Influence of Task-Oriented Training Content on Skilled Arm-Hand Performance in Stroke: A Systematic Review

Timmermans, Annick; Spooren, Annemie; Kingma, Herman; Seelen, Henk

doi:10.1177/1545968310368963

Cited by 122 publications

(109 citation statements)

References 47 publications

(41 reference statements)

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“…3) The fact that the patient's forearm is attached to the gimbal impedes the open chain action that is characteristic for upper extremity movement. 4) It is known that feedback is an important training characteristic that is [23].…”

Section: Discussionmentioning

confidence: 99%

A comparison of treatment effects after sensor- and robot-based task-oriented arm training in highly functional stroke patients

Timmermans

Lemmens

Geers

et al. 2011

2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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A large number of rehabilitation technologies for stroke patients has been developed in the last decade. To date it is insufficiently clear what the strengths of these different technologies are in relation to certain patient characteristics, such as the level of muscle strength and/or functional ability. One of the reasons is that research protocols differ so much that comparison of treatment results is impossible. This paper compares, while using the same patient inclusion criteria and training protocol, the effectivity of a sensor-supported versus robot-supported task-oriented arm training for highly functional chronic stroke patients. It appeared that individual improvements over time and Hedges's g effect sizes were twice as large for the sensor-based training compared to the robot-supported training in stroke patients with high functional levels. New research is planned to compare both therapy approaches for stroke patients with low and average functional levels.

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Section: Discussionmentioning

confidence: 99%

A comparison of treatment effects after sensor- and robot-based task-oriented arm training in highly functional stroke patients

Timmermans

Lemmens

Geers

et al. 2011

2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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show abstract

“…Thus, many previous studies of upper limb training have emphasized that stroke rehabilitation training paradigm is needed to provide more detailed information about the components of movement (Basteris et al 2014;Pollock et al 2014). In particular, it was highlighted that specific and repetitive tasks are most effective in acceleration of neuroplasticity of the brain (Hubbard et al 2009;Timmermans et al 2010). Liao et al (2012) reported that repetitive robot-assisted upper limb rehabilitation can After 4 weeks of robot-assisted reach training for 3 directions, significant improvement on upper extremity kinematic performance (movement velocity) was observed in individuals with chronic stroke (P < 0.05).…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted Reach Training for Improving Upper Extremity Function of Chronic Stroke

Cho

Song

2015

Tohoku J. Exp. Med.

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Stroke, as a major risk factor for chronic impairment of upper limb function, can severely restrict the activities of daily living. Recently, robotic devices have been used to enhance the functional upper extremity movement of stroke patients. The purpose of the current study was to assess whether a robotassisted reach training program using a whole arm manipulator (WAM) could improve upper extremity kinematic performance and functional movement for chronic stroke patients. Using a single-group design, this study followed 10 people with chronic stroke (6 men, 61.5 years; Mini-Mental State Examination score: 27.0; onset duration: 8.9 years). WAM with seven degrees of freedom for the shoulder, elbow, and wrist joints was used during robot-assisted reach exercises. Subjects participated in the training program for 40 minutes per day, 2 times a week, for 4 weeks. The main outcome measures were upper extremity kinematic performance (movement velocity) for three directions and functional movement (Action Research Arm Test). Upper extremity kinematic performance and functional movement measures were performed three times: at baseline, during intervention (at 2 weeks), and post intervention. Upper extremity kinematic performance and functional movement showed improvement after two weeks (P < 0.05) and four weeks (P < 0.05) of training compared to baseline. The findings of the current study demonstrated the positive effects of short-term robot-assisted reach training on upper extremity kinematic performance as well as functional movement in individuals with chronic stroke. In addition, the findings of the current study may provide valuable information for subsequent randomized controlled trials.

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“…Feedback is also associated with high training effects [28]. Next to supporting motor learning, feedback can positively influence motivation, self-efficacy, and compliance [29,30].…”

Section: Us"em: Concept Overviewmentioning

confidence: 97%

Us'em: The user-centered design of a device for motivating stroke patients to use their impaired arm-hand in daily life activities

Markopoulos

Timmermans

Beursgens

et al. 2011

2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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Stroke leaves the majority of its survivors with an impairment of the upper extremity that affects their ability to live independently and their quality of life. Rehabilitation research shows that practice of everyday life activities in a natural context may sustain or even improve arm-hand performance, even during chronic stages after stroke. Based on this insight we designed, developed and evaluated Us'em; this consists of two watch-like accelerometry devices that provide feedback to stroke patients regarding the usage of their impaired versus their non-affected upper extremity. System usability and treatment credibility/expectancy were evaluated positively by therapists and patients.

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Influence of Task-Oriented Training Content on Skilled Arm-Hand Performance in Stroke: A Systematic Review

Cited by 122 publications

References 47 publications

A comparison of treatment effects after sensor- and robot-based task-oriented arm training in highly functional stroke patients

A comparison of treatment effects after sensor- and robot-based task-oriented arm training in highly functional stroke patients

Robot-Assisted Reach Training for Improving Upper Extremity Function of Chronic Stroke

Us'em: The user-centered design of a device for motivating stroke patients to use their impaired arm-hand in daily life activities

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