Impact of cognitive impairment on the upper limb function recovery after lacunar stroke

2021 ◽  
Vol 19 (1) ◽  
pp. 105-109
Author(s):  
T. N. Semenova ◽  
◽  
V. N. Grigoryeva ◽  
E. V. Guzanova ◽  
◽  
...  
Keyword(s):  
Upper Limb ◽  
Cognitive Impairments ◽  
Executive Dysfunction ◽  
Complete Recovery ◽  
Cognitive Status ◽  
Lacunar Stroke ◽  
Limb Function ◽  
Acute Period ◽  
Upper Limb Function ◽  
Function Recovery

The purpose of this study was to evaluate impact of cognitive impairments on the upper limb function recovery after acute lacunar stroke (LS). Material and methods. 139 patients (aged from 35 to 80 y. o.) with acute LS were examined. Along with the clinical and neurological examination, an upper limb function was evaluated by Action Research Arm Test and 9-Hole Peg Test, a study of cognitive status was made using the Montreal Cognitive Assessment (МоСа) and Frontal Assessment Battery (FAB). Results. Impaired upper limb function was revealed in 79% of patients with LS. After 2 weeks of acute period of LS, a significant improvement or the complete recovery of the upper limb function was observed in 81%. Moderate/severe executive dysfunction (FAB < 15 points) was defined in 65% of patients with LS and upper limb dysfunction. Moderate/severe cognitive impairments (МоСа < 26 points) were revealed in almost 55% of patients. In acute period of LS, the negative prognostic factor for complete recovery or significant improvement of the arm function was the presence of moderate/severe executive dysfunction (OR 3.89; 95% CI 1.07-14.19; p = 0.04) and general cognitive deficit (OR 3.27; 95% CI 1.10-9.70; p = 0.03). Conclusions. Cognitive impairments including executive disorders may affect the upper limb function recovery in acute period of LS. The data obtained can be used for the development of personalized rehabilitation programs for these patients.

scholarly journals EFFICACY OF USING VIRTUAL REALITY IN POST-STROKE UPPER LIMB PARESIS

2018 ◽  
Vol 35 (1) ◽  
pp. 60-67 ◽  
Author(s):  
M V Dolganov ◽  
M I Karpova
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Standard Therapy ◽  
Main Group ◽  
Control Group ◽  
Limb Function ◽  
Acute Period ◽  
Training Course ◽  
Assessment Scores ◽  
Upper Limb Function

Aim. To estimate the efficacy of using training by means of virtual reality in restoration of the upper limb function in patients during the acute period of stroke. Materials and methods. 48 patients in the acute period of stroke (average time from the onset of stroke 4.5 ± 1.3 days, mean age 67 (45; 72.1) years were randomized into 2 groups: the main group (standard therapy + virtual reality) and the control (standard therapy alone). Patients of the main group underwent a course of virtual reality training, lasting for 15 minutes, twice a day for 10 days. The functional status before the onset of training course and after it was evaluated using Fugl-Meyer Assessment Scores (FMA), Motor Assessment Scale (MAS), Ashworth Scale, Modified Barthel Index Score (MBI), Action Research Arm Test (ARAT), 9-Hole Peg Test, Rankin Scale, Function Independence Measure (FIM) and dynamometry. Results. When assessing FMA of “upper limb” ( p = 0.029), “wrist” ( p = 0.04), “hand speed” ( p = 0.02); MAS ( p = 0.042), 9-Hole Peg Test ( p = 0.028), paretic hand dynamometry ( p = 0.03) and FIM ( p = 0.045), patients of the main group demonstrated statistically significant improvement versus the control group. Conclusions. The results detected that inclusion of a short training course, using virtual reality, improves the upper limb function in patients during the acute period of stroke.

scholarly journals Effects of brain-computer interface training on upper limb function recovery in stroke patients

Medicine ◽  
2021 ◽  
Vol 100 (23) ◽  
pp. e26254
Author(s):  
Xiali Xue ◽  
Huan Tu ◽  
Zhongyi Deng ◽  
Ling Zhou ◽  
Ning Li ◽  
...  
Keyword(s):  
Upper Limb ◽  
Brain Computer Interface ◽  
Computer Interface ◽  
Stroke Patients ◽  
Limb Function ◽  
Upper Limb Function ◽  
Function Recovery

scholarly journals The Dynamic Thumb-in-Palm Pattern in Children with Spastic Cerebral Palsy and Its Effects on Upper Limb Function

Children ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 17
Author(s):  
Ja Young Choi ◽  
Dong-Wook Rha ◽  
Seon Ah Kim ◽  
Eun Sook Park
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Multivariable Analysis ◽  
Spastic Cerebral Palsy ◽  
Type I ◽  
Upper Arm ◽  
Limb Function ◽  
Upper Limb Function ◽  
Limb Deformities ◽  
Arm Function

The thumb-in-palm (TIP) pattern is one of the most common upper limb deformities in cerebral palsy (CP). This study was designed to investigate the effect of the dynamic TIP pattern on upper limb function in children with spastic CP. This prospective observational study included a total of 106 children with CP with dynamic TIP. The House TIP classification while grasping small or large objects, Melbourne Assessment of Unilateral Upper Limb Function (MUUL), Shriners Hospital Upper Extremity Evaluation (SHUEE), Zancolli classification for wrist–finger flexor deformity, and degree of swan neck deformity were assessed. Type I was the most common and highest functioning House TIP classification type. However, there were no significant differences in upper arm function between types II, III, and IV. The three components of the SHUEE showed stronger association with MUUL than House TIP and Zancolli classifications. After multivariable analysis, functional use of the wrist–finger and the thumb played a more significant role than the dynamic alignment of the thumb. In conclusion, the House TIP classification is useful to describe the TIP pattern. The SHUEE thumb assessment is a useful tool for reflecting upper arm function. The upper arm function was related more with the associated wrist flexor deformity than dynamic TIP.

Sign in / Sign up

Export Citation Format

Share Document