المؤلفون: Vincent Van Pesch, Gaëtan Stoquart, Souraya El Sankari, Thierry Lejeune, Christine Detrembleur, Maxime Valet

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - (SLuc) Service de neurologie

المصدر: Clinical Biomechanics, Vol. 86, no.-, p. 105382 (2021)

مصطلحات موضوعية: Adult, medicine.medical_specialty, Multiple Sclerosis, Placebo-controlled study, Biophysics, Walking, law.invention, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Randomized controlled trial, law, Potassium Channel Blockers, Medicine, Humans, Orthopedics and Sports Medicine, Treadmill, 4-Aminopyridine, Gait, Expanded Disability Status Scale, business.industry, Repeated measures design, 030229 sport sciences, Middle Aged, Preferred walking speed, Treatment Outcome, Gait analysis, Female, business, human activities, 030217 neurology & neurosurgery

الوصف: Background People with multiple sclerosis have reduced walking speed and impaired gait pattern. Prolonged release-fampridine is a potassium channel blocker that improves nerve conduction in patients with multiple sclerosis, leading to walking benefits. Whether fampridine alters gait pattern is unknown. Methods In this crossover, randomized controlled trial, patients with multiple sclerosis were tested for responder status during a 4-week run-in period. Patients were considered responders if they improved their 25-ft walk test by 10% and improved their perceived walking capacity. Responders were randomized to prolonged release-fampridine (10 mg b.i.d.) or placebo for a 6-week period. After a 2-week wash-out period, they were allocated to the other treatment for 6 weeks. Participants were assessed before and after both conditions. Three-dimensional gait analysis assessed kinematic, kinetic, mechanic and energetic variables while walking on a treadmill at comfortable speed. Six-minute walk test and 25-ft walk test were used to assess walking speed on middle and short-distances, respectively. Patient-reported outcome measures were also used. Repeated measures ANCOVAs were applied to assess the treatment effects. Findings Out of 39 included patients, 24 responders (12 women; Expanded Disability Status Scale:4.25[4–5]; age:46 ± 10 years; maximal speed:0.93 ± 0.38 m·s−1) were identified. Among them, prolonged release-fampridine reduced the external mechanical work (−0.039 J·kg−1·m−1;p = 0.02), and improved knee flexion during swing phase (+5.3°; p = 0.02). No differences were found in other walking tests and patient-reported outcomes, at group-level. Interpretation Prolonged release-fampridine increases knee flexion during swing phase and lowers mechanical external work. Whether these changes are related to clinically meaningful improvements in walking capacity and other functional variables should be further investigated.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::abaa9ad273bcded7531186897d356bbfTest
https://hdl.handle.net/2078.1/246184Test

المؤلفون: Stéphanie Dehem, Thierry Lejeune, Ioannis Doumas, Gauthier Everard

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice

المصدر: Serious games for upper limb rehabilitation after stroke: a meta-analysis, Vol. 18, no.1, p. 1-19 (2021)
Journal of NeuroEngineering and Rehabilitation, Vol. 18, no.1, p. 1-16 (2021)
Journal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-16 (2021)
Journal of NeuroEngineering and Rehabilitation, Vol. 18, no.1, p. 1-19 (2021)
Journal of NeuroEngineering and Rehabilitation, Vol. 18, no.18, p. 100 (2021)
Journal of NeuroEngineering and Rehabilitation

مصطلحات موضوعية: Adult, 030506 rehabilitation, medicine.medical_specialty, Serious games, Neurology, serious games, medicine.medical_treatment, Psychological intervention, Subgroup analysis, Neurosciences. Biological psychiatry. Neuropsychiatry, Health Informatics, Review, Virtual reality, law.invention, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Activities of Daily Living, upper extremity, Medicine, Humans, Stroke, Neurorehabilitation, robotics, Rehabilitation, business.industry, Stroke Rehabilitation, Robotics, Recovery of Function, medicine.disease, stroke, Meta-analysis, Physical therapy, virtual reality, 0305 other medical science, business, 030217 neurology & neurosurgery, RC321-571

