scholarly journals Influence of Number of Repetition and Variety of Task in Upper Limb Motor Recovery in Hemiplegia

2020 ◽  
pp. 1-5
Author(s):  
Divya S ◽  
◽  
Arunachalam Ramachandran ◽  
Janani R ◽  
◽  
...  
Keyword(s):  
Upper Limb ◽  
Physical Therapist ◽  
Group Analysis ◽  
Movement Pattern ◽  
Stroke Survivor ◽  
Care Physician ◽  
Cortical Reorganization ◽  
Upper Limb Function ◽  
Novel Approach ◽  
Task Oriented

Knowledge of rehabilitation of stroke seeks to be important source of promoting recovery and independence of activity of daily living in stroke survivor. This study has the purpose to utilize the motor relearning program by means of task oriented approach. It is a novel approach towards the cortical reorganization in the sensorimotor cortex, where the sensation of normal movement pattern is achieved through variety of task practice. The major relearning of functional activity can be enhanced by increasing the intensity of task oriented practice. Subjects with cerebro vascular accident referred by their primary care physician to a physical therapist were recruited from the inpatient and outpatient department of Saveetha Medical Hospital based on the inclusion and exclusion criteria and informed consent obtained and was screened for the eligibility. The collected data was tabulated and analyzed using descriptive and inferential statistics. The results of pre-test and post-test within group analysis showed extremely statistically significant with p-test values (P=0.0001 and P <0.0001). It is concluded from this study that both the variety of tasks and number of repetition improves upper limb function following hemiplegia. Further intervention with more number of repetition resulted in a better recovery than intervention with more number of tasks.

Influence of task-oriented circuit training on upper limb function among rural community-dwelling survivors of stroke

2020 ◽  
Vol 27 (8) ◽  
pp. 1-8
Author(s):  
Shruti Deshpande ◽  
Sidhiparada Mohapatra ◽  
N Girish
Keyword(s):  
Upper Limb ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
Rank Test ◽  
Circuit Training ◽  
Rehabilitation Centre ◽  
Limb Function ◽  
Upper Limb Rehabilitation ◽  
Upper Limb Function ◽  
Task Oriented

Background Task-oriented circuit training using a Multi-Activities workstation emphasises goal-oriented tasks practiced in a circuit or series in order to learn a new skill. It can be used for upper limb rehabilitation among stroke patients in a community setting, but there is currently very little evidence available regarding its use in this patient group and setting. This study aimed to explore the influence of task-oriented circuit training using a Multi-Activities workstation on upper limb function among community-dwelling individuals with chronic stroke. Methods A pre-test–post-test study was conducted involving 17 community-dwelling individuals with chronic stroke who were attending a stroke rehabilitation centre. Six weeks of task-oriented circuit training was given using a Multi-Activities workstation aimed to improve strength, range of motion and dexterity. Streamlined Wolf Motor Function Test and Chedoke Arm and Hand Activity Inventory were used to measure outcomes. Wilcoxon signed-rank test was used for data analysis. Results A total of 12 sessions of task-oriented circuit training using Multi-Activities workstations did not result in any statistically significant differences in outcome measures. Conclusions Task-oriented circuit training using the Multi-Activities workstation did not improve upper limb function in community-dwelling individuals with chronic stroke.

scholarly journals Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

HortScience ◽  
2018 ◽  
Vol 53 (1) ◽  
pp. 110-119 ◽  
Author(s):  
A-Young Lee ◽  
Sin-Ae Park ◽  
Hye-Gyeong Park ◽  
Ki-Cheol Son
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Daily Living ◽  
Control Group ◽  
Stroke Patients ◽  
Horticultural Therapy ◽  
Limb Function ◽  
Rehabilitation Hospital ◽  
Upper Limb Function ◽  
Task Oriented

The objective of this study was to assess the physical and psychological effects of an 18-session horticultural therapy (HT) program based on task-oriented training in stroke patients and investigate patient satisfaction. The HT program consisted of horticultural activities including the motions such as reaching–grasping, squatting, stepping, and stooping. A total of 31 stroke inpatients (16 males, 15 females) at B rehabilitation hospital in Seongnam, South Korea, participated in this study. Fourteen stroke patients participated in a thrice weekly HT program (6 weeks, ≈60 minutes per session) between Aug. and Sept. 2016, whereas another 17 stoke patients comprised the control group. At the completion of the 18-session HT program, upper limb function [manual function test (MFT)], grip strength (hydraulic hand dynamometer), pinch force (hydraulic pinch gauge), fine motor skills (9-hole pegboard), balance [Berg Balance Scale (BBS)], and activities of daily living (Modified Barthel Index) were evaluated in both groups. In addition, depression [The Korean version of the short form of Geriatric Depression Scales (SGDS-K)], rehabilitation stress (Rehabilitation Stress Scales), rehabilitation motivation (Rehabilitation Motivation Scales), and fall efficacy (The Korean version of the Falls Efficacy Scale) were evaluated. Stroke patients in the HT group showed significantly improved upper limb function, hand force, balance, fall efficacy, activities of daily living, and decreased depression (P < 0.05). By contrast, no significant change was noted in the control group. In addition, 85.7% of the stroke patients in the HT group reported being very satisfied or satisfied with the HT program. In conclusion, the HT program based on task-oriented training improved the patients’ physical and psychological function after stroke rehabilitation. These study results suggest that implementing an HT program in a rehabilitation hospital will effectively contribute to functional recovery after stroke.

