scholarly journals ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review

2021 ◽  
Vol 3 (1) ◽  
pp. 43-50
Author(s):  
Muliyani Yamlean ◽  
Chandra Bagus Ropyanto ◽  
Fitria Handayani
Keyword(s):  
Muscle Strength ◽  
Scoping Review ◽  
Motor Deficits ◽  
Methodological Framework ◽  
Full Text Article ◽  
Stroke Patients ◽  
Permanent Disability ◽  
Post Stroke ◽  
Before And After ◽  
Improve Muscle Strength

Hemiparesis and hemiplegia are motor deficits found mostly in stroke patients. If the deterioration in muscle strength that occurs is not handled properly, it will cause permanent disability. ROM therapy is a therapy to increase muscle strength which has undergone various developments according to the research that has been done. The aim of this article was to identify interventions using ROM therapy to improve muscle strength in post-stroke patients. The databases used were JCS, PMC, Science Direct, and PubMed. The search was limited to articles published in 2014 to 2019. The study criteria was for adult, quantitative comparisons between before and after intervention ROM therapy and full text article, published in peer-reviewed journal and written in English and Indonesian. This article used the methodological framework by Arksey and O'Malley for the scoping review. The research has conducted a study of 4 articles, in which all of the items discussed the application of ROM therapy to increase muscle strength in post-stroke patients. The results from each articles showed that ROM therapy has helped improve muscle strength in post-stroke patients.

Three Wheel Bike as Physical Therapy Equipment for Post-Stroke Patient

2015 ◽  
Vol 776 ◽  
pp. 337-342 ◽  
Author(s):  
I. Made Londen Batan ◽  
Rodika ◽  
Muhamad Riva'i
Keyword(s):  
Body Mass Index ◽  
Energy Consumption ◽  
Physical Therapy ◽  
Body Mass ◽  
Stroke Patient ◽  
Stroke Patients ◽  
Post Stroke ◽  
A Value ◽  
Risk Of Injury ◽  
Before And After

Three wheel bike as a physical therapy equipment for post-stroke patients was designed with length of 1937 mm, 1010 mm in width and height of 905 mm. The bike is designd ergonomic and can be driven by rider foot or hand simultaneously. By using CATIA software the strength of material bike frame was analyst to support 100 kg of load. The design is realized into a prototype. The performance of bike prototype is tested, and the result sows that the function of bike mechanisme is fulfilled. By 10 respondents, who have a standard body mass index, the pedal test was conducted, and the result indicates that, the higher the speed of the pedal, the higher the energy consumption to pedaling. Leg tension muscles is measured by leg-dynamometer before and after pedaling, and the result shows the tension muscle is proportional to the increase of pedal speed. In order to evaluate the ergonomic aspect of bike design, the risk angle of extrem position of body during cycling are measured by goneo-set. By RULA method the risk of injury value of rider body is calculated while pedaling, and the result showed that 70% of respondents have a value of risk injury 2, while 30% had a value of 3. It means that, the bike design is ergonomic and comfortable to ride. In oder to evaluate the benefits of disigned bike, the pedal test is conducted by 4 post-stroke patients for 30 days periodical once every 3 days. The result shows that during 1 month exercise, the average number of cycling to pedal increase up to 100%. This means that the ability of post-stroke patients to pedal the bike increase significantly. That result showed that the bike design is useful as a tool for physical therapy post-stroke patients.

