A New Idea for Stroke Rehabilitation: Bilateral Transfer Analysis from Healthy Hand to the Paretic One with a Randomized and Controlled Trial

Ausenda, Carlo D.

doi:10.4172/2329-9096.s3-008

Cited by 5 publications

(5 citation statements)

References 27 publications

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“…The changes of the contralateral limb motions demonstrate the phenomenon of reciprocal two-way character influence between affected side and contralateral side. This is consistent with the earlier studies [24,25].…”

Section: Dynamics Of the Function Of The Shoulder Joint And Shoulder supporting

confidence: 94%

Dynamics of the Function of the Shoulder Joint and Shoulder Girdle Muscles in Patients with Hemiparesis during the Acute Stage of Hemispheric Stroke: A Randomised Trial

Kaurkin¹,

Skvortsov²,

Ivanova³

2020

J Med Imaging Case Rep

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Question: How is dynamics of the function of the shoulder joint and shoulder girdle muscles in patients with hemiparesis during the acute stage compare to individual rehabilitation sessions (IRS) and IRS plus biofeedback (BF) training? Design: Randomised, parallel-group trial with intention-to-treat analysis. Participants: Control group included 25 healthy persons. The group of 25 patients with hemiparesis during the acute stage of first-ever hemispheric stroke: a group receiving IRS (R group). Intervention: The group of 25 the same type of patients: a group receiving along with IRS the BF training (R & BF group). Outcome measures: The study of patients was conducted before and after the individual set of rehabilitation measures: on the 3-5th day and after the course completion on the 21st day. Each of the participants passed a standard clinical examination and biomechanics investigation of kinematics of shoulders joints and trunk movement, and of EMG of girdle shoulders muscles. Results: The control group recognized a normal pattern of kinematics of shoulders joints, trunk movements and EMG function. The results of the studies by the clinical scales did not show statistically significant differences in patients group. We noted decrease of all the basic amplitudes of the paretic limb and later EMG maximum activity. As a result of rehabilitation discovered a slight improvement of the paretic limb with somewhat better dynamics in the R & BF group. Conclusion: Application of the combined technique of the rehabilitation treatment-rehabilitation with biofeedback-provides earlier activation of the reparative processes.

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Section: Dynamics Of the Function Of The Shoulder Joint And Shoulder supporting

confidence: 94%

Dynamics of the Function of the Shoulder Joint and Shoulder Girdle Muscles in Patients with Hemiparesis during the Acute Stage of Hemispheric Stroke: A Randomised Trial

Kaurkin¹,

Skvortsov²,

Ivanova³

2020

J Med Imaging Case Rep

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“…This phenomenon has been studied in stroke individuals with positive results. Ausenda et al [ 25 ] have found evidence that the BT of motor skills is present in post-stroke individuals, and that it improves the ability of the affected hand in performing a task. They investigated BT using a “nine hole peg test” and found some interesting results, e.g., the execution speed of the nine hole peg test with the paretic hand, after training the non-paretic hand, was on average more than 22% faster than the value recorded at baseline.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Transfer of Performance between Real and Non-Immersive Virtual Environments in Post-Stroke Individuals: A Cross-Sectional Study

Mota

Moraes

Papa

et al. 2023

IJERPH

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(1) Background: Post-stroke presents motor function deficits, and one interesting possibility for practicing skills is the concept of bilateral transfer. Additionally, there is evidence that the use of virtual reality is beneficial in improving upper limb function. We aimed to evaluate the transfer of motor performance of post-stroke and control groups in two different environments (real and virtual), as well as bilateral transfer, by changing the practice between paretic and non-paretic upper limbs. (2) Methods: We used a coincident timing task with a virtual (Kinect) or a real device (touch screen) in post-stroke and control groups; both groups practiced with bilateral transference. (3) Results: Were included 136 participants, 82 post-stroke and 54 controls. The control group presented better performance during most parts of the protocol; however, it was more evident when compared with the post-stroke paretic upper limb. We found bilateral transference mainly in Practice 2, with the paretic upper limb using the real interface method (touch screen), but only after Practice 1 with the virtual interface (Kinect), using the non-paretic upper limb. (4) Conclusions: The task with the greatest motor and cognitive demand (virtual—Kinect) provided transfer into the real interface, and bilateral transfer was observed in individuals post-stroke. However, this is more strongly observed when the virtual task was performed using the non-paretic upper limb first.

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“…Bilateral transfer (BT) occurs in the stroke patients with the same phenomenon features as noted in the healthy individuals, with a higher incidence among men and a bigger effect when the trained healthy hand is the dominant one, to the paretic non-dominant hand. 15 Most subjects in this study are sub-acute patients (64%). Early after the stroke onset or in an acute setting, the patients need to be properly managed considering the emergency condition of admission to morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

Profile of Upper Extremities Function among Stroke Outpatients in Dr. Hasan Sadikin General Hospital, Bandung

Pamulani

Novitri

Dian

2020

amj

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Background: Stroke is one of the leading causes of death and disabilities worldwide. Among all types of disabilities, disturbance in upper extremities functions is at the highest percentage. This study aimed to determine the profile of upper extremities function among stroke outpatients in Dr. Hasan Sadikin General Hospital Bandung as an initial step to provide a better follow up and management. Methods: The design of this study was a descriptive study, conducted from April to October 2014 among stroke outpatients in the

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A New Idea for Stroke Rehabilitation: Bilateral Transfer Analysis from Healthy Hand to the Paretic One with a Randomized and Controlled Trial

Cited by 5 publications

References 27 publications

Dynamics of the Function of the Shoulder Joint and Shoulder Girdle Muscles in Patients with Hemiparesis during the Acute Stage of Hemispheric Stroke: A Randomised Trial

Dynamics of the Function of the Shoulder Joint and Shoulder Girdle Muscles in Patients with Hemiparesis during the Acute Stage of Hemispheric Stroke: A Randomised Trial

Bilateral Transfer of Performance between Real and Non-Immersive Virtual Environments in Post-Stroke Individuals: A Cross-Sectional Study

Profile of Upper Extremities Function among Stroke Outpatients in Dr. Hasan Sadikin General Hospital, Bandung

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