الوصف: Background Approximately two thirds of stroke survivors maintain upper limb (UL) impairments and few among them attain complete UL recovery 6 months after stroke. Technological progress and gamification of interventions aim for better outcomes and constitute opportunities in self- and tele-rehabilitation. Objectives Our objective was to assess the efficacy of serious games, implemented on diverse technological systems, targeting UL recovery after stroke. In addition, we investigated whether adherence to neurorehabilitation principles influenced efficacy of games specifically designed for rehabilitation, regardless of the device used. Method This systematic review was conducted according to PRISMA guidelines (PROSPERO registration number: 156589). Two independent reviewers searched PubMed, EMBASE, SCOPUS and Cochrane Central Register of Controlled Trials for eligible randomized controlled trials (PEDro score ≥ 5). Meta-analysis, using a random effects model, was performed to compare effects of interventions using serious games, to conventional treatment, for UL rehabilitation in adult stroke patients. In addition, we conducted subgroup analysis, according to adherence of included studies to a consolidated set of 11 neurorehabilitation principles. Results Meta-analysis of 42 trials, including 1760 participants, showed better improvements in favor of interventions using serious games when compared to conventional therapies, regarding UL function (SMD = 0.47; 95% CI = 0.24 to 0.70; P P = 0.02) and participation (SMD = 0.66; 95% CI = 0.29 to 1.03; P = 0.0005). Additionally, long term effect retention was observed for UL function (SMD = 0.42; 95% CI = 0.05 to 0.79; P = 0.03). Interventions using serious games that complied with at least 8 neurorehabilitation principles showed better overall effects. Although heterogeneity levels remained moderate, results were little affected by changes in methods or outliers indicating robustness. Conclusion This meta-analysis showed that rehabilitation through serious games, targeting UL recovery after stroke, leads to better improvements, compared to conventional treatment, in three ICF-WHO components. Irrespective of the technological device used, higher adherence to a consolidated set of neurorehabilitation principles enhances efficacy of serious games. Future development of stroke-specific rehabilitation interventions should further take into consideration the consolidated set of neurorehabilitation principles.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cd8c40698ced1d383642844a2caa75fbTest
https://pubmed.ncbi.nlm.nih.gov/34130713Test

المؤلفون: Maxime Valet, Christine Detrembleur, Thibault Warlop, Thierry Lejeune, Mélanie Quoilin, Souraya El Sankari, Gaëtan Stoquart, Vincent Van Pesch

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - (SLuc) Service de neurologie, UCL - SSS/IONS/NEUR - Clinical Neuroscience, UCL - SSS/IONS - Institute of NeuroScience, UCL - SSS/IONS/CEMO - Pôle Cellulaire et moléculaire, UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience

المصدر: CNS Drugs, Vol. Na, no.Na, p. Na (2019)

مصطلحات موضوعية: medicine.medical_specialty, Multiple Sclerosis, Neurology, MEDLINE, Walking, PsycINFO, Placebo, multiple sclerosis, law.invention, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Double-Blind Method, International Classification of Functioning, Disability and Health, Randomized controlled trial, law, Potassium Channel Blockers, medicine, Humans, Pharmacology (medical), 4-Aminopyridine, Randomized Controlled Trials as Topic, fampridine, business.industry, Checklist, 030227 psychiatry, meta-analysis, Psychiatry and Mental health, Treatment Outcome, Delayed-Action Preparations, Meta-analysis, Neurology (clinical), business, 030217 neurology & neurosurgery

الوصف: Prolonged-release (PR) fampridine is a potassium channel blocker used as a symptomatic treatment for walking disability in patients with multiple sclerosis (MS). Its clinical effects in such patients have not been systematically reviewed, and may be more wide-ranging than expected. To summarize the evidence on the effects of PR fampridine in patients with MS. A systematic search of Pubmed, Scopus (including EMBASE), and PsycINFO (completed in 01/2019) was carried out to identify randomized controlled trials (RCT) that compared PR fampridine to placebo. When appropriate, data were pooled using a random-effects model, and standardized mean differences (SMD) were computed. Study quality was assessed using the Downs and Black checklist. PRISMA guidelines were followed. All retrieved functional outcomes were categorized according to the International Classification of Functioning, Disability and Health (ICF). A total of 706 articles were screened for inclusion. Twenty RCTs involving 2616 patients met the eligibility criteria. Most studies were of good-to-excellent quality. PR fampridine administration resulted in significant benefits in relation to walking short distances (SMD: 1.23 (95% IC 0.65–1.81)) and perceived walking capacity (0.64 (0.27–1.02)). Its effects on muscle strength and middle-distance walking were not significant (0.53 (− 0.04 to 1.10) and 0.31 (− 0.18 to 0.80), respectively). No effect on higher-level cognitive functions (− 0.07 (− 0.58 to 0.45)) or hand and arm use (0.16 (− 0.33 to 0.64)) was observed. Individual studies reported effects on other outcomes across the ICF domains. There is strong evidence that PR fampridine exerts strong effects on the ability to walk short distances and on perceived walking capacity. Other effects of PR fampridine according to the ICF are possible but still unclear.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1926650d28f72b57e6e4782ae2663279Test
https://hdl.handle.net/2078.1/220661Test

