Motor coordination and grip strength in stroke patients: an observational study

Olczak, Anna

doi:10.23736/s1973-9087.21.06739-3

Cited by 6 publications

(4 citation statements)

References 37 publications

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“…Although the VR protocol did not include any specific muscle-strengthening exercises, the GE achieved significance. Improved stabilisation of the shoulder girdle in stroke patients is a necessary precursor to improved grip strength [ 26 ]. Following this premise, our results on improvements in gross movements (ARAT D) could justify improvements in grip strength.…”

Section: Discussionmentioning

confidence: 99%

Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial

Aguilera-Rubio,

Alguacil-Diego,

Mallo-López

et al. 2024

J NeuroEngineering Rehabil

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Background Chronicity and lack of motivation often go together during the upper limb rehabilitation process in stroke. Virtual reality is a useful tool in this context, providing safe, intensive, individualised treatments in a playful environment. B-cost, easy-to-use devices with personalised and motivating games for a specific population seem to be the most effective option in the treatment of the upper limbs. Methods A randomised clinical study with follow-up was carried out to assess the effectiveness of the Leap Motion Controller® device in improving the functionality of the upper limb in patients with chronic stroke. Patients (n = 36) were randomised into a control group that performed conventional therapy and an experimental group that combined the virtual reality protocol with conventional therapy. The outcome measures used were grip strength; the Block and Box Test; the Action Research Arm Test; the Disabilities of the Arm, Shoulder and Hand; as well as a Technology Satisfaction Questionnaire and adherence to treatment. Results Inter-group statistical analysis showed no significant differences except in subsection D of the Action Research Arm Test. Intra-group analysis showed significant differences in both groups, but the experimental group reached significance in all long-term variables. Satisfaction and adherence levels were very high. Conclusions The Leap Motion Controller® system, as a complementary tool, produces improvements in grip strength, dexterity and motor function in patients with chronic stroke. It is perceived as a safe, motivating, and easy-to-use device. Clinical Registration: NCT04166617 Clinical Trials.

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Section: Discussionmentioning

confidence: 99%

Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial

Aguilera-Rubio,

Alguacil-Diego,

Mallo-López

et al. 2024

J NeuroEngineering Rehabil

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“…Motor coordination was assessed using the HandTutor TM . This device has already been used to test the ranges of passive and active mobility, as well as motor coordination and the maximum ranges of motion during the assessment of the frequency of wrist and hand movements [21,22]. It also appeared in the work of Carmela et al; although, in their work, the device, apart from the test function, was assessed in terms of the effects of therapy [37].…”

Section: Discussionmentioning

confidence: 99%

“…HandTutor TM allows for measurements of the frequency (i.e., the number of cycles per second, where one cycle represents the movement from flexion to contraction) and maximum range of movement, which is automatically measured during the frequency test, which were performed over time (10 s) (sensitivity: 0.05 mm of wrist and fingers ext./flex; frequency of movement (motion capture speed: up to 1 m/s)) [21,22]. The system is based on a safe and comfortable glove, equipped with position and motion sensors (sensitive electro-optical sensors evaluating the position and speed of wrist and finger movement; power supply: voltage: 5 V dc, rated current input: 300 mA) and the Medi Tutor TM software.…”

Section: Motor Coordination Assessmentmentioning

confidence: 99%

“…However, an important part of the research was the assessment of the coordination and strength in two different positions of the torso and examined upper limb. The authors had carried out similar studies earlier, and the results of these studies indicated that the lying position with the stabilized upper limb against the body of the subject is important in reconstructing the motor coordination of the distal part of the upper limb [21,22]. Similar studies, showing the importance of body and upper limb position on the possibility of triggering movement in the paretic upper limb, were presented by Souque in 1916 and others, such as Brunnstrom (in 1970) and Nijland et al (in 2010), who reported that two simple tests (finger extension and arm abduction) could be used to assess the possibility of restoring function in the upper limb [23][24][25].…”

Section: Introductionmentioning

confidence: 98%

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Change in the Results of Motor Coordination and Handgrip Strength Depending on Age and Body Position—An Observational Study of Stroke Patients and Healthy Volunteers

Olczak

Truszczyńska-Baszak

Μróz

2022

IJERPH

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Objective: The stroke is considered a common disease of the elderly. Young people also get sick, but the risk of stroke increases with the age of 60. Stroke, regardless of the age of the patients, causes functional deficits; therefore, the aim of the study was to analyze the significance of the body position and examined upper limb on the parameters of motor coordination and handgrip strength in various age groups of people after stroke and healthy people. Material and method: This is an observational study. A total of 117 people participated in the study (60 stroke patients and 57 healthy people without neurological disorders). Both patients and healthy volunteers were prospectively divided into three age groups: 18–45, 46–60, and 61+. The tests were carried out in two starting positions: sitting without back support and lying on the back with the upper limb stabilized against the body. HandTutorTM and a hand dynamometer were used to assess the motor coordination, including the maximum range of motion and frequency of movement, as well as the grip strength. Results: The passive stabilization of the trunk and shoulder improved the maximum wrist ROM (p < 0.001) and frequency of finger movements (Hz F5 p = 0.018; F3 p = 0.010; F2 p = 0.011), especially in the oldest stroke patients. In the group of healthy volunteers, the most statistically significant results were obtained in the age range of 46–60. They occurred in both stable (wrist maxROM p = 0.041 and Hz F5 p = 0.034; Hz F4 p = 0.010; Hz F3 p = 0.028; Hz F1 p = 0.034, maxROM F1 p = 0.041) and unstable positions (maxROM F5 p = 0.034; maxROM F4 p = 0.050; maxROM F3 p = 0.002; maxROM F2 p = 0.002). In the group of the oldest healthy people, only one significant result was obtained in the stable position (Hz F3 p = 0.043). Conclusion: Passive stabilization of the trunk and examined upper limb improves the results of motor coordination of the distal part of the upper limb in both study groups. Passive stabilization of the trunk and upper limb improves motor coordination, especially in the oldest group of patients, after stroke.

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A Finger Motion Monitoring Glove for Hand Rehabilitation Training and Assessment Based on Gesture Recognition

et al. 2023

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Motor coordination and grip strength in stroke patients: an observational study

Cited by 6 publications

References 37 publications

Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial

Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial

Change in the Results of Motor Coordination and Handgrip Strength Depending on Age and Body Position—An Observational Study of Stroke Patients and Healthy Volunteers

A Finger Motion Monitoring Glove for Hand Rehabilitation Training and Assessment Based on Gesture Recognition

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