Role of d-serine in the beneficial effects of repetitive transcranial magnetic stimulation in post-stroke patients

2020 ◽  
Vol 32 (3) ◽  
pp. 128-134 ◽  
Author(s):  
Masachika Niimi ◽  
Yuko Fujita ◽  
Tamaki Ishima ◽  
Kenji Hashimoto ◽  
Nobuyuki Sasaki ◽  
...  
Keyword(s):  
Amino Acids ◽  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Stroke Patients ◽  
Post Stroke ◽  
Beneficial Effects ◽  
Depressed Patients ◽  
Before And After ◽  
The Impact

AbstractObjective:Abnormalities in neurotransmission via N-methyl-d-aspartic acid receptor (NMDAR) play a role in the pathophysiology of neuropsychiatric disorders. The impact of repetitive transcranial magnetic stimulation (rTMS) on NMDAR-related amino acids remains unknown. We aim to investigate the effects of rTMS on NMDAR-related amino acids in serum of post-stroke patients.Methods:Ninety-five consecutive post-stroke patients with upper limb hemiparesis were recruited. In 27 patients, the Beck Depression Inventory (BDI) score was 10 or higher. Twelve depressed patients underwent rehabilitation in combination with rTMS and 15 non-depressed patients underwent rehabilitation only without rTMS for 14 days. 1 Hz rTMS was applied to the primary motor area in the non-lesional hemisphere. BDI was conducted before and after treatment. Serum glutamine, glutamate, glycine, l-serine, and d-serine levels were measured before and after treatment.Results:There were no differences between depressed patients and non-depressed patients in clinical characteristics, levels of the five amino acids in serum, and the ratio of amino acids. However, in 27 depressed patients, there was a significant correlation between levels of glutamate in serum and BDI (ρ = 0.428, p = 0.026). BDI decreased significantly in depressed patients after treatment with or without rTMS. d-serine decreased in the rehabilitation with rTMS group, but increased in the rehabilitation without rTMS group. l-serine increased in the rehabilitation with rTMS group, but decreased in the rehabilitation without rTMS group.Conclusion:The results suggest that rTMS can modulate NMDAR-related amino acids in blood, producing beneficial effects.

A Positive Relationship between Cognitive Reserve and Cognitive Function after Stroke: Dynamic Proxies Correlate Better than Static Proxies

2019 ◽  
Vol 25 (09) ◽  
pp. 910-921 ◽  
Author(s):  
Macarena Gil-Pagés ◽  
Rocío Sánchez-Carrión ◽  
Jose M. Tormos ◽  
Antonia Enseñat-Cantallops ◽  
Alberto García-Molina
Keyword(s):  
Cognitive Performance ◽  
Brain Damage ◽  
Cognitive Reserve ◽  
Daily Life ◽  
Stroke Patients ◽  
Self Assessment ◽  
Chronic Stage ◽  
Post Stroke ◽  
Before And After ◽  
Mean Differences

AbstractObjectives: How brain damage after stroke is related to specific clinical manifestation and recovery is incompletely understood. We studied cognitive reserve (CR) in stroke patients by two types of measurements: (i) objectively verifiable static proxies (i.e., education, occupational attainment), and (ii) subjective, dynamic proxies based on patient testimony in response to a questionnaire. We hypothesized that one or both of these types of CR measurements might correlate positively with patient cognitive performance during the post-acute and chronic phases of recovery. Method: Thirty-four stroke patients underwent neuropsychological assessment at 2, 6 and 24 months after stroke onset. In chronic stage at 24+ months, self-rating assessments of cognitive performance in daily life and social integration were obtained. CR before and after stroke was estimated using static proxies and dynamic proxies were obtained using the Cognitive Reserve Scale (CRS-Pre-stroke, CRS-Post-stroke). Results: CRS-Pre-stroke and CRS-Post-stroke showed significant mean differences. Dynamic proxies showed positive correlation with self-assessment of attention, metacognition, and functional ability in chronic stage. In contrast, significant correlations between static proxies and cognitive recovery were not found. Conclusions: Dynamic proxies of CR were positively correlated with patients’ perception of their functional abilities in daily life. To best guide cognitive prognosis and treatment, we propose that dynamic proxies of CR should be included in neuropsychological assessments of patients with brain damage.

scholarly journals Mental Practice Combined with Motor Rehabilitation to Treat Upper Limb Hemiparesis of Post-Stroke Patients: Clinical and Experimental Evidence

