Improving arm function in chronic stroke: a pilot study of sensory amplitude electrical stimulation via glove electrode during task-specific training

Sullivan, John T.; Girardi, Madeline; Hensley, Melissa; Rohaus, Jordan; Schewe, Clay; Whittey, Colby; Hansen, Piper; Muir, Kim

doi:10.1179/1074935714z.0000000007

Cited by 8 publications

(7 citation statements)

References 48 publications

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“…The results can be attributed to specificity of the intervention, which involved repeated practice of elbow extension while promoting speed and movement accuracy. The results were consistent with studies which reported that task specific training produced statically significant and clinically relevant improvements in the upper extremity motor recovery of the patients with stroke [ 35 ] and Sullivan et al who stated that task specific training in chronic stroke resulted in changes in arm sensation and function that were maintained at 3-month follow-up [ 36 ].…”

Section: Impact Of Task Specific Trainingsupporting

confidence: 90%

Effect of Gravity and Task Specific Training of Elbow Extensors on Upper Extremity Function after Stroke

Khallaf

2018

Neurology Research International

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Background In individuals with hemiparetic stroke, reaching with the paretic arm can be impaired by abnormal muscle coactivation. Prior trails for improving upper extremity functions after stroke have underestimated the role of gravitational force in motor planning and execution. Objective The aims this trial were to study the effect of gravity as a facilitator for elbow extension and to estimate the immediate and retention effects of task specific training of elbow extensors on upper extremity function after stroke. Methods Twenty-six right handed patients with first ever stroke represented the sample of the study. The participants were randomly assigned into two equal groups. The study group received treatment through two phases. Phase one included training for the elbow extensors in an antigravity position. Phase two included a set of task specific exercise for 16 weeks. The control group received traditional passive stretch and range of motion exercises. Manual dexterity and upper limb function were assessed by Nine-Hole Peg Test and Fugl-Meyer upper extremity. Goniometry was used for measuring elbow extension and forearm supination active ranges of motion. Results Significant improvements were observed in Nine-Hole Peg Test, Fugl-Meyer upper extremity, and ranges of motion at postintervention and follow-up compared to preintervention at P≤0.05. Conclusions The results of this study provide an evidence that antigravity positions can be used as a centrally presented facilitator of elbow extension. Additionally, task specific training was effective in improving upper extremity function and elbow extension range of motion.

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Section: Impact Of Task Specific Trainingsupporting

confidence: 90%

Effect of Gravity and Task Specific Training of Elbow Extensors on Upper Extremity Function after Stroke

Khallaf

2018

Neurology Research International

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“…For a rehabilitation modality to be successful, it needs to fulfill certain practical criteria: considering the importance of starting the rehabilitation after stroke as early as possible, [55][56][57] the easyaccessible and low-cost elastic resistance used in this study provides an attractive solution. Furthermore, recent reviews highlight the positive relationship between the amount of therapy and therapy outcomes, 58,59 emphasizing the importance of both the dose-response and dose-timing relationships between stroke therapy and clinically meaningful improvements.…”

Section: Practical Application and Perspectivesmentioning

confidence: 99%

Hand strengthening exercises in chronic stroke patients: Dose-response evaluation using electromyography

Vinstrup

Calatayud

Jakobsen

et al. 2018

Journal of Hand Therapy

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“…Several studies have investigated self-directed [17], supervised [18] or self-administered [19][20][21][22] upper limb therapy on people with stroke [23][24][25]. The studies investigated several techniques including the use of novel robotic systems [26][27][28] to deliver rehabilitation therapies at home [29][30][31][32][33][34]. The results from most of these studies showed that stroke participants improved in several outcomes including ADL performance, which were maintained for several weeks.…”

Section: Introductionmentioning

confidence: 99%

Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury:a pilot study

Osuagwu

Timms

Peachment

et al. 2020

J NeuroEngineering Rehabil

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Background: Loss of hand function following high level spinal cord injury (SCI) is perceived as a high priority area for rehabilitation. Following discharge, it is often impractical for the specialist care centre to provide ongoing therapy for people living with chronic SCI at home, which can lead to further deterioration of hand function and a direct impact on an individual's capability to perform essential activities of daily living (ADL). Objective: This pilot study investigated the therapeutic effect of a self-administered home-based hand rehabilitation programme for people with cervical SCI using the soft extra muscle (SEM) Glove by Bioservo Technologies AB. Methods: Fifteen participants with chronic cervical motor incomplete (AIS C and D) SCI were recruited and provided with the glove device to use at home to complete a set task and perform their usual ADL for a minimum of 4 h a day for 12 weeks. Assessment was made at Week 0 (Initial), 6, 12 and 18 (6-week follow-up). The primary outcome measure was the Toronto Rehabilitation Institute hand function test (TRI-HFT), with secondary outcome measures including pinch dynamometry and the modified Ashworth scale. Results: The TRI-HFT demonstrated improvement in hand function at Week 6 of the therapy including improvement in object manipulation (58.3 ±3.2 to 66.9 ±1.8, p ≈ 0.01), and palmar grasp assessed as the length of the wooden bar that can be held using a pronated palmar grip (29.1 ±6.0 cm to 45.8 ±6.8 cm, p <0.01). A significant improvement in pinch strength, with reduced thumb muscle hypertonia was also detected. Improvements in function were present during the Week 12 assessment and also during the follow-up. Conclusions: Self-administered rehabilitation using the SEM Glove is effective for improving and retaining gross and fine hand motor function for people living with chronic spinal cord injury at home. Retention of improved hand function suggests that an intensive activity-based rehabilitation programme in specific individuals is sufficient to

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Improving arm function in chronic stroke: a pilot study of sensory amplitude electrical stimulation via glove electrode during task-specific training

Abstract: Combining task-specific training with glove-based SES in chronic stroke resulted in changes in arm sensation and function that were maintained at 3-month follow-up.

Cited by 8 publications

References 48 publications

Effect of Gravity and Task Specific Training of Elbow Extensors on Upper Extremity Function after Stroke

Effect of Gravity and Task Specific Training of Elbow Extensors on Upper Extremity Function after Stroke

Hand strengthening exercises in chronic stroke patients: Dose-response evaluation using electromyography

Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury:a pilot study

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