Posts Tagged Stroke patients
[Abstract] Hand Rehabilitation via Gesture Recognition Using Leap Motion Controller – Conference Paper
Nowadays, a stroke is the fourth leading cause of death in the United States. In fact, every 40 seconds, someone in the US is having a stroke. Moreover, around 50% of stroke survivors suffer damage to the upper extremity –. Many actions of treating and recovering from a stroke have been developed over the years, but recent studies show that combining the recovery process with the existing rehabilitation plan provides better results and a raise in the patients quality of life –. Part of the stroke recovery process is a rehabilitation plan . The process can be difficult, intensive and long depending on how adverse the stroke and which parts of the brain were damaged. These processes usually involve working with a team of health care providers in a full extensive rehabilitation plan, which includes hospital care and home exercises.
[Abstract] A pilot study on the optimal speeds for passive wrist movements by a rehabilitation robot of stroke patients: A functional NIRS study
[ARTILE] Changes in gait kinematics and muscle activity in stroke patients wearing various arm slings – Full Text
[ARTICLE] Effects of adjustment of transcranial direct current stimulation on motor function of the upper extremity in stroke patients – Full Text PDF
[Purpose] The purpose of this study was to examine the effects of transcranial direct current stimulation (tDCS) applied to the cerebral cortex motor area on the upper extremity functions of hemiplegic patients.
[Subjects and Methods] Twenty four Patients with hemiplegia resulting from a stroke were divided into two groups: a tDCS group that received tDCS and physical therapy and a control group that received only physical therapy. A functional evaluation of the two groups was performed, and an electrophysiological evaluation was conducted before and after the experiment. Statistical analyses were performed to verify differences before and after the experiment. All statistical significance levels were set at 0.05.
[Results] The results showed that functional evaluation scores for the elbow joint and hand increased after the treatment in both the experimental group and the control group, and the increases were statistically significantly different.
[Conclusion] tDCS was effective in improving the upper extremity motor function of stroke patients. Additional research is warranted on the usefulness of tDCS in the rehabilitation of stroke patients in the clinical field.
[Systematic Review] A Decade of Progress Using Virtual Reality for Poststroke Lower Extremity Rehabilitation: Systematic Review of the Intervention Methods – Full Text PDF
Objective. To develop a systematic review of the literature, to describe the different virtual reality (VR) interventions and interactive videogames applied to the lower extremity (LE) of stroke patients, and to analyse the results according to the most frequently used outcome measures.
Material and Methods. An electronic search of randomized trials between January 2004 and January 2014 in different databases (Medline, Cinahl, Web of Science, PEDro, and Cochrane) was carried out. Several terms (virtual reality, feedback, stroke, hemiplegia, brain injury, cerebrovascular accident, lower limb, leg, and gait) were combined, and finally 11 articles were included according to the established inclusion and exclusion criteria.
Results.The reviewed trials showed a high heterogeneity in terms of study design and assessment tools, which makes it difficult to compare and analyze the different types of interventions. However, most of them found a significant improvement on gait speed, balance and motor function, due to VR intervention.
Conclusions. Although evidence is limited, it suggests that VR intervention (more than 10 sessions) in stroke patients may have a positive impact on balance, and gait recovery. Better results were obtained when a multimodal approach, combining VR and
conventional physiotherapy, was used. Flexible software seems to adapt better to patients’ requirements, allowing more specific and individual treatments.
[Poster] The Effects of Playing Electronic Musical Instruments During AtHome Rehabilitation on Hemiplegic Upper Limb Function
Objective: To investigate the effects of at-home rehabilitation on the functional improvement of hemiplegic upper limbs by playing electronic musical instruments in stroke patients.
Design: Before-and-after trial, Experimental clinical research.
Setting: Visiting a university hospital as an outpatient.
Participants: Twelve cases of hemiplegic patients, averaging 566.4 years old, having suffered brain stroke and living at home in which 8 to 270 months have passed since onset.
Interventions: An guitar type electrophone and electronic drum were rented out to the homes of the patients as electronic musical instruments; instructions were given to play these instruments once a week as an outpatient for 3 weeks each for a total of 6 weeks, and patients were trained to play the instruments using their paralyzed upper limbs. A set piece was specified weekly, and practice at home of at least 30 minutes a day was imposed. On that basis, changes in motor function and muscle spasms were evaluated. Main Outcome Measure(s): Fugl-Meyer Assessment of motor function items of the upper limb (on a scale of 0 to 66) and Modified Ashworth Scale (MAS).
Results: The Fugl-Meyer Assessment of motor function items of the upper limb improved from an average of 36.17 prior to the experiment to 41.67 following the experiment (p<0.01). Although temporal improvement was confirmed in muscle spasms following the experiment, there was no change in MAS throughout the entire training period.
Conclusions: Rehabilitation of the paralyzed upper limbs by playing music have a good effect for the paralytic improvement of the stroke patients at home.