2016 ◽  
Vol 12 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Sergio Machado ◽  
Eduardo Lattari ◽  
Flávia Paes ◽  
Nuno B.F. Rocha ◽  
Antonio E. Nardi ◽  
...  
Keyword(s):  
Daily Living ◽  
Mental Practice ◽  
Motor Deficits ◽  
Motor Rehabilitation ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Post Stroke ◽  
Sensorimotor Deficits ◽  
The World ◽  
Per Se

Stroke is one of the major causes of disability in the world. Due to the extended lifetime of the world's population, the number of people affected by stroke has increased substantially over the last years. Stroke may lead to sensorimotor deficits, usually causing hemiplegia or hemiparesia. In order to reduce motor deficits and accelerate functional recovery, MP combined with motor rehabilitation was introduced to the rehabilitation process of post-stroke patients. Evidence has shown that MP combining with motor rehabilitation based on activities of daily living was more effective than conventional motor rehabilitation used per se. This combination proved very useful and effective, with significant results in improvement of motor deficits in post-stroke patients. However, further studies must be conducted to determine specific parameters, such as type of imagery, frequency or duration.

Muscle Strength and Balance in Post-stroke Patients

1982 ◽  
Vol 87 (1) ◽  
pp. 11-26 ◽  
Author(s):  
Elisabeth Hamrin ◽  
Göran Eklund ◽  
Ann-Kristin Hillgren ◽  
Octavia Borges ◽  
Jan Hall ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Stroke Patients ◽  
Post Stroke

scholarly journals Multi-Fingered Grasping and Manipulation in Virtual Environments Using an Isometric Finger Device

2007 ◽  
Vol 16 (3) ◽  
pp. 293-306 ◽  
Author(s):  
Gregorij Kurillo ◽  
Matjaž Mihelj ◽  
Marko Munih ◽  
Tadej Bajd
Keyword(s):  
Virtual Reality ◽  
Muscle Strength ◽  
Virtual Environments ◽  
Healthy Subjects ◽  
Haptic Feedback ◽  
Virtual Object ◽  
Input Device ◽  
Haptic Information ◽  
Stroke Patients ◽  
Post Stroke

In this article we present a new isometric input device for multi-fingered grasping in virtual environments. The device was designed to simultaneously assess forces applied by the thumb, index, and middle finger. A mathematical model of grasping, adopted from the analysis of multi-fingered robot hands, was applied to achieve multi-fingered interaction with virtual objects. We used the concept of visual haptic feedback where the user was presented with visual cues to acquire haptic information from the virtual environment. The virtual object corresponded dynamically to the forces and torques applied by the three fingers. The application of the isometric finger device for multi-fingered interaction is demonstrated in four tasks aimed at the rehabilitation of hand function in stroke patients. The tasks include opening the combination lock on a safe, filling and pouring water from a glass, muscle strength training with an elastic torus, and a force tracking task. The training tasks were designed to train patients' grip force coordination and increase muscle strength through repetitive exercises. The presented virtual reality system was evaluated in a group of healthy subjects and two post-stroke patients (early post-stroke and chronic) to obtain overall performance results. The healthy subjects demonstrated consistent performance with the finger device after the first few trials. The two post-stroke patients completed all four tasks, however, with much lower performance scores as compared to healthy subjects. The results of the preliminary assessment suggest that the patients could further improve their performance through virtual reality training.

scholarly journals The Effects of Local Food-Based Enteral Nutrition to Improve Nutritional Status of Post-Stroke Patients

2021 ◽  
Vol 12 (01) ◽  
pp. 204-209
Author(s):  
Ismail Setyopranoto ◽  
Lily Arsanti Lestari ◽  
Punik Mumpuni Wijayanti ◽  
Mawaddah Ar Rochmah ◽  
◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Nutritional Status ◽  
Local Food ◽  
Total Cholesterol Level ◽  
Stroke Patients ◽  
Significance Level ◽  
Post Stroke ◽  
Nutrition Supplementation ◽  
Before And After ◽  
Enteral Formula