scholarly journals Development of a Tele-Rehabilitation System Using an Upper Limb Assistive Device

2021 ◽  
Vol 33 (4) ◽  
pp. 877-886
Author(s):  
Eiichiro Tanaka ◽  
Wei-Liang Lian ◽  
Yun-Ting Liao ◽  
Hao Yang ◽  
Li-Ning Li ◽  
...  
Keyword(s):  
Upper Limb ◽  
Time Delays ◽  
Physical Therapist ◽  
Assistive Device ◽  
The Internet ◽  
Kinect Sensor ◽  
Upper Limb Function ◽  
Rehabilitation System ◽  
Remote Interaction ◽  
Rehabilitation Exercises

A tele-rehabilitation system that can achieve remote interaction between a physical therapist (PT) and a patient was developed. Patients need to execute rehabilitation exercises to maintain upper limb function. However, it is difficult for them to travel to hospitals without aid. This system is equipped with a PC and a Kinect sensor at the hospital side (i.e., the PT), and a PC and an upper limb assistive device in the patient’s home. The PT displays the motion in front of a Kinect sensor, which identifies the motion. In addition, the device on the home side assists the motion of the patient using the Internet. When the device receives a force higher than the safety value from the patient at any particular point on it, vibrators at the corresponding point on the PT’s arm start to vibrate. Thereby, the PT can identify the patient’s condition and limitations. The time delays in the transmission of data of device motion and the vibrators were measured and compared. As a result, the PT could identify the patient’s condition faster than the motion of the device.

scholarly journals Influence of Electrotherapy with Task-Oriented Training on Spasticity, Hand Function, Upper Limb Function, and Activities of Daily Living in Patients with Subacute Stroke: A Double-Blinded, Randomized, Controlled Trial

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 987
Author(s):  
Jong-Hoon Moon ◽  
Hwi-Young Cho ◽  
Suk-Chan Hahm
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Daily Living ◽  
Controlled Trial ◽  
Hand Function ◽  
Limb Function ◽  
Upper Limb Function ◽  
Subacute Stroke ◽  
Function Test ◽  
Task Oriented

The effects of electrotherapy with task-oriented training on upper limb function in subacute stroke patients are unclear. This study investigated the influence of transcutaneous electrical nerve stimulation (TENS) with task-oriented training on spasticity, hand function, upper limb function, and activities of daily living in patients with subacute stroke. Forty-eight patients with subacute stroke were randomly assigned to either the TENS group (n = 22) or the placebo-TENS group (n = 21). High-frequency (100 Hz) TENS with below-motor threshold intensity or placebo-TENS was applied for 30 min/day, five times a week, for 4 weeks. The two groups also received task-oriented training after TENS. The Modified Ashworth Scale (MAS), Jebsen–Taylor Hand Function Test (JTHFT), Manual Function Test (MFT), and Modified Barthel Index (MBI) were used to assess spasticity, hand function, upper limb function, and activities of daily living, respectively. There was a significant time–group interaction with the MFT (p = 0.003). The TENS group showed significantly improved MAS (p = 0.003), JTHFT (p < 0.001), MFT (p < 0.001), and MBI (p < 0.001) scores after the intervention. The placebo-TENS group showed significantly improved JTHFT (p < 0.001), MFT (p = 0.001), and MBI scores (p < 0.001). There was a significant correlation between the MFT and MBI scores (p = 0.025). These results suggest that electrotherapy with task-oriented training can be used to improve upper limb function in patients with subacute stroke.

Quantitative Evaluation of Performance during Robot-assisted Treatment

2016 ◽  
Vol 55 (01) ◽  
pp. 84-88 ◽  
Author(s):  
E. Biffi ◽  
C. Maghini ◽  
F. Servodio Iammarrone ◽  
C. Gagliardi ◽  
C. Germiniasi ◽  
...  
Keyword(s):  
Quantitative Evaluation ◽  
Upper Limb ◽  
Group Analysis ◽  
Robot Assisted ◽  
Robotic Training ◽  
Upper Limb Function ◽  
Evaluation Of Performance ◽  
Overall Performance ◽  
Simple Parameter ◽  
Meaningful Data

SummaryIntroduction: This article is part of the Focus Theme of Methods of Information in Medicine on “Methodologies, Models and Algorithms for Patients Rehabilitation”. Objectives: The great potential of robots in extracting quantitative and meaningful data is not always exploited in clinical practice. The aim of the present work is to describe a simple parameter to assess the performance of subjects during upper limb robotic training exploiting data automatically recorded by the robot, with no additional effort for patients and clinicians. Methods: Fourteen children affected by cerebral palsy (CP) performed a training with Armeo®Spring. Each session was evaluated with P, a simple parameter that depends on the overall performance recorded, and median and interquartile values were computed to perform a group analysis. Results: Median (interquartile) values of P significantly increased from 0.27 (0.21) at T0 to 0.55 (0.27) at T1 . This improvement was functionally validated by a significant increase of the Melbourne Assessment of Unilateral Upper Limb Function. Conclusions: The parameter described here was able to show variations in performance over time and enabled a quantitative evaluation of motion abilities in a way that is reliable with respect to a well-known clinical scale.

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