المؤلفون: Thierry Lejeune, Ditouah Didier Niama Natta, Gaëtan Stoquart, Etienne Alagnide, Clara Selves, Berenice Yarou, Emmanuel S. Sogbossi, Christine Detrembleur, Toussaint G. Kpadonou

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice

المصدر: Annals of Physical and Rehabilitation Medicine, Vol. 64, no. 1, p. 101413 [1-7] (2021)

مصطلحات موضوعية: Quality of life, 030506 rehabilitation, medicine.medical_specialty, Upper extremity, medicine.medical_treatment, Context (language use), International Classification of Functioning, Developing countries, law.invention, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, International Classification of Functioning, Disability and Health, law, Self-management, medicine, Humans, Single-Blind Method, Orthopedics and Sports Medicine, Developing Countries, Stroke, Rehabilitation, business.industry, Stroke Rehabilitation, Recovery of Function, medicine.disease, Treatment Outcome, medicine.anatomical_structure, Quality of Life, Physical therapy, Upper limb, Disability and Health, 0305 other medical science, business, 030217 neurology & neurosurgery

الوصف: BACKGROUND: About two-thirds of stroke patients present long-term upper-limb impairment and limitations of activity, which constitutes a challenge in rehabilitation. This situation is particularly true in developing countries, where there is a need for inexpensive rehabilitation solutions. OBJECTIVE: This study assessed the effectiveness of a self-rehabilitation program including uni- or bi-manual functional exercises for improving upper-limb function after stroke with respect to the context in Benin, West Africa. METHODS: In this single-blind randomized controlled trial, chronic stroke individuals (>6 months post-stroke) performed a supervised home-based self-rehabilitation program for 8 weeks (intervention group); the control group did not receive any treatment. Participants were assessed before treatment (T0), at the end of treatment (T1) and 8 weeks after the end of treatment (T2). The primary outcome was the manual ability of the upper limb, assessed with ABILHAND-Stroke Benin. Secondary outcomes were grip force, motor impairment (Fugl-Meyer Assessment - Upper Extremity), gross manual ability (Box and Block test, Wolf Motor Function test) and quality of life (WHOQOL-26). RESULTS: We included 28 individuals in the intervention group and 31 in the control group. Adherence to the program was 83%. After 8 weeks of self-rehabilitation, individuals in the intervention group showed significantly improved manual ability and grip force as compared with the control group (P

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a9362201570fa11980bd5d952c64b8a9Test
https://doi.org/10.1016/j.rehab.2020.03.017Test

المؤلفون: Gaëtan Stoquart, Géraldine Jacquemin, Christine Detrembleur, Thierry Lejeune, Maxime Gilliaux, Stéphanie Dehem, Sara Palumbo, Anne Frederick

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice

المصدر: Annals of Physical and Rehabilitation Medicine, Vol. 62, no. 5, p. 313-320 (2019)

مصطلحات موضوعية: Male, 030506 rehabilitation, medicine.medical_specialty, Activities of daily living, medicine.medical_treatment, Psychological intervention, Phase (combat), rehabilitation, law.invention, Upper Extremity, 03 medical and health sciences, Disability Evaluation, 0302 clinical medicine, Physical medicine and rehabilitation, Randomized controlled trial, International Classification of Functioning, Disability and Health, law, upper extremity, medicine, Humans, Orthopedics and Sports Medicine, Single-Blind Method, Stroke, Aged, robotics, Rehabilitation, business.industry, Recovery of function, Stroke Rehabilitation, Recovery of Function, Robotics, Middle Aged, medicine.disease, stroke, Exercise Therapy, Paresis, medicine.anatomical_structure, Treatment Outcome, Upper limb, Female, 0305 other medical science, business, 030217 neurology & neurosurgery

