Segmental muscle vibration modifies muscle activation during reaching in chronic stroke: A pilot study

2014 ◽  
Vol 35 (3) ◽  
pp. 405-414 ◽  
Author(s):  
Marco Paoloni ◽  
Emanuela Tavernese ◽  
Massimo Fini ◽  
Patrizio Sale ◽  
Marco Franceschini ◽  
...  
2013 ◽  
Vol 45 (2) ◽  
pp. 217-220 ◽  
Author(s):  
J Langan ◽  
K DeLave ◽  
L Phillips ◽  
P Pangilinan ◽  
S Brown

2015 ◽  
pp. 139 ◽  
Author(s):  
Catherine Siengsukon ◽  
Mayis Al-dughmi ◽  
Alham Al-Sharman ◽  
Suzanne Stevens
Keyword(s):  

2019 ◽  
Vol 6 ◽  
pp. 205566831983163 ◽  
Author(s):  
Shayne Lin ◽  
Jotvarinder Mann ◽  
Avril Mansfield ◽  
Rosalie H Wang ◽  
Jocelyn E Harris ◽  
...  

Introduction Homework-based rehabilitation programs can help stroke survivors restore upper extremity function. However, compensatory motions can develop without therapist supervision, leading to sub-optimal recovery. We developed a visual feedback system using a live video feed or an avatar reflecting users' movements so users are aware of compensations. This pilot study aimed to evaluate validity (how well the avatar characterizes different types of compensations) and acceptability of the system. Methods Ten participants with chronic stroke performed upper-extremity exercises under three feedback conditions: none, video, and avatar. Validity was evaluated by comparing agreement on compensations annotated using video and avatar images. A usability survey was administered to participants after the experiment to obtain information on acceptability. Results There was substantial agreement between video and avatar images for shoulder elevation and hip extension (Cohen's κ: 0.6–0.8) and almost perfect agreement for trunk rotation and flexion (κ: 0.80–1). Acceptability was low due to lack of corrective prompts and occasional noise with the avatar display. Most participants suggested that an automatic compensation detection feature with visual and auditory cuing would improve the system. Conclusion The avatar characterized four types of compensations well. Future work will involve increasing sensitivity for shoulder elevation and implementing a method to detect compensations.


2018 ◽  
Vol 42 (1) ◽  
pp. 43-52 ◽  
Author(s):  
S. Mazzoleni ◽  
E. Battini ◽  
R. Crecchi ◽  
P. Dario ◽  
F. Posteraro

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Stephen J. Page ◽  
Peter Levine

Importance: Occupational therapists are the primary clinicians tasked with management of the more affected upper extremity (UE) after stroke. However, there is a paucity of efficacious, easy-to-use, inexpensive interventions to increase poststroke UE function. Objective: To compare the effect of a multimodal mental practice (MMMP) regimen with a repetitive task practice (RTP)–only regimen on paretic UE functional limitation. Design: Secondary analysis of randomized controlled pilot study data. Setting: Outpatient clinical rehabilitation laboratory. Participants: Eighteen chronic stroke survivors exhibiting moderate, stable UE impairment. Intervention: Participants administered RTP only participated in 45-min, one-on-one occupational therapy sessions 3 times per week for 10 wk; participants administered MMMP completed time-matched UE training sessions consisting of action observation, RTP, and mental practice, delivered in 15-min increments. Outcomes and Measures: The Action Research Arm Test, the UE section of the Fugl-Meyer Scale, and the Hand subscale of the Stroke Impact Scale (Version 3.0) were administered 1 wk before and 1 wk after intervention. Results: The MMMP group exhibited significantly larger (p < .01) increases on all three outcome measures compared with the RTP group and surpassed minimal clinically important difference standards for all three UE outcome measures. Conclusions and Relevance: Because of the time-matched duration of MMMP and RTP, findings suggest that MMMP may be just as feasible as RTP to implement in clinical settings. Efforts to replicate results of this study in a large-scale trial are warranted. What This Article Adds: This study shows the efficacy of an easy-to-use protocol that significantly increased affected arm function even years after stroke.


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