The effects of task-oriented versus repetitive bilateral arm training on upper limb function and activities of daily living in stroke patients

Song, Gui bin

doi:10.1589/jpts.27.1353

Cited by 26 publications

(16 citation statements)

References 16 publications

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“…However, a review of 18 clinical trials of simultaneous bilateral training found no statistically significant results for performance of Acclivities of Daily Living (ADL) functional movement of the arm or hand (Coupar et al, ). In contrast, TO training showed greater improvement in upper limb function and activities of daily living, when compared with bilateral training (Song, ). Modified CIMT and modified bilateral arm training showed no superior effect on upper limb motor function post‐stroke as compared with dose‐matched conventional intervention (van Delden et al, ).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Occupational Therapy Task‐oriented Approach in Upper Extremity Post‐stroke Rehabilitation

Almhdawi

Mathiowetz

White

et al. 2016

Occupation Therapy Intl

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There is a need for more effective rehabilitation methods for individuals post-stroke. Occupational Therapy Task-Oriented (TO) approach has not been evaluated in a randomized clinical trial. The purpose of this study was to evaluate functional and impairment efficacies of TO approach on the more-affected Upper Extremity (UE) of persons post-stroke. A randomized single-blinded cross-over trial recruited 20 participants post-stroke (mean chronicity = 62 months) who demonstrated at least 10° active more-affected shoulder flexion and abduction and elbow flexion-extension. Participants were randomized into immediate (n = 10) and delayed intervention (n = 10) groups. Immediate group had 6 weeks of 3 hr/week TO intervention followed by 6 weeks of no-intervention control. Delayed intervention group underwent the reversed order. Functional measures included Canadian Occupational Performance Measure (COPM), Motor Activity Log (MAL), and Wolf Motor Function Test (WMFT). Impairment measures included UE Active Range of Motion (AROM) and handheld dynamometry strength. Measurements were obtained at baseline, cross over, and end of the study. TO intervention showed statistically higher functional change scores. COPM performance and satisfaction scores were 2.83 and 3.46 units greater respectively (p < .001), MAL amount of use and quality of use scores were 1.1 and 0.87 units greater, respectively (p < .001), WMFT time was 8.35 seconds faster (p = .009). TO impairment outcomes were not significantly larger than control ones. TO approach appears to be an effective UE post-stroke rehabilitation approach inducing clinically meaningful functional improvements. More studies are needed with larger samples and specific stroke chronicity and severity. Copyright © 2016 John Wiley & Sons, Ltd.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Occupational Therapy Task‐oriented Approach in Upper Extremity Post‐stroke Rehabilitation

Almhdawi

Mathiowetz

White

et al. 2016

Occupation Therapy Intl

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“…Bu çalışmalarda iş uğraşı tedavilerine ek olarak yapılan bilateral eğitimin GYA gerçekleştirme becerisini anlamlı olarak artırdığı bildirilmiştir. 36,37 İnmeli hastalarda üst ekstremitede en sık karşılaşılan kasiskelet sistem komplikasyonu ağrıdır. Plejik taraftaki ağrı rehabilitasyon sürecini de olumsuz etkilemektedir.…”

Section: Tedaviunclassified

Kronik İnmeli Hastalarda Ritmik İşitsel Uyarı İle Bilateral Kol Eğitim Tedavisinin Üst Ekstremite Fonksiyonlarına ve Günlük Yaşam Aktivitelerine Etkisinin Araştırılması

Sade

Aksu

Çekmece

2020

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Bu çalışma ile kronik inmeli hastalarda uygulanan ritmik işitsel uyarı ile bilateral kol eğitiminin (RİUBKE) üst ekstremite fonksiyonları, günlük yaşam aktivitelerine katılım ve ağrı üzerine etkilerinin incelenmesi amaçlanmıştır. Yöntem: Randomize kontrollü bu çalışmaya 28 hasta dahil edildi. Hastalar RİUBKE (n=15) ve kontrol (n=13) olarak iki gruba ayrıldı. Tüm hastaların demografik verileri, Brunnstrom evreleri, Modifiye Ashworth Skalası (MAS) ve ağrı düzeyleri kaydedildi. Hastaların tümü 3 hafta süreyle konvansiyonel terapi programına alındı. Ek olarak RİUBKE grubundaki hastalara, RİUBKE cihazı ile haftanın 5 günü 3 hafta süreyle bilateral üst ekstremite eğitimi uygulandı. Plejik üst ekstremite motor fonksiyonları Jebsen Taylor El Fonksiyon Testi (JTEFT) ve Box and Block Test (BBT) ile, günlük yaşam aktiviteleri Modifiye Barthel İndeks (MBİ) ile, ağrı düzeyleri Görsel Analog Skala (GAS) ile Tüm değerlendirmeler tedavi öncesi ve tedaviden 3 hafta sonra değerlendirildi. Tüm veriler Mann Whitney U testi ve Wilcoxon testi kullanılarak analiz edildi. Bulgular: BBT ve JTEFT'in bazı parametrelerinde (sayfa çevirme, büyük ağır obje kaldırma ve tavla pulu dizme) (p<0,05, tüm parametreler) gelişme kaydedildi. MBİ ve GAS parametrelerinde istatiksel olarak anlamlı fark saptanmadı (p>0,05). Sonuç: RİUBKE ile üst ekstremite bilateral eğitiminin kronik inmeli hastalarda üst ekstremite fonksiyonları üzerine etkili olduğu kanaatine varıldı. Alınan bu sonuçlar inme rehabilitasyonunda RİUBKE ile bilateral eğitimin konvansiyonel tedavilerle birlikte kullanılabileceğini düşündürmektedir.

