Observation of Motor Actions as a Tool for Motor Rehabilitation

Stolbkov, Yu. K.; Gerasimenko, Yu. P.

doi:10.1007/s11055-021-01160-9

Cited by 2 publications

(1 citation statement)

References 81 publications

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“…Traditionally, evidenced-based rehabilitation programs targeting upper limb impairment for stroke focus on occupational and physical therapy modalities. Increasingly, novel "top-down" treatments such as AO and MI are being considered adjuncts to these therapies [7,8,[18][19][20]. When used in conjunction with physical therapies, there is evidence that these techniques can increase functional cortical regeneration in damaged motor areas through neuroplasticity, defined as "the ability of the nervous system to change its activity in response to intrinsic or extrinsic stimuli by reorganizing its structure, functions, or connections" [9,[21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Technology-Dependent Rehabilitation Involving Action Observation and Movement Imagery for Adults with Stroke: Can It Work? Feasibility of Self-Led Therapy for Upper Limb Rehabilitation after Stroke

McCormick

Ireland²,

Yohannes

et al. 2022

Stroke Research and Treatment

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Background. Motor (re)learning via technology-dependent therapy has the potential to complement traditional therapies available to older adults living with stroke after hospital discharge and increase therapy dose. To date, little is known about the feasibility of technology-dependent therapy in a home setting for this population. Objective. To develop a technology-dependent therapy that provides mental and physical training for older adults with stroke and assess feasibility. Specifically we ask, “Can it work”? Design. Single group repeated measures. Methods. 13 participants, aged 18 years and over, were recruited over a six-month period. All participants had mild upper limb impairment following a stoke and were no longer receiving intensive rehabilitation. All participants received 18 days of technology-dependent therapy in their own home. Information was gathered on recruitment and retention, usability, and suitability of outcome measures. Results. 11 participants completed the study. The recruitment rate (number recruited/number canvassed; 10.7%) suggests 1907 participants would need to be canvassed to recruit the necessary sample size ( n = 204 ) for a definitive trial designed to provide 90% power at 5% level of significance to detect a clinically meaningful difference of 5.7 points on the Action Research Arm Test. The usability of the application was rated as exceptional on the System Usability Scale. Effectiveness cannot be determined from this study; however, there was a trend for improvement in measures of upper limb function and emotional well-being. Limitations. The study was limited by a relatively small sample size and lack of control group. Conclusions. This study demonstrated proof of concept of a technology-dependent therapy for upper limb rehabilitation following stroke. The data suggest a definitive trial is feasible, additional strategies to improve recruitment should be considered. Outcome measures aligned with the residual motor function of participants are required.

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