scholarly journals The Effectiveness of Combined Mental Practice and Conventional Physiotherapy for the Improvement of Upper Extremity Function and Activity of Daily Performance in Post-stroke Hemiplegic Patients: A Comparative Study

2020 ◽  
Vol 4 (11) ◽  
pp. 03-12
Author(s):  
Basil Kum Meh ◽  
Maurice Douryang ◽  
Franklin Buh Chu ◽  
Alain Marsanaud Tedah ◽  
Emmanuel Sako Haddison ◽  
...  
Keyword(s):  
Comparative Study ◽  
Upper Extremity ◽  
Mental Practice ◽  
Post Stroke ◽  
Extremity Function ◽  
Upper Extremity Function ◽  
Conventional Physiotherapy

scholarly journals Neurophysiological Changes Induced by Music-Supported Therapy for Recovering Upper Extremity Function after Stroke: A Case Series

2021 ◽  
Vol 11 (5) ◽  
pp. 666
Author(s):  
Shashank Ghai ◽  
Fabien Dal Maso ◽  
Tatiana Ogourtsova ◽  
Alba-Xifra Porxas ◽  
Myriam Villeneuve ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Best Practice ◽  
Case Series ◽  
Stroke Survivors ◽  
Network Nodes ◽  
Post Stroke ◽  
Positive Effects ◽  
Extremity Function ◽  
Motor Network ◽  
Upper Extremity Function

Music-supported therapy (MST) follows the best practice principles of stroke rehabilitation and has been proven to instigate meaningful enhancements in motor recovery post-stroke. The existing literature has established that the efficacy and specificity of MST relies on the reinforcement of auditory-motor functional connectivity in related brain networks. However, to date, no study has attempted to evaluate the underlying cortical network nodes that are key to the efficacy of MST post-stroke. In this case series, we evaluated changes in connectivity within the auditory-motor network and changes in upper extremity function following a 3-week intensive piano training in two stroke survivors presenting different levels of motor impairment. Connectivity was assessed pre- and post-training in the α- and the β-bands within the auditory-motor network using magnetoencephalography while participants were passively listening to a standardized melody. Changes in manual dexterity, grip strength, movement coordination, and use of the upper extremity were also documented in both stroke survivors. After training, an increase in the clinical measures was accompanied by enhancements in connectivity between the auditory and motor network nodes for both the α- and the β-bands, especially in the affected hemisphere. These neurophysiological changes associated with the positive effects of post-stroke MST on motor outcomes delineate a path for a larger scale clinical trial.

Restoring Moderate to Severe Loss of Upper Extremity Function Post-stroke with a Neuromotor Prosthesis: A Case Report

2021 ◽  
Vol 102 (10) ◽  
pp. e51-e52
Author(s):  
Ashly Parekh ◽  
Mijail Serruya ◽  
Namrata Grampurohit ◽  
Thomas Kelly ◽  
Joe Kardine ◽  
...  
Keyword(s):  
Case Report ◽  
Upper Extremity ◽  
Severe Loss ◽  
Post Stroke ◽  
Extremity Function ◽  
Upper Extremity Function

scholarly journals ASSOCIATIONS BETWEEN THE UPPER EXTREMITY FUNCTION AND COGNITION IN POST-STROKE PATIENTS

2021 ◽  
Vol 74 (8) ◽  
pp. 1917-1920
Author(s):  
Iriah F. Uwa-Agbonikhena ◽  
Viktoriia A. Gryb ◽  
Viktoriia R. Gerasymchuk
Keyword(s):  
Upper Extremity ◽  
Motor Function ◽  
Motor Impairment ◽  
Motor Dysfunction ◽  
Stroke Patients ◽  
Anterior Circulation ◽  
Clock Drawing Test ◽  
Post Stroke ◽  
Extremity Function ◽  
Upper Extremity Function

The aim: Was to determine the relations between the the upper extremity function and cognition in post-stroke patients. Materials and methods: Totally there were 86 patients examined in the 1-year period after first-ever anterior circulation ischemic stroke. Examination of the upper extremity function was performed with the Fugl-Meyer assessment (FMA). Cognitive function was assessed with the Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Frontal Assessment Battery (FAB), Trail-making Test A and B (TMT) and the Clock Drawing Test (CDT). Results: Motor dysfunction mostly manifested in low “Wrist” and “Hand” subtests scores (5 and 7 , respectively) and therefore resulted in decreased “Total motor function” score of 40 . The most significant relations were found out between the FMA “Hand”, “Total motor function” subtests and CI indices. MoCA score correlated with FMA “Wrist” (r=0.34; p=0.021), “Hand” (r=0.52; p=0.001) and “Total motor function” (r=0.48; p=0.003) scores. “Hand” score also correlated with the FAB (r=0.43; p=0.012), CDT (r=0.22; p=0.016), TMT-A (r=-0.31; p=0.023) and TMT-B (-0.48; p=0.009) scores. There was no significant correlation between the sensory FMA subtests. Conclusion: Our findings suggest that upper extremity motor impairment, especially hand and wrist dysfunction, are associated with cognitive impairment and executive functions disorder in particular.

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