Task-oriented Motor Learning in Upper Extremity Rehabilitation Post Stroke

Alashram, Anas R.; Annino, Giuseppe; Mercuri, Nicola Biagio

doi:10.1177/2516608519864760

Cited by 14 publications

(8 citation statements)

References 28 publications

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“…50 The tDCS may lower the threshold of these physiological changes following training, and then the tDCS could improve this plasticity and increase duration of the effect. 50 Recently, many rehabilitation interventions have demonstrated effectiveness on spasticity in patients with various neurological disorders, such as mental practice, 51 focal muscle vibration, 16,20 FES, 52 task-oriented, 53 and whole-body vibration. 19 Thus, this systematic review indicated that combining tDCS with one of these interventions at the same time might show a significant reduction in spasticity post-stroke.…”

Section: Discussionmentioning

confidence: 99%

Transcranial direct current stimulation for upper extremity spasticity rehabilitation in stroke survivors: A systematic review of randomized controlled trials

Alashram

Padua²,

Aburub

et al. 2022

PM&R

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Objectives: To examine the effects of transcranial direct current stimulation (tDCS) on upper extremity spasticity after stroke and to define the most effective tDCS parameters. Literature Survey: Systematic review in the following databases: PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, AMED, and Web of Science databases. Studies up to June 2020 were included. Methodology: Studies were included if the sample was composed of individuals with stroke, the intervention followed a tDCS intervention (alone or combined with another intervention), and the study was a randomized controlled trial including at least one measurement assessing upper extremity spasticity. Two authors independently screened the included studies. Conflicting decisions between authors were resolved by discussion with the third author. The methodological quality was assessed using the Cochrane Collaboration's tool. The authors determined that the meta-analysis was not feasible due to the heterogeneity in the protocols among the included studies. Synthesis: After the screening of 1204 records, a total of seven studies met the specified inclusion criteria and involved 320 participants (mean age = 60.3), 31.1% of whom were females. Patients with ischemic stroke comprised 77.2% of the total patients, and 42.2% were with right hemispheric stroke. Six studies exhibited "high" quality and one exhibited "moderate" quality. Five of the selected studies that combined the tDCS intervention and other traditional interventions showed a significant reduction in upper extremity spasticity after stroke following tDCS intervention. The other two studies that delivered tDCs alone did not show a significant difference. Conclusions: The evidence for the effect of tDCS on upper extremity spasticity after stroke was limited. The optimal tDCS treatment dosage remains unclear. Additional studies with large sample sizes and long-term follow-up are strongly warranted.

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Section: Discussionmentioning

confidence: 99%

Transcranial direct current stimulation for upper extremity spasticity rehabilitation in stroke survivors: A systematic review of randomized controlled trials

Alashram

Padua²,

Aburub

et al. 2022

PM&R

Self Cite

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“…Concerning the cognitive function aspect of limb apraxia rehabilitation, recently, many rehabilitation interventions were found to be effective in improving cognitive functions through stimulating neuroplasticity, such as virtual reality . Moreover, in terms of the motor function aspect of limb apraxia rehabilitation, various rehabilitation interventions showed their effects on the motor function, such as focal muscle vibration Annino et al, 2019), task-oriented interventions (Alashram et al, 2019a), and rhythmic auditory stimulation (Alashram et al, 2019b). Hence, combining these interventions with existing limb apraxia interventions (i.e., strategy training, gesture training) in future studies may show superior benefits than using strategy training or gesture training alone.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation of limb apraxia in patients following stroke: A systematic review

Alashram

Annino

Dajah

et al. 2021

Applied Neuropsychology: Adult

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Apraxia is widely used to describe one of the more disabling deficits following left strokes. The role of rehabilitation in treating apraxic stroke patients remains unclear. This systematic review was conducted to study the impacts of various rehabilitation interventions on the limb apraxia post-stroke. PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, and Web of Science were searched for the experimental studies that investigated the effects of the rehabilitation interventions on apraxia in patients with stroke. The methodological quality was rated using the Physiotherapy Evidence Database scale (PEDro). Six studies met our inclusion criteria in this systematic review. Four were randomized controlled trials, pilot (n ¼ 1), and case study (n ¼ 1). The scores on the PEDro scale ranged from two to eight, with a median of seven. The results showed some evidence for the effects of strategy training and gesture training interventions on the cognitive functions, motor activities, and activities of daily livings outcomes poststroke. The preliminary findings showed that the effects of the strategy training and the gesture training on apraxia in patients with stroke are promising. Further randomized controlled trials with long-term follow-ups are strongly needed.

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“…It used to improve physical impairments and maximize functional performance abilities. 8 There were some limitations to this CARE. The VO 2 max may provide an accurate examination of energy expenditure in perfect sittings; however, in physiotherapy gym sittings, the use of VO 2 max may not be a feasible choice and other measures, such as 6-MWT with a portable metabolic system, may include in future studies.…”

Section: Discussionmentioning

confidence: 99%

Optimizing Gait Ability after Task-oriented Circuit Class Training in Posttraumatic Brain Injury: A Case Report

Alashram¹

2020

Indian Journal of Physical Medicine and Rehabilitation

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Background and purpose: Reduction in gait ability is considered the most common problems in patients with traumatic brain injury (TBI). Approximately 83% of patients with moderate to severe TBI continue to demonstrate impairments in balance and gait after discharge from rehabilitation that affect their independence in activities of daily living (ADL). This case report aimed to examine the impact of task-oriented circuit class training on gait ability focusing on balance, gait speed, and gait endurance (functional capacity) in a 34-year-old man with TBI. Case description:The patient was a 34-year-old man with 1-year post-TBI. Twelve sessions of the task-oriented circuit class training were provided. Outcome measures included the six-minute walk test (6-MWT) and Berg Balance Scale (BBS). Outcomes: His BBS score improved from 34/56 to 41/56. Six-minute walk distance increased by 62.9 m, and gait velocity increased by 0.25 m/ second. Conclusion:The use of the task-oriented circuit class training protocol may be feasible in patients with TBI. Through 12 sessions, the patient showed improvement in gait ability resulting from increased balance ability, gait velocity, and endurance. Future high-quality studies with a large sample size are strongly needed to verify our findings.

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Task-oriented Motor Learning in Upper Extremity Rehabilitation Post Stroke

Cited by 14 publications

References 28 publications

Transcranial direct current stimulation for upper extremity spasticity rehabilitation in stroke survivors: A systematic review of randomized controlled trials

Transcranial direct current stimulation for upper extremity spasticity rehabilitation in stroke survivors: A systematic review of randomized controlled trials

Rehabilitation of limb apraxia in patients following stroke: A systematic review

Optimizing Gait Ability after Task-oriented Circuit Class Training in Posttraumatic Brain Injury: A Case Report

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