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“…Conventional rehabilitation for hand function and neuroplasticity, such as constraint-induced movement therapy [7], high-intensity training, and repetitive task-oriented training [8], often have unsatisfactory results due to insufficient patient motivation. However, previous evidence suggests that intensive repeated training is likely necessary to modify neural organization and promote recovery of hand motor skills in stroke patients [9,10]. To overcome these limitations, game-based virtual reality (VR) training is becoming a promising technology to promote motor recovery by providing high-intensity and repeated task-oriented rehabilitation with 3-dimensional game programs involving patient body movement [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

A Smart Glove Digital System Promotes Restoration of Upper Limb Motor Function and Enhances Cortical Neuroplastic Changes in Subacute Stroke Patients: A Randomized Controlled Trial

Lee¹,

Chang²,

Lee³

et al. 2019

Preprint

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Background: The sensor-based soft smart glove device is able to achieve multiple degree of freedom and complex motions with soft components. The purpose of this study was to examine the effects of RAPAEL ® Smart Glove digital training system on functional restoration of upper extremity and cortical neuroplastic changes in subacute stroke patients while provided in combined with conventional occupational therapy (OT).Methods: Fifty-two subacute stroke patients with upper extremity motor function deficit participated and 36 of them completed the interventional protocol (20 experimental group and 16 control group) . All participants were treated with conventional OT for 4 weeks, 5 times per week, 30 min per day. In addition, the experimental group received game-based digital hand motor training with the RAPAEL ® Smart Glove digital system for 4 weeks, 5 times per week, 30 min per day. The control group received additional OT for 30 min. The outcomes were assessed before intervention (T0), after 4 weeks of intervention (T1), and 4 weeks after cessation of intervention (T2) using Fugl-Meyer assessment (FMA) scale and Jebsen-Tayler hand function test (JTT). Oxygenated hemoglobin ( OxyHb ) levels over bilateral primary and secondary motor cortices during hand and wrist movement were measured using functional near infrared spectroscopy at T0 and T1.Results: All groups demonstrated improved upper extremity motor function for FMA total score and all subscores of JTT at T1, however, only experimental group showed further improvement at T2 ( p < 0.05). Also, the experimental group had significantly greater improvements upper extremity score of FMA scale and all subscores of JTT at T1 and T2 ( p < 0.05). Concentration of OxyHb over the ipsilesional sensorimotor cortex during wrist and hand movement was more increased in the experimental group than control group at T1 ( p < 0.05).Conclusion: This study demonstrated that training with the RAPAEL ® Smart Glove further improved upper extremity and hand motor function than conventional OT alone by enhancing ipsilesional motor cortical activity in subacute stroke patients.

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The effects of task-oriented versus repetitive bilateral arm training on upper limb function and activities of daily living in stroke patients

Cited by 26 publications

References 16 publications

Efficacy of Occupational Therapy Task‐oriented Approach in Upper Extremity Post‐stroke Rehabilitation

Efficacy of Occupational Therapy Task‐oriented Approach in Upper Extremity Post‐stroke Rehabilitation

Kronik İnmeli Hastalarda Ritmik İşitsel Uyarı İle Bilateral Kol Eğitim Tedavisinin Üst Ekstremite Fonksiyonlarına ve Günlük Yaşam Aktivitelerine Etkisinin Araştırılması

A Smart Glove Digital System Promotes Restoration of Upper Limb Motor Function and Enhances Cortical Neuroplastic Changes in Subacute Stroke Patients: A Randomized Controlled Trial

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