الوصف: Background Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF). Objective This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains. Methods We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction. Results In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups. Conclusion For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::56b331a3fc6e1fa1c845ea833d80df24Test
https://pubmed.ncbi.nlm.nih.gov/31028900Test

المؤلفون: Christine Detrembleur, Stéphanie Dehem, Thierry Lejeune, Emmanuelle Delaunois, Yves Vandermeeren, Gaëtan Stoquart, Maxime Gilliaux, Paul Cédric Mbonda

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience, UCL - (MGD) Service de neurologie, UCL - SSS/IONS/NEUR - Clinical Neuroscience

المصدر: International Journal of Rehabilitation Research, Vol. 41, no. 2, p. 138-145 (2018)

مصطلحات موضوعية: robotic, Adult, Male, 030506 rehabilitation, medicine.medical_specialty, medicine.medical_treatment, Physical Therapy, Sports Therapy and Rehabilitation, upper limb, Transcranial Direct Current Stimulation, law.invention, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Randomized controlled trial, Double-Blind Method, law, medicine, Combined Modality Therapy, Humans, Neurorehabilitation, Aged, Aged, 80 and over, Rehabilitation, Cross-Over Studies, Transcranial direct-current stimulation, business.industry, Stroke Rehabilitation, Robotics, Middle Aged, stroke, Crossover study, Biomechanical Phenomena, body regions, Motor Skills Disorders, Paresis, Stroke, medicine.anatomical_structure, Upper limb, Female, transcranial direct current stimulation, 0305 other medical science, business, Single session, 030217 neurology & neurosurgery

الوصف: The impact of transcranial direct current stimulation (tDCS)is controversial in the neurorehabilitation literature. It has been suggested that tDCS should be combined with other therapy to improve their efficacy. To assess the effectiveness of a single session of upper limb robotic assisted therapy (RAT) combined with real or sham-tDCS in chronic stroke patients. Twenty-one hemiparetic chronic stroke patients were included in a randomized, controlled, cross-over double-blind study. Each patient underwent two sessions 7 days apart in a randomized order: (a) 20 min of real dual-tDCS associated with RAT (REAL+RAT) and (b) 20 min of sham dual-tDCS associated with RAT (SHAM+RAT). Patient dexterity (Box and Block and Purdue Pegboard tests) and upper limb kinematics were evaluated before and just after each intervention. The assistance provided by the robot during the intervention was also recorded. Gross manual dexterity (1.8 ± 0.7 blocks, P=0.008) and straightness of movement (0.01 ± 0.03, P0.05). The assistance provided by the robot was similar during both interventions (P>0.05). The results showed a slight improvement in hand dexterity and arm movement after the REAL+RAT tDCS intervention. The observed effect after a single session was small and not clinically relevant. Repetitive sessions could increase the benefits of this combined approach.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0f546914ff9701e0a978055011cbf3d5Test
https://pubmed.ncbi.nlm.nih.gov/29420360Test

المؤلفون: Anne Renders, Bruno Dehez, Delphine Dispa, Gaëtan Stoquart, Maxime Gilliaux, Thierry Lejeune, Julien Sapin, Christine Detrembleur, D Holvoet

المساهمون: UCL - - SST/Louvain Bionics, UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery

المصدر: Neurorehabilitation and Neural Repair, Vol. 29, no. 2, p. 183-192 (2015)

مصطلحات موضوعية: medicine.medical_specialty, pediatrics, medicine.medical_treatment, International Classification of Functioning, rehabilitation, law.invention, Cerebral palsy, Upper Extremity, Disability Evaluation, Physical medicine and rehabilitation, International Classification of Functioning, Disability and Health, Randomized controlled trial, law, medicine, Humans, Learning, Single-Blind Method, Spasticity, Child, Assisted therapy, robotics, cerebral palsy, Rehabilitation, business.industry, Cerebral Palsy, Robotics, General Medicine, medicine.disease, Biomechanical Phenomena, Treatment Outcome, medicine.anatomical_structure, kinematics, Physical therapy, Upper limb, Disability and Health, medicine.symptom, Motor learning, business, motor learning, Psychomotor Performance

