scholarly journals Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke

2021 ◽  
Vol 12 ◽  
Author(s):  
Qian Zhang ◽  
Lixia Zhang ◽  
Wei He ◽  
Xuemei Zheng ◽  
Zhengrui Zhao ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Motor Function ◽  
Visual Deprivation ◽  
Walking Ability ◽  
Hemispatial Neglect ◽  
Stroke Patients ◽  
Improve Motor Function ◽  
Pusher Syndrome ◽  
Severe Motor ◽  
Motor Disturbances

We aimed to explore whether motor function and activities of daily life (ADL) could be improved with the application of visual deprivation in two patients with Pusher syndrome complicated by hemispatial neglect after right basal ganglia stroke. We assessed two stroke patients suffering from severe motor disturbances, both tilting heavily to the left, with diagnoses of Pusher syndrome and left hemispatial neglect. Vision in the left eye was deprived using patches during clinical rehabilitation. Motor function promotion was confirmed using the Burke Lateropulsion Scale (BLS), Fugl–Meyer Balance Scale (FMBS), and Holden grade (HG), while the Barthel index (BI) assessed ADL immediately and 1 week after intervention. Both patients regained standing balance immediately using visual deprivation, as well as walking ability, although both scored 0 on the FMBS and HG. After 1 week of treatment, one patient increased to 11 and 3 on the FMBS and HG, respectively, while the BLS score decreased from 12 to 2, and the ADL increased from 23 to 70. The other patient demonstrated increases to 10 and 3 on the FMBS and HG, respectively, with the BLS decreasing from 13 to 3, and the ADL increasing from 25 to 60. Therefore, in the rehabilitation treatment of Pusher syndrome complicated by hemispatial neglect due to basal ganglia stroke, visual deprivation can significantly improve motor function and shorten the treatment course.

Abstract TP150: Two Weeks of Ischemic Preconditioning Training on the Paretic Leg Improves Leg Strength and Delays Muscle Fatigue in Chronic Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Matthew J Durand ◽  
Spencer A Murphy ◽  
Brian D Schmit ◽  
David D Gutterman ◽  
Allison S Hyngstrom
Keyword(s):  
Motor Function ◽  
Ischemic Preconditioning ◽  
Vascular Function ◽  
Knee Extensor ◽  
Chronic Stroke ◽  
Muscle Performance ◽  
Walking Ability ◽  
Post Stroke ◽  
Leg Strength ◽  
Improve Motor Function

Introduction: Individuals living with chronic stroke have weakness and increased neuromuscular fatigue in the paretic leg, which can limit walking ability and endurance. In cardiac and healthy populations, ischemic preconditioning (IPC) is a widely studied, effective, non-invasive stimulus which not only improves vascular function, but also motor performance. IPC occurs when the tissue of interest is exposed to repeated, short bouts of ischemia, which can improve motor function by enhancing vascular, neural and muscle function. IPC has not been tested as a method to improve motor function in individuals post-stroke. Hypothesis: Two weeks of IPC training on the paretic leg will improve leg strength and time-to-task failure (TTF) during a fatiguing muscle contraction. Methods: A feasibility study of 4 individuals (3 female, 1 male) with chronic stroke (20 ± 4 years) was conducted. A Biodex dynamometer was used to assess paretic leg knee extensor maximal voluntary contraction (MVC). To assess muscle fatigability, subjects maintained a sustained contraction equal to 30% of their MVC until failure using visual feedback. After baseline testing, subjects made six visits to the laboratory over a two week period to have IPC performed on their paretic leg. A blood pressure cuff was inflated on the thigh to 225 mmHg for five, five-minute bouts per session. Five minutes of rest was given between inflation cycles. After the last session, subjects returned within 48 hours to have MVC and TTF reassessed. Results: Three subjects completed all study procedures. One subject withdrew for medical reasons unrelated to the study. The IPC procedure was well tolerated by all subjects. After two-week IPC training, knee extensor MVC increased in the paretic leg (45.0 ± 2.7 Nm vs. 52.6 ± 5.7 Nm). Fatigability of the muscles was dramatically reduced after IPC training as TTF tripled (359 ± 180 seconds vs. 1097 ± 343 seconds). Conclusions: We are the first group to show that IPC is a well-tolerated and effective stimulus to improve paretic leg strength and reduce muscle fatigability in subjects with chronic stroke. The results of this pilot study warrant a larger study to determine whether IPC improves muscle performance post-stroke through neural, vascular, or muscle-related mechanisms.

