the Effect of Scapular Dyskinesia on the Scapular Balance Angle & Upper Extremity Sensorimotor Function in Spastic Stroke Patient. The Patients Were Diagnosed With the Lateral Scapular Slide Test, Fugl-Meyer Upper Extremity (FMUE) Scale Scores & Scapular Balance Angle Test (SBA).

2019 ◽  
Author(s):  
Keyword(s):  
Upper Extremity ◽  
Stroke Patient ◽  
Sensorimotor Function ◽  
Scale Scores ◽  
Slide Test ◽  
Scapular Dyskinesia

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

scholarly journals Feasibility and potential effects of using the electro-dress Mollii on spasticity and functioning in chronic stroke

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Susanne Palmcrantz ◽  
Gaia Valentina Pennati ◽  
Hanna Bergling ◽  
Jörgen Borg
Keyword(s):  
Upper Extremity ◽  
Muscle Tone ◽  
Reciprocal Inhibition ◽  
Controlled Study ◽  
Sensorimotor Function ◽  
Home Setting ◽  
Positive Effects ◽  
Cost Effective Treatment ◽  
Significant Difference ◽  
Activity Performance

Abstract Background Spasticity after lesions of central motor pathways may be disabling and there is a need for new, cost-effective treatment methods. One novel approach is offered by the electro-dress Mollii®, primarily designed to enhance reciprocal inhibition of spastic muscles by multifocal, transcutaneous antagonist stimulation. Methods The Mollii® suit was set individually for 20 participants living with spasticity and hemiplegia after stroke and used in the home setting for 6 weeks. Usability and perceived effects were monitored by weekly telephone interviews. Outcome was assessed by use of the NeuroFlexor™ method for quantification of the neural component (NC) of resistance to passive stretch (spasticity), and the modified Ashworth scale (MAS) for total resistance, Fugl-Meyer Assessment of motor recovery for sensorimotor function in upper (FM-UE) and lower extremities (FM-LE), activity performance with the Action Research Arm Test (ARAT), Berg balance scale, 10 m and 6 min walk tests, and perceived functioning with the Stroke Impact Scale. Results Compliance was high (mean 19.25 of 21 sessions). Perceived positive effects were reported by 60% and most commonly related to decreased muscle tone (n = 9), improved gait pattern function (n = 7) and voluntary movement in the upper extremity (n = 6). On a group level, the NC decreased significantly in the wrist flexors of the affected hand (p = 0.023) and significant improvements according to FM-UE (p = 0.000) and FM-LE (p = 0.003) were seen after the intervention. No significant difference was detected with MAS or assessed activity performance, except for the ARAT (p = 0.000). FM-UE score change correlated significantly and fairly with the perceived effect in the upper extremity (r 0.498 p = 0.025) and in the corresponding analysis for the FM-LE and perceived effect in the lower extremity (r = 0.469 p = 0.037). Conclusion This study indicates that the Mollii® method is feasible when used in the home setting to decrease spasticity and improve sensorimotor function. The results may guide a larger controlled study combined with rehabilitation interventions to enhance effects on activity and participation domains. Trial registration NCT04076878. Registered 2 September 2019 - Retrospectively registered

Evaluation of female hormone-related symptoms in women undergoing carpal tunnel release

2013 ◽  
Vol 39 (2) ◽  
pp. 155-160 ◽  
Author(s):  
C. H. Song ◽  
H. S. Gong ◽  
K. J. Bae ◽  
J. H. Kim ◽  
K. P. Nam ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Rating Scale ◽  
Carpal Tunnel Release ◽  
Menopausal Status ◽  
Related Factors ◽  
Female Hormone ◽  
Scale Scores ◽  
Tunnel Syndrome

