Does Task-Oriented Practice Improve Upper Extremity Motor Recovery after Stroke? A Systematic Review

Bosch, Jackie; O’Donnell, Martin J.; Barreca, Susan; Thabane, Lehana; Wishart, Laurie

doi:10.1155/2014/504910

Cited by 35 publications

(33 citation statements)

References 44 publications

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“…For example, approximately one-third of all sub-Saharan African patients with traumatic brain injury suffer poor outcomes (4,5), with severe head injury patients exhibiting twice the risk of dying compared to counterparts from developed countries (4). With regards to cerebrovascular accidents, stroke survivors from sub-Saharan Africa exhibit poorer prognoses (6) and more severe long-term physical disabilities (e.g., weakness or paralysis, sensory loss, immobility, spasticity, and pain) than individuals from developed countries (7,8).…”

Section: Introductionmentioning

confidence: 99%

Quantitative Assessment of Upper Limb Motor Function in Ethiopian Acquired Brain Injured Patients Using a Low-Cost Wearable Sensor

et al. 2019

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Acquired brain injuries place a significant burden on sub-Saharan African rehabilitation clinicians and health care facilities. While wearable sensors have the potential to alleviate these issues, many are beyond the financial capabilities of the majority of African persons and clinics. To bridge this gap, we have developed a low-cost wrist-worn sensor (the outREACH sensor) capable of accurately measuring upper limb movement kinematics. In this study we evaluated the extent to which the outREACH sensor is sensitive to the hand performing the task (unimpaired, impaired) and level of impairment (mild, moderate) in 14 Ethiopian persons with acquired brain injury (mean age = 51.6 ± 12.2 years, 1 female, 13 male). Participants performed an object manipulation task with both the impaired and the unimpaired limb, and reaching performance was measured using standard kinematic measures (i.e., movement time, spectral arc length, peak velocity, peak acceleration, mean velocity, mean acceleration). Overall, movements were smoother and faster when performed by the patient's unimpaired limb. In contrast, maximum velocity did not differ between the two limbs. Moreover, the outREACH sensor was sensitive to differences in performance-based upper limb impairment. Fugl-Meyer assessment for upper extremity scores were significantly correlated with movement time, spectral arc length, and peak velocity. Upper limb movement kinematics can be accurately measured using the outREACH sensor. The outREACH sensor can be a valuable addition to standardized clinical measures that provides rehabilitation clinicians with information regarding initial upper limb impairment level and changes in function across the rehabilitation lifespan.

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Section: Introductionmentioning

confidence: 99%

Quantitative Assessment of Upper Limb Motor Function in Ethiopian Acquired Brain Injured Patients Using a Low-Cost Wearable Sensor

et al. 2019

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“…However, new evidence indicates that post-stroke UL physi-na, gdy pacjent jest aktywnie zaangażowany w funkcjonalne zadania ruchowe (ang. Activity -related arm training) [31][32][33]35]. Za najbardziej obiecujące strategie we wczesnej fizjoterapii po udarze mózgu uważa się: zmodyfikowaną terapię ruchem wymuszonym koniecznością -ZTRWK (mCIMT-Modified Constraint-Induced Movement Therapy), terapię z zastosowaniem robotów, specyficzny powtarzalny trening zadaniowy (ang.…”

Section: Strategies Of Upper Limb Exercises and Early Physiotherapy Aunclassified

“…Repetitive/Task -Specific Training Techniques), trening ruchowego wyobrażenia myślowego (ang. Mental Practice/Motor Imagery) oraz zastosowanie stymulacji półkuli uszkodzonej polem magnetycznym (TMS) [19,29,35,36].…”

Section: Strategies Of Upper Limb Exercises and Early Physiotherapy Aunclassified

“…Zatem można wnioskować, że dawki takie są zdecydowanie poniżej poziomu skuteczności. Istnieją dowody na to, że możliwe jest zastosowanie u pacjentów we wczesnym okresie otherapy is particularly effective if the patient is actively engaged in activity-related arm training [31][32][33]35]. The most promising strategies of early post-stroke rehabilitation include mCIMT -modified Constraint-Induced Movement Therapy, therapy with the use of robots, Repetitive/Task-Specific Training Techniques, Mental Practice/Motor Imagery and Transcranial Magnetic Stimulation (TMS) [19,29,35,36].…”

Section: Dyskusjaunclassified

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Early upper limb physiotherapy in stroke patients. Questions without answers

