Posts Tagged hemiplegic
To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke – Full Text PDF
Objective: To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke.
Method: A sample of 42 patients was recruited from the Physiotherapy Department of IPM&R and Neurology OPD of Civil Hospital Karachi through non probability purposive sampling technique. Twenty one patients were placed to each experimental and control groups. Experimental group was treated with Constraint Induced Movement Therapy (CIMT) and control group was treated with motor relearning programme (MRP) for three consecutive weeks. Pre and post treatment measurements were determined by upper arm section of Motor Assessment Scale (MAS) and Self Care item of Functional Independence Measure (FIM) Scale.
Results: Intra group analysis showed statistically significant results (p-value<0.05) in all items of MAS in both groups. However, advanced hand activities item of MAS in MRP group showed insignificant result (p-value=0.059). Self-care items of FIM Scale also showed significant result (p-value< 0.05) in both groups except dressing upper body item (p-value=0.059) in CIMT group and grooming and dressing upper body items (p-value=0.059 & 0.063) in MRP group showed insignificant p-values.
Conclusion: CIMT group showed more significant improvement in motor function and self-care performance of hemiplegic upper extremity as compared to MRP group in patients with sub-acute stroke assessed by the MAS and FIM scales. Thus CIMT is proved to be more statistically significant and clinically effective intervention in comparison to motor relearning programme among the patients aged between 35-60 years. Further studies are needed to evaluate CIMT effects in acute and chronic post stroke population.
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Source: To compare the effectiveness of constraint induced movementtherapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke | Batool | Pakistan Journal of Medical Sciences
[ARTICLE] Research of rehabilitation aid system by DOF constraintable mechanism and NMES for hemiplegic upper limbs
In this paper, rehabilitation aid system by selectable DOF constraintable mechanism and NMES (Neuromuscular Electrical Stimulation) for hemiplegic upper limbs was developed. By using this mechanism, it became possible to separate synergic movement while flexion-extension training of shoulder and elbow by constraining each individual joints. As the clinical trial result by using this mechanism and NMES, the shoulder-elbow UE-FMA sub-scores improved significantly.
In this research, NMES timing control system and quantitative evaluation method for sensing the flexion-extension movement of the elbow and shoulder joints are proposed.
Background: The stroke population needing physical rehabilitation of the upper extremity is constantly increasing. To solve this problem, robot devices for improving motor performance are developed to assist physical rehabilitation in Korea. The aim of this study was to develop the robot-assisted wrist training system and to apply this to the chronic hemiplegic stroke participants.
Methods: Bilateral wrist robotic device was developed and we applied this to four chronic hemiplegic stroke participants. Robot-assisted wrist training system was assessed by Hand grip force, Medical Research Council, Range of motion, Upper extremity Fugl-Meyer Assessment, and Motor Activity Log. In addition, we measured functional magnetic Resonance Imaging (fMRI) analysis for cortical reorganization during both hand movement. Participants received 60 min, 20 sessions, five days a week, for four consecutive weeks. The assessments were done before and after 20 training sessions
Results: Robot-assisted wrist training system was built with the bilateral wrist flexion/extension and pronation/supination performance that provides a repetitive active-active, active-passive, and passive-passive mode. Muscle strength, Motion of wrist, and motor function were enhanced after 4-week training of wrist. And the cortical activity change was associated with inducing reorganization of motor cortex networks
Conclusion: We developed bilateral wrist robotic device and robot-assisted wrist training system. Robot-assisted wrist training system showed improvement of upper limb function after training of wrist. Our system might be efficient robot-assisted wrist training for improving muscle strength, motor performance, and cortical reorganization in patients with chronic hemiplegic stroke and contribute to the development of translational research in rehabilitation robot.