الوصف: Background. Several pilot studies have evoked interest in robot-assisted therapy (RAT) in children with cerebral palsy (CP). Objective. To assess the effectiveness of RAT in children with CP through a single-blind randomized controlled trial. Patients and Methods. Sixteen children with CP were randomized into 2 groups. Eight children performed 5 conventional therapy sessions per week over 8 weeks (control group). Eight children completed 3 conventional therapy sessions and 2 robot-assisted sessions per week over 8 weeks (robotic group). For both groups, each therapy session lasted 45 minutes. Throughout each RAT session, the patient attempted to reach several targets consecutively with the REAPlan. The REAPlan is a distal effector robot that allows for displacements of the upper limb in the horizontal plane. A blinded assessment was performed before and after the intervention with respect to the International Classification of Functioning framework: body structure and function (upper limb kinematics, Box and Block test, Quality of Upper Extremity Skills Test, strength, and spasticity), activities (Abilhand-Kids, Pediatric Evaluation of Disability Inventory), and participation (Life Habits). Results. During each RAT session, patients performed 744 movements on average with the REAPlan. Among the variables assessed, the smoothness of movement ( P < .01) and manual dexterity assessed by the Box and Block test ( P = .04) improved significantly more in the robotic group than in the control group. Conclusions. This single-blind randomized controlled trial provides the first evidence that RAT is effective in children with CP. Future studies should investigate the long-term effects of this therapy.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e59b08023af8f3c2c057e48db37a5ec6Test
https://doi.org/10.1177/1545968314541172Test

المؤلفون: Benjamin Bollens, Frédéric Crevecoeur, Thibault Warlop, Christine Detrembleur, Thierry Lejeune

المساهمون: UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - SST/ICTM/INMA - Pôle en ingénierie mathématique

المصدر: Annals of Biomedical Engineering, Vol. 41, no. 8, p. 1604-1612 (2013)

مصطلحات موضوعية: Adult, Male, Volition, Physical Exertion, Statistics as Topic, Biomedical Engineering, Intention, Metronome, Models, Biological, Pattern Recognition, Automated, law.invention, Rhythm, law, Statistics, Humans, Computer Simulation, Simulation, Mathematics, Hurst exponent, Models, Statistical, Motor control, Spectral density, Adaptation, Physiological, Bicycling, Duration (music), Cadence, Cycling, Psychomotor Performance

الوصف: Long-range dependency has been found in most rhythmic motor signals. The origin of this property is unknown and largely debated. There is a controversy on the influence of voluntary control induced by requiring a pre-determined pace such as asking subjects to step to a metronome. We studied the cycle duration variability of 15 men pedaling on an ergometer at free pace and at an imposed pace (60 rpm). Revolution time was determined based on accelerometer signals (sample frequency 512 Hz). Revolution time variability was assessed by coefficient of variation (CV). The presence of long-range autocorrelations was based on scaling properties of the series variability (Hurst exponent) and the shape of the power spectral density (α exponent). Mean revolution time was significantly lower at freely chosen cadence, while values of CV were similar between both sessions. Long-range autocorrelations were highlighted in all series of cycling patterns. However, Hurst and α exponents were significantly lower at imposed cadence. This study demonstrates the presence of long-range autocorrelations during cycling and that voluntary intent can modulate the interdependency between consecutive cycles. Therefore, cycling may constitute a powerful paradigm to investigate the influence of central control mechanisms on the long-range interdependency characterizing rhythmic motor tasks.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::aa850c917d2e4dd32a9e83d23982d6f6Test
https://doi.org/10.1007/s10439-013-0834-2Test

المؤلفون: Jean-Louis Thonnard, Delphine Dispa, Thierry Lejeune

المساهمون: UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience, Louvain Bionics - Center of Interdisciplinary Expertise

المصدر: International Journal of Rehabilitation Research, Vol. 36, no. 1, p. 81-87 (Mars 2013)

