Eficacia de nuevas terapias en la neurorrehabilitación del miembro superior en pacientes con ictus

Bayón-Calatayud, M.; Gil-Agudo, Ángel; Benavente-Valdepeñas, A.M.; Drozdowskyj-Palacios, O.; Sanchez-Martín, G.; Alamo-Rodriguez, M.J. del

doi:10.1016/j.rh.2013.10.001

Cited by 11 publications

(4 citation statements)

References 42 publications

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“…En la actualidad, las nuevas tecnologías de la in formación y de la telecomunicación podrían ser una opción beneficiosa para mejorar algunos de los déficits que se producen en los pacientes con ictus, lo que se fundamenta en la capacidad plástica del sistema nervioso central [13,14].…”

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Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

2017

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Introduction. Stroke generates dependence on the patients due to the various impairments associated. The use of lowcost technologies for neurological rehabilitation may be beneficial for the treatment of these patients. Aim. To determine whether combined treatment using a semi-immersive virtual reality protocol to an interdisciplinary rehabilitation approach, improve balance and postural control, functional independence, quality of life, motivation, selfesteem and adherence to intervention in stroke patients in subacute stage. Patients and methods. A longitudinal prospective study with pre and post-intervention evaluation was carried out. Fourteen were recruited at La Fuenfría Hospital (Spain) and completed the intervention. Experimental intervention was performed during eight weeks in combination with conventional treatment of physiotherapy and occupational therapy. Each session was increased in time and intensity, using commercial video games linked to Xbox 360° videoconsole and Kinect sensor. Results. There were statistical significant improvements in modified Rankin scale (p = 0.04), baropodometry (load distribution, p = 0.03; support surface, p = 0.01), Barthel Index (p = 0.01), EQ-5D Questionnaire (p = 0.01), motivation (p = 0.02), selfesteem (p = 0.01) and adherence to the intervention (p = 0.02). Conclusions. An interdisciplinary rehabilitation approach supplemented with semi-immersive virtual reality seems to be useful for improving balance and postural control, functional independence in basic activities of daily living, quality of life, as well as motivation and self-esteem, with excellent adherence. This intervention modality could be adopted as a therapeutic tool in neurological rehabilitation of stroke patients in subacute stage.

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Section: Introductionunclassified

Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

2017

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“…Recent studies have demonstrated that the combined use of these therapies activates central nervous system plasticity more effectively than when used individually, to improve motor function [ 27 , 28 , 29 , 30 ]. However, to date and to the authors’ knowledge, there is no article comparing if any of these combinations (MT or CTE combined with task-oriented training) are the most effective in improving upper limb function after a stroke.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke

Fernández-Solana,

Álvarez-Pardo,

Moreno-Villanueva

et al. 2024

Healthcare

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Applying evidence-based therapies in stroke rehabilitation plays a crucial role in this process, as they are supported by studies and results that demonstrate their effectiveness in improving functionality, such as mirror therapy (MT), cognitive therapeutic exercise (CTE), and task-oriented training. The aim of this study was to assess the effectiveness of MT and CTE combined with task-oriented training on the functionality, sensitivity, range, and pain of the affected upper limb in patients with acute stroke. A longitudinal multicenter study recruited a sample of 120 patients with acute stroke randomly and consecutively, meeting specific inclusion and exclusion criteria. They were randomly allocated into three groups: a control group only for task-oriented training (TOT) and two groups undergoing either MT or CTE, both combined with TOT. The overall functionality of the affected upper limb, specific functionality, sensitivity, range of motion, and pain were assessed using the Fugl–Meyer Assessment Upper Extremity (FMA-UE) scale validated for the Spanish population. An initial assessment was conducted before the intervention, a second assessment after completing the 20 sessions, and another three months later. ANCOVA analysis revealed statistically significant differences between the assessments and the experimental groups compared to the control group, indicating significant improvement in the overall functionality of the upper limb in these patients. However, no significant differences were observed between the two experimental groups. The conclusion drawn was that both therapeutic techniques are equally effective in treating functionality, sensitivity, range of motion, and pain in the upper limb following a stroke.

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“…Therefore, combining various therapies or therapeutic approaches can help improve treatment effectiveness and expedite recovery. Recent research has demonstrated that the combination of these therapies activates central nervous system neuroplasticity more effectively than when applied separately, potentially enhancing motor function, autonomy level, and QoL of stroke patients [22][23][24][25]. Despite this, to date, no article has been published comparing which of these combined therapies, namely MT or CTE combined with TOT, is more effective in improving upper limb function after a stroke.…”

Section: Introductionmentioning

confidence: 99%

Enhancing Upper Limb Functionality, Gross and Fine Motor Skills, Autonomy, and Quality of Life in Acute Stroke Patients: A Mirror Therapy, Cognitive Therapeutic Exercise, and Task-Oriented Training

Fernández-Solana,

Vélez-Santamaría,

Moreno-Villanueva

et al. 2024

Preprint

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Mirror Therapy (MT) and Cognitive Therapeutic Exercise (CTE) are two neurorehabilitation techniques based on neuroplasticity and designed to enhance the functionality of the upper limb. Therefore, the aim is to assess the effectiveness of the combination of CTE and MT with task-oriented training (TOT) on fine and gross motor skills of the affected hand, as well as the functionality of the affected upper limb, autonomy, independence, and quality of life (QoL) in patients with acute stroke. This longitudinal and multicenter study involved a sample of 120 participants selected randomly and consecutively. Three groups were formed, including a control group (CG) and two treatment groups, one with MT and the other with CTE. The functionality of the upper limb, fine and gross motor skills, the quantity and quality of use of the affected upper limb, autonomy, and QoL were evaluated using various scales validated in the Spanish population at the baseline, after 20 treatment sessions, and at three months of follow-up. ANCOVA analysis was conducted, revealing statistically significant differences between assessments in the CG compared to the experimental groups (GEs), indicating a notable improvement in overall functionality, fine and gross motor skills, autonomy, and QoL in the latter. However, there were no significant differences between the GEs. Therefore, the application of either of these experimental combinations is crucial for the motor recovery, functionality, and improvement of the quality of life of individuals who have suffered a stroke.

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Eficacia de nuevas terapias en la neurorrehabilitación del miembro superior en pacientes con ictus

Cited by 11 publications

References 42 publications

Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke

Enhancing Upper Limb Functionality, Gross and Fine Motor Skills, Autonomy, and Quality of Life in Acute Stroke Patients: A Mirror Therapy, Cognitive Therapeutic Exercise, and Task-Oriented Training

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