scholarly journals Development of a Short Form of the Simple Test for Evaluating Hand Function to Evaluate Upper-extremity Function while Sitting in a Wheelchair

2016 ◽  
Vol 31 (4) ◽  
pp. 585-590
Author(s):  
Tadahiko KAMEGAYA ◽  
Ryosuke MIYADERA ◽  
Takeshi OSHIKAWA ◽  
Yasuko SUZUKI ◽  
Tomoyuki MORITA
Keyword(s):  
Upper Extremity ◽  
Short Form ◽  
Hand Function ◽  
Simple Test ◽  
Extremity Function ◽  
Upper Extremity Function

Abstract 2580: How Frequent Is Impaired Arm And Hand Function After First Occasion Of Stroke? An Unselected Population From A Stroke Unit With A Geographical Catchment.

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Katharina Stibrant Sunnerhagen ◽  
Hanna C Persson
Keyword(s):  
Upper Extremity ◽  
Stroke Unit ◽  
Catchment Area ◽  
Hand Function ◽  
Stroke Onset ◽  
Stroke Patients ◽  
Extremity Function ◽  
Unselected Population ◽  
Upper Extremity Function ◽  
Impaired Motor Function

Introduction Reduced upper extremity function after stroke has previously been reported in 70-80% of patients with stroke in the acute stage and is one of the most common impairments after acute stroke impaired motor function, both in upper and lower extremity, influence the stroke unit care and planning of the rehabilitation, partly due to the economic costs. There is limited information in upper extremity function within the first days after a stroke. Prior studies include either both first and recurrent stroke or only one type of stroke. Objectives To investigate the frequency impaired arm and hand function in an unselected group of patients with first occasion of stroke. Method All patients at a stroke unit at Sahlgrenska University Hospital were assessed during 18 months. From the hospital records, the patients were identified, the patient charts were read and first stroke diagnosis was confirmed (by either imaging or clinical assessment). Impaired upper extremity function was defined in the following manner: assessed with the Modified Motor Assessment Scale (M-MAS UAS -95) by physiotherapist working at the stroke unit within 72 hours after stroke onset or if this was found in the patients chart, other standardized assessments of upper extremity function performed by the physical therapist, the occupational therapist or the physicians on the ward. Results During the study period 984 patients with first ever stroke (438 women 44.5%) were admitted to the stroke unit. A total of 213 patients were not at the stroke unit within 72 hours after onset and therefore excluded; 90 patients had unclear stroke onset time, 49 patients were located at another ward, 36 patients were in the intensive care unit, 25 in other hospitals in Sweden and 12 patients were hospitalized in another country. There were 771 patients over 18 years old at the stroke unit within 72 hours after stroke onset. Of these 56 patients (7.3%), were not living in the catchment area and therefore excluded. Of the 715 patients living in the geographical catchment area, 58, (8.1%) hade other upper extremity injury prior the stroke onset. Of the remaining first ever stroke patients (n=657), 311 patients (47.3%) hade impaired arm and hand function within 72 hours after stroke onset. Conclusion The frequency of impaired upper extremity function in this unselected population of first occasion of stroke is lower than previously reported. The Copenhagen stroke study noted 69 % impaired at admission and 43 % at one week. This indicates that today’s stroke patients present less frequent with impaired motor function in the upper extremity. However, they may have difficulties in functional activities which may influence content of rehabilitation process.

scholarly journals Upper Extremity Function in Persons with Tetraplegia: Relationships Between Strength, Capacity, and the Spinal Cord Independence Measure

2009 ◽  
Vol 23 (5) ◽  
pp. 413-421 ◽  
Author(s):  
Claudia Rudhe ◽  
Hubertus J. A. van Hedel
Keyword(s):  
Spinal Cord ◽  
Muscle Strength ◽  
Upper Extremity ◽  
Hand Function ◽  
Self Care ◽  
Correlation Coefficients ◽  
Extremity Function ◽  
Strength Capacity ◽  
Hand Muscle ◽  
Upper Extremity Function

Objective. To quantify the relationship between the Spinal Cord Independence Measure III (SCIM III), arm and hand muscle strength, and hand function tests in persons with tetraplegia. Methods. A total of 29 individuals with tetraplegia (motor level between cervical 4 and thoracic 1; sensory-motor complete and incomplete) participated. The total score, category scores, and separate items of the SCIM III were compared to the upper extremity motor score (UEMS), an extended manual muscle test (MMT) for 11 upper extremity muscles, and 6 functional capacity tests of the hand. Spearman's correlation coefficients ( rs) and regression analyses were performed. Results. The SCIM III sum score correlated well with the sum scores of the 3 tests ( rs ≥ .76). The SCIM III self-care category correlated better with the tests ( rs ≥ .80) compared to the other categories ( r s ≤ .72). The SCIM III self-care item “grooming” highly correlated with muscle strength and hand capacity items ( rs ≥ .80). A combination of hand muscle tests and the key grasping task explained over 90% of the variability in the self-care category scores. Conclusions. The SCIM III self-care category reflects upper extremity performance as it contains especially useful and valid items that relate to upper extremity function and capacity tests.

scholarly journals Combined Use of Repetitive Task Practice and an Assistive Robotic Device in a Patient With Subacute Stroke

2006 ◽  
Vol 86 (10) ◽  
pp. 1378-1386 ◽  
Author(s):  
Ellen M Frick ◽  
Jay L Alberts
Keyword(s):  
Upper Extremity ◽  
Hand Function ◽  
Robotic Therapy ◽  
Extremity Function ◽  
Subacute Stroke ◽  
Combined Use ◽  
Before And After ◽  
Task Practice ◽  
Upper Extremity Function ◽  
Combined Intervention

