scholarly journals Comparative effect of constraint-induced movement therapy and proprioceptive neuromuscular facilitation on upper limb function of chronic stroke survivors

2020 ◽  
Vol 28 (1) ◽  
pp. 1-5
Author(s):  
Muhammad Abba ◽  
Abubakar Muhammad ◽  
Umar Badaru ◽  
Auwal Abdullahi
Keyword(s):  
Upper Limb ◽  
Movement Therapy ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Comparative Effect ◽  
Limb Function ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy ◽  
Proprioceptive Neuromuscular Facilitation

scholarly journals Retention of upper limb function in stroke survivors who have received constraint-induced movement therapy: the EXCITE randomised trial

2008 ◽  
Vol 7 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Steven L Wolf ◽  
Carolee J Winstein ◽  
J Phillip Miller ◽  
Paul A Thompson ◽  
Edward Taub ◽  
...  
Keyword(s):  
Upper Limb ◽  
Randomised Trial ◽  
Movement Therapy ◽  
Stroke Survivors ◽  
Limb Function ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy

scholarly journals A Novel Wearable Device for Motor Recovery of Hand Function in Chronic Stroke Survivors

2020 ◽  
Vol 34 (7) ◽  
pp. 600-608
Author(s):  
Supriyo Choudhury ◽  
Ravi Singh ◽  
A. Shobhana ◽  
Dwaipayan Sen ◽  
Sidharth Shankar Anand ◽  
...  
Keyword(s):  
Upper Limb ◽  
Hand Function ◽  
Chronic Stroke ◽  
Wearable Device ◽  
Stroke Survivors ◽  
Limb Function ◽  
Median Baseline ◽  
Healthy Humans ◽  
Upper Limb Function ◽  
Wearable Electronic Device

Background. In monkey, reticulospinal connections to hand and forearm muscles are spontaneously strengthened following corticospinal lesions, likely contributing to recovery of function. In healthy humans, pairing auditory clicks with electrical stimulation of a muscle induces plastic changes in motor pathways (probably including the reticulospinal tract), with features reminiscent of spike-timing dependent plasticity. In this study, we tested whether pairing clicks with muscle stimulation could improve hand function in chronic stroke survivors. Methods. Clicks were delivered via a miniature earpiece; transcutaneous electrical stimuli at motor threshold targeted forearm extensor muscles. A wearable electronic device (WD) allowed patients to receive stimulation at home while performing normal daily activities. A total of 95 patients >6 months poststroke were randomized to 3 groups: WD with shock paired 12 ms before click; WD with clicks and shocks delivered independently; standard care. Those allocated to the device used it for at least 4 h/d, every day for 4 weeks. Upper-limb function was assessed at baseline and weeks 2, 4, and 8 using the Action Research Arm Test (ARAT), which has 4 subdomains (Grasp, Grip, Pinch, and Gross). Results. Severity across the 3 groups was comparable at baseline. Only the paired stimulation group showed significant improvement in total ARAT (median baseline: 7.5; week 8: 11.5; P = .019) and the Grasp subscore (median baseline: 1; week 8: 4; P = .004). Conclusion. A wearable device delivering paired clicks and shocks over 4 weeks can produce a small but significant improvement in upper-limb function in stroke survivors.

scholarly journals Upper limb therapy in children with cerebral palsy (CP) – The Pirate Group

2017 ◽  
Vol 31 (4) ◽  
pp. 57-67
Author(s):  
Marta Pawlak ◽  
Beata Wnuk ◽  
Daniela Kowalicka ◽  
Aleksandra Rosłoniec
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Movement Therapy ◽  
Limb Function ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy ◽  
Significant Difference ◽  
Children With Cerebral Palsy ◽  
Bimanual Training ◽  
Spastic Hemiplegia

Abstract Introduction: Children with cerebral palsy (CP) in the form of spastic hemiplegia experience numerous difficulties concerning an affected upper limb such as reaching for objects, gripping or manipulating them. These limitations affect their everyday activity. Conducting an effective and simultaneously an interesting therapy aimed at meeting the child’s individual needs and improving upper limb function is a challenge for a physiotherapist. The aim of the study was to assess the effectiveness of upper limb therapy carried out within the project titled “The Pirate Group” based on Constraint-Induced Movement Therapy (CIMT) and Bimanual Training (BIT) conducted in a specially arranged environment. Material and methods: The research included 16 children with CP in the form of spastic hemiplegia. Mean age of the study participants was 4.23 years. The children underwent a two-week Constraint-Induced Movement Therapy (CIMT) combined with Bimanual Training (BIT). In order to evaluate the effects of the therapy, each child underwent the Assisting Hand Assessment (AHA) prior to the therapy and after its completion. Results: Statistical analysis revealed a significant difference (p<0.05) between the results of AHA prior to and after the therapy (t(14)=9.12, p<0.0001). An improvement in the affected upper limb function was noted in all the children participating in the research. Conclusions: The project titled “The Pirate Group”, based on CIMT and BIT is an effective therapeutic intervention which improves spontaneous activity of the affected upper limb in children with hemiplegia.

scholarly journals Constraint-induced movement therapy for recovery of upper-limb function following traumatic brain injury

2005 ◽  
Vol 42 (6) ◽  
pp. 769 ◽  
Author(s):  
Sharon E. Shaw ◽  
David M. Morris ◽  
Gitendra Uswatte ◽  
Staci McKay ◽  
Jay M. Meythaler ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Upper Limb ◽  
Movement Therapy ◽  
Limb Function ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy
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