As carpal tunnel syndrome is more common in women, particularly around the menopause, female-related risk factors are suspected to play a role in its pathogenesis. We have assessed whether female hormone-related symptoms are associated with upper extremity disabilities in women undergoing carpal tunnel release. A total of 92 women with a mean age of 53 years scheduled for surgery for carpal tunnel syndrome were assessed preoperatively for female hormone-related symptoms using the menopausal rating scale and other female-related factors such as menopausal status, pregnancy number and serum female hormone levels. Upper extremity disability was evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. DASH scores had a moderate correlation with total menopausal rating scale scores, but not with other female-related factors assessed. This study suggests that female hormone-related symptoms are associated with subjective upper extremity disabilities in women with carpal tunnel syndrome. This information may be helpful in addressing patients’ complex symptoms or interpretation of outcomes in women with carpal tunnel syndrome.

scholarly journals Center of pressure (COP) measurement in patients with confirmed successful outcomes following shoulder surgery show significant sensorimotor deficits

2021 ◽  
Author(s):  
Yannick J. Ehmann ◽  
Daniel P. Berthold ◽  
Sven Reuter ◽  
Knut Beitzel ◽  
Robin Köhler ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Shoulder Joint ◽  
Functional Outcomes ◽  
Center Of Pressure ◽  
Successful Outcome ◽  
Joint Control ◽  
Sensorimotor Function ◽  
Postoperative Function ◽  
Healthy Side ◽  
Interventional Group

Abstract Purpose To determine the sensorimotor and clinical function of patients with confirmed successful outcome after either undergoing acromioclavicular joint (ACJ) stabilization, Bankart repair (BR), or rotator cuff repair (RC), and to compare these measures to the contralateral, healthy side without history of previous injuries or surgeries of the upper extremity. It was hypothesized that patients of each interventional group would have inferior sensorimotor function of the shoulder joint compared to the contralateral, healthy side, while presenting with successful clinical and functional outcomes. Methods Three intervention groups including ten patients who had confirmed successful clinical and functional outcomes after either undergoing ACJ stabilization, BR, or RC were evaluated postoperatively at an average follow-up of 31.7 ± 11.6 months. Additionally, a healthy control group (CG) of ten patients was included. Clinical outcomes were assessed using the Constant–Murley (CM) and American Shoulder and Elbow Surgeons (ASES) Score. Pain was evaluated using the visual analogue scale (VAS). Sensorimotor function was assessed by determining the center of pressure (COP) of the shoulder joint in a one-handed support task in supine position on a validated pressure plate. Results Each interventional group demonstrated excellent clinical outcome scores including the CM Score (ACJ 83.3 ± 11.8; BR 89.0 ± 10.3; RC 81.4 ± 8.8), ASES Score (ACJ 95.5 ± 7.0; BR 92.5 ± 9.6; RC 96.5 ± 5.2), and VAS (ACJ 0.5 ± 0.9; BR 0.5 ± 0.8; RC 0.5 ± 0.8). Overall, the CG showed no significant side-to-side difference in COP, whereas the ACJ-group and the BR-group demonstrated significantly increased COP compared to the healthy side (ACJ 103 cm vs. 98 cm, p = 0.049; BR: 116 cm vs. 102 cm, p = 0.006). The RC-group revealed no significant side-to-side difference (120 cm vs. 108 cm, n.s.). Conclusion Centre of pressure measurement detected sensorimotor functional deficits following surgical treatment of the shoulder joint in patients with confirmed successful clinical and functional outcomes. This may indicate that specific postoperative training and rehabilitation protocols should be established for patients who underwent surgery of the upper extremity. These results underline that sensorimotor training should be an important component of postoperative rehabilitation and physiotherapeutic activities to improve postoperative function and joint control. Level of evidence IV.

Kinematic upper extremity performance in people with near or fully recovered sensorimotor function after stroke

2018 ◽  
Vol 35 (9) ◽  
pp. 822-832 ◽  
Author(s):  
Gyrd Thrane ◽  
Katharina S Sunnerhagen ◽  
Hanna C Persson ◽  
Arve Opheim ◽  
Margit Alt Murphy
Keyword(s):  
Upper Extremity ◽  
Sensorimotor Function
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