scholarly journals Five-day course of paired associative stimulation fails to improve motor function in stroke patients

2018 ◽  
Vol 61 (2) ◽  
pp. 78-84 ◽  
Author(s):  
Mohamed Tarri ◽  
Nabila Brihmat ◽  
David Gasq ◽  
Benoît Lepage ◽  
Isabelle Loubinoux ◽  
...  
Keyword(s):  
Motor Function ◽  
Stroke Patients ◽  
Paired Associative Stimulation ◽  
Improve Motor Function

scholarly journals Movement Therapy of the Upper Extremities with a Robotic Ball in Stroke Patients: Results of a Randomized Controlled Crossover Study

2017 ◽  
Vol 01 (04) ◽  
pp. E326-E335 ◽  
Author(s):  
Tilo Neuendorf ◽  
Daniel Zschäbitz ◽  
Nico Nitzsche ◽  
Henry Schulz
Keyword(s):  
Crossover Study ◽  
Motor Function ◽  
Standard Therapy ◽  
Movement Therapy ◽  
Upper Extremities ◽  
Motor Impairments ◽  
Stroke Patients ◽  
Severe Motor ◽  
Block Test ◽  
And Control

Abstract Background Stroke is associated with motor impairments of the upper extremities. The defining goal of rehabilitation is independent execution of activities of daily living. New therapy procedures use different hardware components to implement digital therapy contents. These can be useful complements to established therapy protocols. Objectives The aim of this study was to examine the effect of movement therapy with a robotic ball on motor function parameters in stroke patients. Materials and Methods 25 patients (60.0±10.0 years, 172.5±13.8 cm, 79.5±13.8 kg, 89.8±72.6 months post-stroke) took part in this crossover study. The intervention and control periods comprised 12 weeks each. Training with the robotic ball was done in addition to standard therapy two times a week for 45 min each. Different game activities were carried out with the help of a tablet and a smartphone. Results Isometric grip strength improved by 4.5±3.6 kg (p=0.000), and unilateral dexterity increased by 7.5±6.3 successful tries (p=0.000) in the round block test. The self-reported disabilities of the arm, shoulder and hand were assessed using the QuickDASH questionnaire and showed improvements by 12.4±13.0 points (p=0.001). Conclusions Additional therapy using the robotic ball improved upper extremity motor function and self-perceived health status in chronic stroke patients. However, performance stagnated when standard therapy was implemented alone. Moderately affected patients seem to benefit the most. The presence of very severe motor or cognitive symptoms led, in part, to some dropouts. The results need to be verified using larger patient populations.

scholarly journals MIRROR THERAPY IN STROKE REHABILITATION

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Lidwina S. Sengkey ◽  
Paola Pandeiroth
Keyword(s):  
Motor Function ◽  
Daily Living ◽  
Stroke Rehabilitation ◽  
Internal Capsule ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Beneficial Effects ◽  
Improve Motor Function ◽  
Set Up ◽  
The Brain