Abstract Objective We used local-based enteral formula for post-stroke patients to see its effects on the nutritional status. Materials and Methods This is an experimental research with a pre- and post-test study design in post-stroke patients. Participants underwent clinical and laboratory examinations to assess their nutritional status before and after the enteral nutrition supplementation. The enteral formula preparation, containing arrowroot powder, cork fish, tempeh (fermented soybeans), nondairy creamer, and pumpkin, was performed in a nationally standardized Food Processing Technology Laboratory in Yogyakarta, Indonesia. The enteral formula was given twice a day for 3 consecutive weeks in addition to the patients’ daily meal. Statistical Analysis Nutritional indices before and after enteral nutrition supplementation were analyzed using t-test. All statistical analyses were at 5% significance level. Results Of the 22 post-stroke patients, we used the cutoff point of National Institutes of Health Stroke Scale ≥3 and Barthel Index <90 to represent dependency. Our findings showed significantly reduced mid-upper arm circumference and increased body mass index in independent post-stroke patients after the enteral nutrition supplementation. The tendency of increasing total cholesterol level should be carefully watched in dependent post-stroke patients. Conclusion Local food-based enteral nutrition supplementation for 3 consecutive weeks in post-stroke patients may improve their nutritional status.

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 Efficacy of Skin, Connective Tissue, Aponeurosis Galea, Loose Areolar Tissue, and Pericranium Acupuncture Techniques in Stroke Patients in Improving Muscle Strength of Motion Limbs

2020 ◽  
Vol 8 (A) ◽  
pp. 302-305
Author(s):  
Indri Seta Septadina ◽  
Erial Bahar
Keyword(s):  
Cerebral Cortex ◽  
Muscle Strength ◽  
Connective Tissue ◽  
Recovery Phase ◽  
Scalp Acupuncture ◽  
Areolar Tissue ◽  
Joint Motion ◽  
Stroke Patients ◽  
Muscle Testing ◽  
Before And After

BACKGROUND: Nowadays, more than 650,000 stroke survivors needed further therapy and treatment related to mild or severe relief caused by stroke. Defects that cause stroke lesions require more serious and longer handling and will be very burdensome for patients and health insurance. Acupuncture method in the head skin, connective tissue, aponeurosis galea, loose areolar tissue, and pericranium (SCALP) was known to be related to the function of the cerebral cortex known as Zhu’s scalp acupuncture. Stimulation on this point was believed can open blood vessels, and provides better blood flow so it could improve repair in stroke patient. AIM: This research aimed to prove the effectivity of needle sticking on SCALP to strengthen limb muscle in stroke patients. MATERIALS AND METHODS: This research used a quasi-experimental design, pre-test-post-test without control group. The subjects of this study were stroke patients who were in the recovery phase (after the critical period had passed) and who had an stroke attack <1 year. Sampling method of this study was consecutive sampling, namely, recovery post-stroke patients who were hospitalized or outpatient of all over hospitals in Palembang, Indonesia. In this study, needle pricking was performed in the cerebral motor cortex which is located in the anterior central sulcus. Stimulation is done 10 times for 2 weeks. Assessment of muscle strength in the upper and lower limbs was performed using manual muscle testing measurement before and after therapy. Analysis of muscle strength before and after cerebral cortex stimulation through needle pricking on the SCALP of the head was analyzed by t-test dependent using SPSS 18. Data were displayed in tabular form, with a significance of p < 0.05. RESULTS: Subjects of this study were eight people consisting of four men (50%) and four female patients (50%) who had passed the critical stroke and were in the recovery phase within a period of recovery <1 year after stroke attack. The number of subjects who experienced improvement in joint motion of each joint was much greater than the frequency of the number of subjects who had no improvement. About 90% of the study subjects felt improvement in joint motion of each joint. The improvement in muscle strength score almost doubled after being treated with SCALP acupuncture better than before treatment. CONCLUSION: SCALP acupuncture technique was effective in improving muscle strength of motion limbs on stroke patients.

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