Abstract Background and Purpose. This case report describes a training program comprising repetitive task practice (RTP) and robotic therapy for a patient with subacute stroke and resultant impaired upper-extremity function. Case Description. A 63-year-old man with right-sided hemiplegia resulting from a hemorrhagic stroke received a combined intervention of RTP and robotic therapy for 4 hours per day for 3 weeks. Clinical and kinetic evaluations were performed before and after intervention. Outcomes. Following the combined intervention, clinical improvements in hand function were observed, maximum grip force decreased slightly, and interlimb coupling decreased. Discussion. An intervention of RTP with robotic therapy may be an effective method to improve upper-extremity function following stroke. Furthermore, the case suggests that improvements in strength are not necessary for improved dexterous function, provided that a minimal level of strength is present.

scholarly journals Effect of the complex physical therapy on the upper extremity function, functional independence and cognition in post-stroke patients

2021 ◽  
pp. 61-68
Author(s):  
Iriah Uwa-Agbonikhena ◽  
Viktoriia Gryb ◽  
Viktoriia Gerasymchuk ◽  
Marta Kupnovytska-Sabadosh ◽  
Liubov Maksymchuk
Keyword(s):  
Physical Therapy ◽  
Upper Extremity ◽  
Motor Function ◽  
Hand Function ◽  
Functional Independence ◽  
Motor Dysfunction ◽  
Extremity Function ◽  
Upper Extremity Function ◽  
Group 2 ◽  
Group 1

Motor dysfunction and cognitive impairment (CI) are the most prevalent and disabling among the stroke consequences. CI decreases the effectivity of motor rehabilitation, but motor dysfunction itself may also influence the manifestations and progression of CI. So development and study of novel physical therapy tactics, which are aiming to target both of these syndromes, becomes a subject of great interest nowadays. The aim of study was to evaluate the impact of different physical therapy approaches on the upper extremity function, cognition and functional independence in patients in 1 year after ischemic stroke. Materials and methods. Totally there were 72 patients examined in the 1-year period after first-ever anterior circulation ischemic stroke. Neurological status, upper extremity function and functional independence were assessed with the National Institutes of Health Stroke Scale (NIHSS), Fugl-Meyer assessment (FMA), modified Rankin Scale (mRS) and the Functional Independence Measurement (FIM). Cognitive function was assessed with the Montreal Cognitive Assessment (MoCA), Frontal Assessment Battery (FAB), Trail-making Test A and B tests (TMT). Patients in Group 1 received secondary stroke prevention therapy and performed the exercises complex for general muscle function improvement for 2 months; patients in Group 2 also performed the exercise complex for paretic hand function improvement for 2 months. Results. After 2 months of physical therapy a significant increase of the FIM “Self-care”, “Transfer” and therefore subtotal motor and total scores was observed in patients in Group 2; in Group 1 significant improvement was observed only in “Transfer” and subtotal motor scores. Adding of the hand exercise to the physical therapy complex (Group 2) appeared to be more beneficial for the upper extremity motor function. Patients in Group 2 after 2 months showed increase of the FMA “Wrist” score by 40 % (p<0.05), “Hand” score by 42.8 % (p<0.01) and “Total motor function” by 30.1 % (p<0.05), and the “Total motor function” score in Group 2 was 10.9 % higher in comparison with the Group 1 (p<0.05). In cognitive status significant differences compared to baseline level were observed only in Group 2; MoCA score increased by 14.3 % (p<0.05) and TMT-B performance time decreased by 14.8 % (p<0.05). Baseline MoCA score correlated with FMA “Wrist” (r=0.32; p=0.028), “Hand” (r=0.49; p=0.001) and “Total motor function” (r=0.46; p=0.004) scores. TMT-B score showed significant correlation with the FMA “Wrist” (r=-0.032; p=0.025), “Hand” (-0.45; p=0.009), “Speed/coordination” (r=-0.023; p=0.036) and “Total motor function” (r=-0.42; p=0.023). Conclusion. Adding of exercise for hand function improvement into the physical therapy complex for post-stroke patients contributes to better upper extremity motor performance and therefore is more favourable for patients’ functional independence. Upper extremity motor impairment, especially hand and wrist dysfunction, are associated with worse cognitive performance. Hand function and fine motor skills improvement could be beneficial for the patients’ cognition. Further research is needed in regard to the prognostic significance of these findings and their impact on the treatment and rehabilitation strategies.

scholarly journals Effect of Standing on a Standardized Measure of Upper Extremity Function

2020 ◽  
pp. 153944922093705
Author(s):  
Jill Campbell Stewart ◽  
Ashley Saba ◽  
Jessica F. Baird ◽  
Melissa B. Kolar ◽  
Michael O’Donnell ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Completion Time ◽  
Hand Function ◽  
Daily Activities ◽  
Extremity Function ◽  
Function Test ◽  
Upper Extremity Function ◽  
Standardized Measure ◽  
The Right ◽  
Insight Into

Although many daily activities that require the upper extremity are performed in standing, arm motor function is generally measured in sitting. The purpose of this study was to examine the effect of standing on a measure of upper extremity function, the Jebsen Hand Function Test (JHFT). Twelve nondisabled adults (26.3 ± 3.1 years) completed the JHFT with the right and left arms under two conditions: sitting and standing. Total time to complete the JHFT increased when performed in standing compared with sitting in both arms ( p = .005); mean increase was 4.4% and 5.6% for the right and left arms, respectively. Checker stacking was the only subtest that showed a significant increase in completion time in standing for both arms ( p = .001); card turning showed an increase for the left arm only ( p = .002). Measurement of upper extremity function in standing may provide insight into arm motor capacity within the context of standing postural control demands.

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