (WMFT) and Fugl-Meyer Assessment—Upper Limb (FMA-UL). Activities of daily living were also assessed.Results: Fifty one patients with mild to moderate upper limb impairment were enrolled in this trial, 25 women and 26 men, mean age of 60,02 years old (SD 14,48), with 6 to 36 months after stroke onset. Function significantly improved regardless of the treatment group. However, no statistical difference was found between both groups as p-values of the median change of function measured by WMFT and FMA were 0.293 and 0.187, respectively.Conclusion: This study showed that Robotic Therapy (RT) was not different from Constraint-Induced Movement Therapy (CIMT) regardless of the analyzed variables. There was an overall upper limb function, motor recovery, functionality, and activities of daily living improvement regardless of the interventions. At last, the combination of both techniques should be considered in future studies.

No difference between fixed- and mobile-bearing total knee arthroplasty in activities of daily living and pain: a randomized clinical trial

2016 ◽  
Vol 25 (6) ◽  
pp. 1692-1696 ◽  
Author(s):  
Joicemar Tarouco Amaro ◽  
Gustavo Gonçalves Arliani ◽  
Diego Costa Astur ◽  
Pedro Debieux ◽  
Camila Cohen Kaleka ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Total Knee Arthroplasty ◽  
Activities Of Daily Living ◽  
Randomized Clinical Trial ◽  
Knee Arthroplasty ◽  
Daily Living ◽  
Mobile Bearing ◽  
Total Knee

scholarly journals Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients

2020 ◽  
Vol 17 (8) ◽  
pp. 2755
Author(s):  
Hsiao-Mei Chen ◽  
Hsiao-Lu Lee ◽  
Fu-Chi Yang ◽  
Yi-Wen Chiu ◽  
Shu-Yuan Chao
Keyword(s):  
Activities Of Daily Living ◽  
Motivational Interviewing ◽  
Daily Living ◽  
Demographic Data ◽  
Estimating Equation ◽  
Routine Care ◽  
Control Group ◽  
Stroke Patients ◽  
Quasi Experimental ◽  
Experimental Group

Background: Stroke patients urgently need rehabilitation to enhance activities of daily living. This study aims to determine whether motivational interviewing (MI) improves the performance of activities of daily living and enhances motivation for rehabilitation among first-stroke patients. Methods: A quasi-experimental design was used in this study. The study recruited 65 patients between March and October 2016. Before the intervention, all patients received routine care. The experimental group (n = 33) received weekly sessions of MI for 6 weeks, whereas the control group (n = 32) received individual attention from a research nurse weekly for 6 weeks. Structured questionnaires were used to collect data, including demographic data, activities of daily living data (Barthel index {BI} and instrumental activities of daily living {IADLs} scale), and rehabilitation motivation data. Results: The BI and IADLs scores significantly improved with time in both the experimental and control groups. The generalized estimating equation approach showed that at 6 weeks and 3 months after the intervention, the rehabilitation motivation scores in the experimental group were respectively 3.10 and 2.54 points higher than those in the control group, with significant differences. Conclusions: MI could effectively enhance motivation for rehabilitation among stroke patients.

scholarly journals Awake prone positioning in patients with hypoxemic respiratory failure due to COVID-19: the PROFLO multicenter randomized clinical trial

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Jacob Rosén ◽  
Erik von Oelreich ◽  
Diddi Fors ◽  
Malin Jonsson Fagerlund ◽  
Knut Taxbro ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Respiratory Failure ◽  
Randomized Clinical Trial ◽  
Noninvasive Ventilation ◽  
Standard Care ◽  
Group Versus ◽  
Organ Support ◽  
Control Group ◽  
Prone Positioning ◽  
Hypoxemic Respiratory Failure

Abstract Background The effect of awake prone positioning on intubation rates is not established. The aim of this trial was to investigate if a protocol for awake prone positioning reduces the rate of endotracheal intubation compared with standard care among patients with moderate to severe hypoxemic respiratory failure due to COVID-19. Methods We conducted a multicenter randomized clinical trial. Adult patients with confirmed COVID-19, high-flow nasal oxygen or noninvasive ventilation for respiratory support and a PaO2/FiO2 ratio ≤ 20 kPa were randomly assigned to a protocol targeting 16 h prone positioning per day or standard care. The primary endpoint was intubation within 30 days. Secondary endpoints included duration of awake prone positioning, 30-day mortality, ventilator-free days, hospital and intensive care unit length of stay, use of noninvasive ventilation, organ support and adverse events. The trial was terminated early due to futility. Results Of 141 patients assessed for eligibility, 75 were randomized of whom 39 were allocated to the control group and 36 to the prone group. Within 30 days after enrollment, 13 patients (33%) were intubated in the control group versus 12 patients (33%) in the prone group (HR 1.01 (95% CI 0.46–2.21), P = 0.99). Median prone duration was 3.4 h [IQR 1.8–8.4] in the control group compared with 9.0 h per day [IQR 4.4–10.6] in the prone group (P = 0.014). Nine patients (23%) in the control group had pressure sores compared with two patients (6%) in the prone group (difference − 18% (95% CI − 2 to − 33%); P = 0.032). There were no other differences in secondary outcomes between groups. Conclusions The implemented protocol for awake prone positioning increased duration of prone positioning, but did not reduce the rate of intubation in patients with hypoxemic respiratory failure due to COVID-19 compared to standard care. Trial registration ISRCTN54917435. Registered 15 June 2020 (https://doi.org/10.1186/ISRCTN54917435).

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