scholarly journals COMPARISON OF TASK ORIENTED APPROACH AND MIRROR THERAPY FOR POST STROKE HAND FUNCTION REHABILITATION

2019 ◽  
Vol 7 (7) ◽  
pp. 3301-3307
Author(s):  
B. Ragamai ◽  
◽  
K. Madhavi. ◽  
PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0188642 ◽  
Author(s):  
Johanna Jonsdottir ◽  
Rune Thorsen ◽  
Irene Aprile ◽  
Silvia Galeri ◽  
Giovanna Spannocchi ◽  
...  

2016 ◽  
Vol 23 (4) ◽  
pp. 444-456 ◽  
Author(s):  
Khader A. Almhdawi ◽  
Virgil G. Mathiowetz ◽  
Matthew White ◽  
Robert C delMas

Author(s):  
Xianwei Huang ◽  
Fazel Naghdy ◽  
Golshah Naghdy ◽  
Haiping Du ◽  
Catherine Todd

AbstractRecent neurological research indicates that the impaired motor skills of post-stroke patients can be enhanced and possibly restored through task-oriented repetitive training. This is due to neuroplasticity – the ability of the brain to change through adulthood. Various rehabilitation processes have been developed to take advantage of neuroplasticity to retrain neural pathways and restore or improve motor skills lost as a result of stroke or spinal cord injuries (SCI). Research in this area over the last few decades has resulted in a better understanding of the dynamics of rehabilitation in post-stroke patients and development of auxiliary devices and tools to induce repeated targeted body movements. With the growing number of stroke rehabilitation therapies, the application of robotics within the rehabilitation process has received much attention. As such, numerous mechanical and robot-assisted upper limb and hand function training devices have been proposed. A systematic review of robotic-assisted upper extremity (UE) motion rehabilitation therapies was carried out in this study. The strengths and limitations of each method and its effectiveness in arm and hand function recovery were evaluated. The study provides a comparative analysis of the latest developments and trends in this field, and assists in identifying research gaps and potential future work.


2021 ◽  
Vol 8 (10) ◽  
pp. 366-373
Author(s):  
Mary Margrett ◽  
B N Raju ◽  
Ashok Chakravarthi

Background and Objectives: Stroke is a clinical syndrome consisting of rapidly developing clinical signs of focal disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than a vascular origin.” Some evidence-based studies proved that bilateral task-oriented exercise and Mirror therapy are effective in improving the hand function in hemiparetic stroke patient. But there is no comparative study of these two protocols. Hence the purpose of this study is to compare the effectiveness of bilateral task-oriented exercises and Mirror therapy in improving hand function in hemiparetic stroke patient. Methods: A total of 67 subjects met selection criteria for the study among them 7 members are dropouts from group A and B and were divided into 2 groups, 30 members in group A (bilateral task-oriented exercises), 30 members in group B (Mirror therapy). Both groups performed intervention for 5 days per week, for 4 weeks. The outcomes were Fugl Meyer and Motor Activity Log for measuring functional disabilities. Results: Paired “T” test was used to access the statistical significance within the groups. Statistical analysis between two groups using independent “t” test revealed that there is no significant difference between Bilateral task-oriented exercises and Mirror therapy groups. Conclusion: In this study, 4 weeks of bilateral task-oriented exercises and Mirror therapy showed that both approaches are equally effective in improving hand function in hemi paretic stroke. Keywords: Hemiparetic stroke, Bilateral task-oriented exercises, Mirror therapy, Motor activity log, Fugl Meyer.


Author(s):  
Asmaa Sabbah ◽  
Sherine El Mously ◽  
Hanan Helmy Mohamed Elgendy ◽  
Mona Adel Abd Eltawab Farag ◽  
Abeer Abo Bakr Elwishy

2020 ◽  
pp. 1-11
Author(s):  
Gloria Perini ◽  
Rita Bertoni ◽  
Rune Thorsen ◽  
Ilaria Carpinella ◽  
Tiziana Lencioni ◽  
...  

BACKGROUND: Functional recovery of the plegic upper limb in post-stroke patients may be enhanced by sequentially applying a myoelectrically controlled FES (MeCFES), which allows the patient to voluntarily control the muscle contraction during a functional movement and robotic therapy which allows many repetitions of movements. OBJECTIVE: Evaluate the efficacy of MeCFES followed by robotic therapy compared to standard care arm rehabilitation for post-stroke patients. METHODS: Eighteen stroke subjects (onset ⩾ 3 months, age 60.1 ± 15.5) were recruited and randomized to receive an experimental combination of MeCFES during task-oriented reaching followed by robot therapy (MRG) or same intensity conventional rehabilitation care (CG) aimed at the recovery of the upper limb (20 sessions/45 minutes). Change was evaluated through Fugl-Meyer upperextremity (FMA-UE), Reaching Performance Scale and Box and Block Test. RESULTS: The experimental treatment resulted in higher improvement on the FMA-UE compared with CG (P= 0.04), with a 10 point increase following intervention. Effect sizes were moderate in favor of the MRG group on FMA-UE, FMA-UE proximal and RPS (0.37–0.56). CONCLUSIONS: Preliminary findings indicate that a combination of MeCFES and robotic treatment may be more effective than standard care for recovery of the plegic arm in persons > 3 months after stroke. The mix of motor learning techniques may be important for successful rehabilitation of arm function.


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