Abstract: Paralysis in stroke is mainly caused by damage of any kind in internal capsule. Recovering of these damages require neuroplasticity which involves parts of the brain survivors. One kind of therapies that has some beneficial effects on neuroplasticity is mirror therapy. This therapy is used to improve motor function after stroke. Mirror therapy is easy to set up and requires very little training without taxing the patient. Data obtained from several studies show that besides it is simple and cheap, this mirror therapy might have a significant effect on motor function and improve activities of daily living as an adjunct to the rehabilitation for stroke patients. This review aims to demonstrate the benefits of mirror therapy in stroke rehabilitation. Keywords: exercise therapy, mirror therapy, rehabilitation, stroke   Abstrak: Paralisis pada stroke terutama terjadi karena kerusakan di kapsula interna. Kerusakan ini memerlukan neuroplastisitas yang melibatkan sejumlah bagian otak yang selamat untuk memulihkannya. Salah satu terapi yang bermanfaat terhadap neuroplastisitas yaitu terapi cermin. Terapi ini digunakan untuk memperbaiki fungsi motorik pasca stroke. Terapi cermin mudah dilakukan dan hanya membutuhkan latihan yang sangat singkat tanpa membebani pasien. Data yang diperoleh dari beberapa penelitian memperlihatkan bahwa terapi cermin merupakan terapi yang sederhana, murah, dan efektif dalam memperbaiki fungsi motorik (baik ekstremitas atas maupun bawah) dan aktivitas kehidupan sehari-hari, sebagai tambahan untuk rehabilitasi yang umumnya dilakukan pada pasien dengan stroke. Telaah ini bertujuan untuk menunjukkan keuntungan terapi cermin pada rehabilitasi stroke. Kata kunci: terapi latihan, terapi cermin, rehabilitasi, stroke

PS-247 Association Of Motor Function With Basal Ganglia And Thalamus Volumes In Dyskinetic Cerebral Palsy

2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A202.1-A202 ◽  
Author(s):  
O Laporta-Hoyos ◽  
J Ballester-Plané ◽  
E Vázquez ◽  
I Delgado ◽  
A Narberhaus ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Basal Ganglia ◽  
Motor Function

scholarly journals Efficacy of repetitive transcranial magnetic stimulation combined with visual scanning treatment on cognitive and behavioral symptoms of left hemispatial neglect in right hemispheric stroke patients: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Francesco Di Gregorio ◽  
Fabio La Porta ◽  
Emanuela Casanova ◽  
Elisabetta Magni ◽  
Roberta Bonora ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Controlled Trial ◽  
Hemispatial Neglect ◽  
Visual Scanning ◽  
Stroke Patients ◽  
Rehabilitation Protocol ◽  
Randomized Controlled

Abstract Background Left hemispatial neglect (LHN) is a neuropsychological syndrome often associated with right hemispheric stroke. Patients with LHN have difficulties in attending, responding, and consciously representing the right side of space. Various rehabilitation protocols have been proposed to reduce clinical symptoms related to LHN, using cognitive treatments, or on non-invasive brain stimulation. However, evidence of their benefit is still lacking; in particular, only a few studies focused on the efficacy of combining different approaches in the same patient. Methods In the present study, we present the SMART ATLAS trial (Stimolazione MAgnetica Ripetitiva Transcranica nell’ATtenzione LAteralizzata dopo Stroke), a multicenter, randomized, controlled trial with pre-test (baseline), post-test, and 12 weeks follow-up assessments based on a novel rehabilitation protocol based on the combination of brain stimulation and standard cognitive treatment. In particular, we will compare the efficacy of inhibitory repetitive-transcranial magnetic stimulation (r-TMS), applied over the left intact parietal cortex of LHN patients, followed by visual scanning treatment, in comparison with a placebo stimulation (SHAM control) followed by the same visual scanning treatment, on visuospatial symptoms and neurophysiological parameters of LHN in a population of stroke patients. Discussion Our trial results may provide scientific evidence of a new, relatively low-cost rehabilitation protocol for the treatment of LHN. Trial registration ClinicalTrials.gov NCT04080999. Registered on September 2019.

Sign in / Sign up

Export Citation Format

Share Document