Sidaway¹,

Głowacka-Popkiewicz²,

Krawczyk³

et al. 2017

Advances in Rehabilitation

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StreszczenieUdar mózgu nadal pozostaje główną przyczyną niepełnosprawności w Polsce i krajach zachodnich. Aż 80% pacjentów ma obniżoną sprawność kończyny górnej w fazie ostrej po udarze mózgu. Szacuje się, że tylko 5% do 20% pacjentów osiąga pełną poprawę funkcjonalną kończyny górnej. Stymulowanie niedowładnej kończyny górnej po udarze mózgu w praktyce klinicznej jest zwykle traktowane jako drugoplanowe. Stanowi to nadal wyzwanie dla współczesnej fizjoterapii. Istniejące standardy postępowa-nia nie opisują szczegółowo modelu usprawniania kończyny górnej, zwłaszcza w okresie pierwszych 4 tygodni po udarze mózgu. Trudno ocenić, jakie są granice możliwości biologicznych i jaka może być efektywność poprawy sprawności kończyny górnej.Celem tej pracy jest próba podsumowania dotychczasowej wiedzy na temat obecnego stanu wczesnej fizjoterapii kończyny górnej, jej intensywności i rodzaju strategii oraz neurobiologicznego podłoża procesu poprawy.Wiele naukowych dowodów potwierdza, że rehabilitacja we wczesnej fazie poudarowej jest istotna. Stosunkowo mało jest światowych wiarygodnych doniesień, a polskich właściwie barak, odnoszących się do wczesnej fizjoterapii kończyny górnej uwzględ-niających rodzaj zastosowanych ćwiczeń i ich dawkę terapeutyczną. Nadal brakuje wystarczających przesłanek, aby określić optymalną intensywność i rodzaj stosowanej rehabilitacji kończyny górnej w tym fizjoterapii i terapii zajęciowej. Brakuje dużych, ujednoliconych pod względem grup i narzędzi badawczych wieloośrodkowych badań dla określenia optymalnego modelu rehabilitacji kończyny górnej we wczesnej fazie po udarze mózgu. Zatem nadal wiele pytań pozostaje bez odpowiedzi. Słowa kluczowe:terapia, dawka, udar mózgu, ręka, poprawa AbstractStroke is still the most common cause of disability in Poland and in western countries. As many as 80% of patients report reduced upper limb function in the acute phase after stroke. It is estimated that only 5% to 20% of patients experience full functional recovery of an upper limb. In clinical practice, paretic upper limb stimulation after stroke is usually treated as of secondary importance. However, it constantly poses a challenge to RehabilitacjaPostępy Rehabilitacji (1), 37 -47, 2017 StreszczenieWstęp: Liczba urodzeń przedwczesnych w Polsce, pomimo znacznego wzrostu poziomu medycyny oraz świadomości matek, w ostatnich latach utrzymuje się na stałym poziomie, oscylującym wokół 7%. Wskaźnik ten jest podobny w innych krajach Unii Europejskiej. Celem niniejszej pracy jest ocena wpływu wcześniactwa na moc wejścia i moc regulacji w badaniu wysiłkowym u kobiet dorosłych. Osiągnięta moc zależy od poziomu wydolności fizycznej i może być przeliczana na konkretne wartości VO 2max.Materiał i metody: W 11-osobowej grupie kobiet w wieku 25-30 lat (28,2±2,3) wykonano próbę wysiłkową zgodnie z zasadami testu wysiłkowego W 150 . 15 osób stanowiła grupa kontrolna 27-32 lat (28,5±2,4). Wyniki poddano analizie statystycznej przy użyciu testu t-Studenta i testu Shapiro-Wilka. Korelacji Pearsona poddane zostały wskaźniki w...

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“…Task-specific training (TST) is a progressive training approach that uses practice of goal-directed, real-world, and context-specific tasks that are intrinsically and/or extrinsically meaningful to the person, to enable them to undertake activities of daily living. There is lowmoderate quality evidence that task-specific training may improve the upper limb motor function of persons after stroke, with effects that remain significant 6 months later (Bosch, O'Donnell, Barreca, Thabane, & Wishart, 2014;French et al, 2016;Pollock, Farmer Sybil, et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Aerobic exercise and consecutive task‐specific training (AExaCTT) for upper limb recovery after stroke: A randomized controlled pilot study

Valkenborghs

Vliet

Nilsson

et al. 2019

Physiotherapy Res Intl

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Objective This study examined the feasibility of a parallel‐group assessor‐blinded randomized controlled trial investigating whether task‐specific training preceded by aerobic exercise (AEX + TST) improves upper limb function more than task‐specific training (TST) alone. Methods People with upper limb motor dysfunction after stroke were allocated to TST or AEX + TST. Both groups were prescribed 60 hr of TST over 10 weeks (3 × 1‐hr sessions with a therapist per week and 3 × 1 hr of home‐based self‐practice per week). The AEX + TST group performed 30 minutes of aerobic exercise immediately prior to the 1 hr of TST with the therapist. Recruitment, adherence, retention, participant acceptability, and adverse events were recorded. Clinical measures were performed prerandomization at baseline, on completion of the intervention, and at 1‐ and 6‐month follow‐up. Results Fifty‐nine persons after stroke were screened, 42 met the eligibility criteria, and 20 (11 male; mean [SD] age: 55.4 [16.0] years; time since stroke: 71.7 [91.2] months) were recruited over 17 months. The mean Wolf Motor Function Test Functional Ability Score at baseline was 27.4 (max = 75) and the mean Action Research Arm Test score was 11.2 (max = 57). Nine were randomized to AEX + TST and 11 to TST. There were no adverse events, but there was one drop out. Retention at 1‐ and 6‐month follow‐up was 80% and 85%, respectively. Attendance was 93% (6) for the AEX + TST group, and 89% (9) for the TST group. AEX + TST was perceived as acceptable (100%) and beneficial (87.5%). Exertional fatigue (visual analogue scale) prior to TST was worse in the AEX + TST group (3.5 [0.7] out of 10) than the TST group (1.7 [1.4] out of 10). The TST group performed 31% more repetitions per session than the AEX + TST group. Conclusion A subsequent Phase III study is feasible, but modifications to eligibility criteria, outcome measures, and intervention delivery are recommended.

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Does Task-Oriented Practice Improve Upper Extremity Motor Recovery after Stroke? A Systematic Review

Cited by 35 publications

References 44 publications

Quantitative Assessment of Upper Limb Motor Function in Ethiopian Acquired Brain Injured Patients Using a Low-Cost Wearable Sensor

Quantitative Assessment of Upper Limb Motor Function in Ethiopian Acquired Brain Injured Patients Using a Low-Cost Wearable Sensor

Early upper limb physiotherapy in stroke patients. Questions without answers

Aerobic exercise and consecutive task‐specific training (AExaCTT) for upper limb recovery after stroke: A randomized controlled pilot study

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