Assessing the impact of essential tremor on upper limb function

1993 ◽  
Vol 241 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Peter G. Bain ◽  
Judit Mally ◽  
Michael Gresty ◽  
Leslie J. Findley
2010 ◽  
Vol 32 (15) ◽  
pp. 1221-1231 ◽  
Author(s):  
Christopher Paul Latimer ◽  
Justine Keeling ◽  
Broderick Lin ◽  
Meredith Henderson ◽  
Leigh Anne Hale

Mastology ◽  
2017 ◽  
Vol 27 (4) ◽  
pp. 287-292
Author(s):  
Lidiane Régia Pereira Braga de Britto ◽  
◽  
Emanoella Carneiro de Souza ◽  
Lucimila Teixeira Ribeiro ◽  
Paulo Adriano Schwingel ◽  
...  

2017 ◽  
Vol 13 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Anneleen Maris ◽  
Karin Coninx ◽  
Henk Seelen ◽  
Veronik Truyens ◽  
Tom De Weyer ◽  
...  

2021 ◽  
Author(s):  
Jinlong Wu ◽  
Aihua Zeng ◽  
Ziyan Chen ◽  
Ye Wei ◽  
Kunlun Huang ◽  
...  

BACKGROUND Virtual reality (VR) training is a promising intervention strategy, which has been utilized in healthcare fields like stroke rehabilitation and psychotherapy. The current study suggests that, VR training is effective in improving the locomotor ability of individuals with stroke patients. OBJECTIVE This is the first meta-meta-analysis of the effects of virtual reality on motor function in stroke patients. This study aimed to systematically summarize and quantify the present meta-analyses results of VR training, and produce high-quality meta-meta-analysis results to obtain a more accurate prediction. METHODS We searched four online databases (Web of Science, Scopus, PubMed, and Chinese National Knowledge Infrastructure) for the meta-analysis studies. After accounting for the overlap, ten studies (almost 550 stroke patients) were obtained. Based on the meta-meta-analysis of these patients, this study quantified the impact of VR training on stroke patients’ motor performance, mainly including upper limb function, balance, and walking ability. We combined the effects under the random effect model and pooled the estimates as standardized mean differences (SMD). RESULTS The results of the meta-meta analysis showed that VR intervention effectively improved the upper limb function (SMD= 4.606, 95% confidence interval (Cl): 2.733-6.479, P< 0.05) and balance (SMD=2.101, 95%Cl:0.202-4.000, P< 0.05) of stroke patients. However, the results showed considerable heterogeneity, and thus, may need to be treated with caution. Due to the limited research, the meta-meta-analysis of walking ability was not performed. CONCLUSIONS These findings represent a comprehensive body of high-quality evidence that, VR interventions were more effective at improving the upper limb function and balance of stroke patients.


Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Samantha Karlla Lopes de Almeida Rizzi ◽  
Cinira Assad Simão Haddad ◽  
Simone Elias ◽  
Afonso Celso Pinto Nazário ◽  
Gil Facina

Introduction: Physical therapy plays an important role in the prevention of motor and functional complications in the postoperative period of breast cancer1, reestablishing the motor function and improving the quality of life of patients2. However, there is no randomized study about the different physical therapeutic approaches in patients submitted to mastectomy and immediate alloplastic reconstruction. Objectives: To assess the impact of clearance for free-amplitude upper limb exercises, 15 or 30 days after surgery, on the movement amplitude (MA) of shoulder, pain and upper limb function; on the incidence of dehiscence, seroma, infection and necrosis; and on the need for reoperation in patients after mastectomy and immediate reconstruction with alloplastic material. Methodology: Sixty women who underwent mastectomy due to breast cancer were included in this randomized clinical trial. They were submitted to evaluations in the preoperative period and 07, 15, 30, 60 and 90 days after surgery. They started with limited exercises at 90º of MA of the shoulder the day after the surgery. Fifteen days later, they were randomized in two groups of 30 patients: Free-Amplitude Group – liberation of joint shoulder amplitude at the threshold of pain, or until feeling the displacement of surgical borders; and Limited Amplitude Group – maintenance of restricted shoulder movements at 90º until 30 days after the surgery, when they were also cleared for free-amplitude movements. Results: Patients who were cleared for free-amplitude upper limb exercises 15 days after surgery felt less pain, wider shoulder amplitude and better upper limb function, in comparison to those whose movements were restricted to 90º for 30 days, without increase in incidence and prevalence of postoperative scar complications, and without inference in the need for reoperations. Conclusion: postoperative protocol that clears free MA of shoulder 15 days after surgery is safe and beneficial for the kinetic and functional recovery, as well as algic control in the postoperative period after mastectomy and immediate reconstruction with alloplastic material.


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