The relationship between proximal function of the upper extremity on the paralyzed side and upper extremity skills in daily life of subacute stroke patients

Abstract

The relationship between proximal function of the upper extremity on the paralyzed side and upper extremity skills in daily life of subacute stroke patients. Jpn J Compr Rehabil Sci 2017; 8: 44-50. Objectives: The effects of proximal function of the upper extremity on the paralyzed side on daily life skills were examined in stroke patients. Methods: One hundred and forty-seven stroke patients were evaluated using the Functional Skills Measure After Paralysis (FSMAP), the Finger-Function test (FF), and the Knee-Mouth test (KM) of the Stroke Impairment Assessment Set (SIAS). The FSMAP score for each subgroup of the SIAS-KM level was compared.Results: The FSMAP score was significantly higher in patients with a KM score of 2/3 compared to patients with a KM score of 0/1 when SIAS-FF was 0/1A; in patients with a KM score of 2/3 compared to patients with a KM score of 0/1 and in patients with a KM score of 4/5 compared to patients with a KM score of 2/3 when SIAS-FF was 1B, 1C, or 2; and in patients with a KM score of 4/5 compared to patients with a KM score of 2/3 when SIAS-FF was 3, 4, or 5. Conclusion:The cross-sectional study indicated that differences in the level of proximal function affect the upper extremity skills when the level of distal function is equivalent.

Effects of a multi-component virtual reality program on motor skills and functional postural control in children with hemiplegic cerebral palsy

“…Previous studies that used similar Kinect-based VR interventions have reported improvements in the BBT scores [ 35 ] and kinematic hand motion parameters [ 36 ] following intervention in children with HCP. These results are in agreement with the findings of a cross-sectional study on individuals with hemiparesis [ 37 ]. This study found a correlation between the more-affected hand function and active range of motion of proximal segments and suggested that improving the stability and motor control of the more proximal segments seem to be necessary for the promotion of hand skills [ 37 ].…”

“…These results are in agreement with the findings of a cross-sectional study on individuals with hemiparesis [ 37 ]. This study found a correlation between the more-affected hand function and active range of motion of proximal segments and suggested that improving the stability and motor control of the more proximal segments seem to be necessary for the promotion of hand skills [ 37 ]. For instance, a clinical study showed hand function improvements after an electrical stimulation combined with vibration by a reaching robot on the patients’ hemiparetic shoulder.…”