scholarly journals Hands-On Therapy Interventions for Upper Limb Motor Dysfunction After Stroke

Stroke ◽  
2012 ◽  
Vol 43 (1) ◽  
Author(s):  
Jacqueline Winter ◽  
Susan M. Hunter ◽  
Julius Sim ◽  
Peter Crome
2011 ◽  
Vol 390 (23-24) ◽  
pp. 4451-4458 ◽  
Author(s):  
M. Elias de Oliveira ◽  
L.L. Menegaldo ◽  
P. Lucarelli ◽  
B.L.B. Andrade ◽  
P. Büchler

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030262 ◽  
Author(s):  
Rachel Stockley ◽  
Rosemary Peel ◽  
Kathryn Jarvis ◽  
Louise Connell

ObjectivesTo survey the reported content, frequency and duration of upper limb treatment provided by occupational and physiotherapists for people after stroke in the UK.DesignA cross-sectional online survey was used. Description and analysis of the data were based on items from the Template for Intervention Description and Replication (Who, Where, What and How much).SettingThe online survey was distributed via professional and social networks to UK-based therapists.ParticipantsRespondents were occupational or physiotherapists currently working clinically in the UK with people after stroke. Over the 6 week data collection period, 156 respondents opened the survey, and 154 completed it. Respondents comprised 85 physiotherapists and 69 occupational therapists.ResultsRespondents reported treating the upper limb a median of three times a week (range: 1 to 7) for a mean of 29 min (SD: 18). Most (n=110) stated this was supplemented by rehabilitation assistants, family and/or carers providing additional therapy a median of three times a week (range 1 to 7). Functional training was the most commonly reported treatment for people with mild and moderate upper limb deficits (>40%). There was much less consistency in treatments reported for people with severe upper limb deficits with less than 20% (n=28) reporting the same treatments.ConclusionsThis study provides a contemporaneous description of reported therapy in the UK for people with upper limb deficits after stroke and a detailed template to inform standard therapy interventions in future research. Several evidence-based therapies were reported to be used by respondents (eg, constraint induced movement therapy), but others were not (eg, mental imagery). The findings also highlight that the current reported provision of upper limb therapy is markedly less than what is likely to be effective. This underlines an urgent need to configure and fund services to empower therapists to deliver greater amounts of evidence-based treatment for people with upper limb deficits after stroke.


2016 ◽  
Vol 124 (4) ◽  
pp. 463-470 ◽  
Author(s):  
Jan Rusz ◽  
Tereza Tykalová ◽  
Radim Krupička ◽  
Kateřina Zárubová ◽  
Michal Novotný ◽  
...  

2016 ◽  
Vol 41 (2) ◽  
pp. 286
Author(s):  
Ahmadreza Afshar ◽  
Neda Afshar
Keyword(s):  

2007 ◽  
Vol 40 ◽  
pp. S393
Author(s):  
M.T. Wininger ◽  
N.-H. Kim ◽  
S. Escaldi ◽  
W. Craelius

2017 ◽  
Vol 01 (03) ◽  
pp. E242-E246 ◽  
Author(s):  
Michael Sailer ◽  
Catherine Sweeney-Reed ◽  
Juliane Lamprecht

AbstractNeurorehabilitation of patients with upper limb motor dysfunction due to central nervous system damage still lacks adequate standardization. During the last decade, robot- and device-assisted rehabilitation has become more feasible for the treatment of functional disorders of the upper limb after stroke. Here we present an overview of technological aspects and differential use of devices for upper limb rehabilitation as well as a review of relevant clinical studies. We also discuss the potential for standardized evaluation in the context of limited health care resources. The effectiveness of device-assisted therapy, in comparison to conventional approaches, remains a matter of debate, largely due to the heterogeneous design of the available clinical studies. However, we believe that a better understanding of the timing, intensity, and quality of upper limb rehabilitation, as well as technological progress, will lead to the establishment of a central role for robot- and device-assisted rehabilitation in the next decade.


2021 ◽  
Vol 11 (12) ◽  
pp. 1650
Author(s):  
Maria Koriakina ◽  
Olga Agranovich ◽  
Ekaterina Petrova ◽  
Dzerassa Kadieva ◽  
Grigory Kopytin ◽  
...  

The current study aimed to compare differences in the cognitive development of children with and without upper limb motor disorders. The study involved 89 children from 3 to 15 years old; 57 children with similar upper limb motor disorders and 32 healthy children. Our results showed that motor disorders could impair cognitive functions, especially memory. In particular, we found that children between 8 and 11 years old with upper limb disorders differed significantly from their healthy peers in both auditory and visual memory scales. These results can be explained by the fact that the development of cognitive functions depends on the normal development of motor skills, and the developmental delay of motor skills affects cognitive functions. Correlation analysis did not reveal any significant relationship between other cognitive functions (attention, thinking, intelligence) and motor function. Altogether, these findings point to the need to adapt general habilitation programs for children with motor disorders, considering the cognitive impairment during their development. The evaluation of children with motor impairment is often limited to their motor dysfunction, leaving their cognitive development neglected. The current study showed the importance of cognitive issues for these children. Moreover, early intervention, particularly focused on memory, can prevent some of the accompanying difficulties in learning and daily life functioning of children with movement disorders.


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