مصطلحات موضوعية: Male, medicine.medical_specialty, medicine.medical_treatment, Pilot Projects, Physical Therapy, Sports Therapy and Rehabilitation, law.invention, Physical medicine and rehabilitation, Randomized controlled trial, law, Hand strength, Task Performance and Analysis, medicine, Humans, Physical Therapy Modalities, Aged, Psychomotor learning, Cross-Over Studies, Rehabilitation, Hand Strength, Stroke Rehabilitation, Objective Improvement, Middle Aged, Crossover study, Paresis, Chronic Disease, Task analysis, Physical therapy, Female, Analysis of variance, Psychology

الوصف: Most chronic stroke patients present with difficulty in the manipulation of objects. The aim of this study was to test whether an intensive program of precision grip training could improve hand functioning of patients at more than 6 months after a stroke. This was a cross-over study; hence, at inclusion, the patients were randomly divided into two groups: one group started with the bilateral movement therapy and the other group started with the unilateral movement therapy. The patients were assessed on four separate occasions across a 12-week period: (a) at inclusion in the study, (b) 4 weeks later, immediately before the first rehabilitation session, (c) after 4 weeks of one therapy, and (d) after a further 4 weeks of the other therapy. Ten patients completed two consecutive 4-week sessions (1 h, 3 days/week) of therapy. The therapy comprised unilateral and bilateral repetitive grip-lift task-oriented rehabilitation with rhythmic auditory cueing. The grip-lift force coordination, digital dexterity, manual ability, and the level of satisfaction (with activities and participation) were assessed. A one-way repeated-measure analysis of variance across the four evaluations did not detect any objective improvement in the measured variables after 8 weeks of specific intensive training. Precision grip training was shown to not generate significant improvement in the grip-lift task, digital dexterity, manual ability, or satisfaction in chronic stroke patients.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cc81a638c369734e1fa9fcbe063f47eaTest
https://doi.org/10.1097/mrr.0b013e32835acfd5Test

المؤلفون: Chiristine Detrembleur, Maxime Gilliaux, Bruno Dehez, Gaëtan Stoquart, Thierry Lejeune, Julien Sapin

المصدر: Journal of Rehabilitation Medicine. 44:210-217

مصطلحات موضوعية: Male, medicine.medical_specialty, Stroke patient, Movement, Physical Therapy, Sports Therapy and Rehabilitation, Severity of Illness Index, law.invention, Upper Extremity, Disability Evaluation, Physical medicine and rehabilitation, Randomized controlled trial, law, Task Performance and Analysis, Severity of illness, medicine, Humans, Prospective Studies, Prospective cohort study, Aged, Aged, 80 and over, business.industry, Rehabilitation, Stroke Rehabilitation, Healthy subjects, Case-control study, Robotics, General Medicine, Middle Aged, Biomechanical Phenomena, Paresis, Stroke, medicine.anatomical_structure, Case-Control Studies, Physical therapy, Upper limb, Female, business

الوصف: Objective: To compare kinematic indices in age-matched healthy subjects and stroke patients, by evaluating various tasks performed with a robotic device, and to provide an objective and standardized protocol to assess upper limb impairments in stroke patients. Design: A prospective cohort study. Subjects: Age-matched healthy subjects (n = 10) and stroke patients (n = 10). Methods: Various kinematic indices were analysed from 3 randomly assigned tasks performed by the affected arm in stroke patients and the dominant arm in healthy subjects. These tasks, composed of large-amplitude, targeted and geometrical movements, were standardized and performed with the ReaPLAN robotic device. Results: For large-amplitude movements, the stroke patients’ path lengths were less constant in amplitude, less rectilinear and less smooth than those for healthy subjects (p < 0.001). For the targeted movements, the stroke patients’ path lengths were less rectilinear than those of the healthy subjects (p < 0.001). For the geometrical movements, the stroke patients had greater difficulty making the requested shapes compared with the healthy subjects (p < 0.01). Conclusion: Our study proposes an objective and standardized protocol to assess stroke patients’ upper limbs with any robotic device. We suggest that further randomized controlled trials could use this quantitative tool to assess the efficacy of treatments such as robot-assisted therapy.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ca8e97f6c571220ff41f2aa6134492f8Test
https://doi.org/10.2340/16501977-0926Test