Changes in Upper Limb Capacity and Performance in the Early and Late Subacute Phase After Stroke

Lundquist, Camilla Biering; Nguyen, Binh T.; Hvidt, Thomas Bo; Stabel, Henriette Holm; Christensen, Jeanette Reffstrup; Brunner, Iris

doi:10.1016/j.jstrokecerebrovasdis.2022.106590

Cited by 9 publications

(6 citation statements)

References 39 publications

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“…However, a study by Rand et al 2012 on 60 stroke patients receiving rehabilitation, showed that upper extremity activity measured by activity monitors was not correlated to increased functional status of the affected arm [ 21 ]. Similar result has been seen in several other studies where functional recovery has not been correlated to increased arm movement as measured by accelerometry [ 23 , 24 ]. Contradictory to this, Gohlke et al showed that functional recovery was associated with increased arm movement when measured by bilateral wrist accelerometry at multiple times during the rehabilitation of 14 stroke patients [ 22 ].…”

Section: Introductionsupporting

confidence: 91%

“…Sensors have also been used in stroke care, for diagnostic purposes by identifying unliteral arm motor deficit [ 3 , 18 – 20 ], and for monitoring and evaluation of rehabilitation following stroke [ 21 – 24 ]. However, a study by Rand et al 2012 on 60 stroke patients receiving rehabilitation, showed that upper extremity activity measured by activity monitors was not correlated to increased functional status of the affected arm [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

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The use of accelerometer bracelets to evaluate arm motor function over a stroke rehabilitation period – an explorative observational study

Lyckegård Finn,

Carlsson,

Ericson

et al. 2024

J NeuroEngineering Rehabil

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Background Assessments of arm motor function are usually based on clinical examinations or self-reported rating scales. Wrist-worn accelerometers can be a good complement to measure movement patterns after stroke. Currently there is limited knowledge of how accelerometry correlate to clinically used scales. The purpose of this study was therefore to evaluate the relationship between intermittent measurements of wrist-worn accelerometers and the patient’s progression of arm motor function assessed by routine clinical outcome measures during a rehabilitation period. Methods Patients enrolled in in-hospital rehabilitation following a stroke were invited. Included patients were asked to wear wrist accelerometers for 24 h at the start (T1) and end (T2) of their rehabilitation period. On both occasions arm motor function was assessed by the modified Motor Assessment Scale (M_MAS) and the Motor Activity Log (MAL). The recorded accelerometry was compared to M_MAS and MAL. Results 20 patients were included, of which 18 completed all measurements and were therefore included in the final analysis. The resulting Spearman’s rank correlation coefficient showed a strong positive correlation between measured wrist acceleration in the affected arm and M-MAS and MAL values at T1, 0.94 (p < 0.05) for M_MAS and 0.74 (p < 0.05) for the MAL values, and a slightly weaker positive correlation at T2, 0.57 (p < 0.05) for M_MAS and 0.46 − 0.45 (p = 0.06) for the MAL values. However, no correlation was seen for the difference between the two sessions. Conclusions The results confirm that the wrist acceleration can differentiate between the affected and non-affected arm, and that there is a positive correlation between accelerometry and clinical measures. Many of the patients did not change their M-MAS or MAL scores during the rehabilitation period, which may explain why no correlation was seen for the difference between measurements during the rehabilitation period. Further studies should include continuous accelerometry throughout the rehabilitation period to reduce the impact of day-to-day variability.

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Section: Introductionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

The use of accelerometer bracelets to evaluate arm motor function over a stroke rehabilitation period – an explorative observational study

Lyckegård Finn,

Carlsson,

Ericson

et al. 2024

J NeuroEngineering Rehabil

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“…The data set for external validation was obtained from a prospective cohort study where the prediction accuracy of the components of the PREP2 algorithm was assessed when applied 2 weeks after stroke. 11 Based on the same cohort, 3- and 6-month follow-up data were obtained which have been published elsewhere 16 , 17 and were here used for the purpose of external validation.…”

Section: Methodsmentioning

confidence: 99%

External Validation of a Dynamic Prediction Model for Upper Limb Function After Stroke

Brunner,

Andrinopoulou,

Selles

et al. 2024

Archives of Rehabilitation Research and Clinical Translation

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“…A total of 26 participants were involved, based on a calculated sample size of 22, which accounted for a 10% attrition rate (14). The inclusion criteria targeted both male and female individuals aged between 45 to 65 years, clinically diagnosed with ischemic stroke in the subacute stage, specifically within 3 to 6 months from stroke onset (15,16). Eligibility for participation also required the stroke to involve the dominant side in areas supplied by the anterior cerebral artery (ACA) or the middle cerebral artery (MCA), a Mini-Mental State Examination (MMSE) score of at least 25, and a Modified Ashworth Scale score for hand flexors ranging from 1 to +1 (17).…”

Section: Methodsmentioning

confidence: 99%

Impact of Hand Grip Strength on Functional Independence and Arm Motor Performance in Stroke Survivors

Rashid,

Mukhtar,

Ali

et al. 2024

JHRR

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Background: Stroke remains a leading cause of disability worldwide, with a significant number of survivors experiencing impairments in upper limb function and hand grip strength, which are crucial for performing activities of daily living (ADLs). Understanding the relationship between hand grip strength, functional independence, and arm motor performance is essential for optimizing rehabilitation strategies. Objective: This study aimed to investigate the impact of hand grip strength on functional independence and arm motor performance in stroke survivors and to evaluate the effectiveness of Mirror Therapy in enhancing these outcomes. Methods: An analytical cross-sectional study was conducted at DHQ Teaching Hospital Sargodha, involving 22 stroke survivors, evenly split between genders. Participants were aged 45-65 years, clinically diagnosed with ischemic stroke in the subacute stage, and exhibited Modified Ashworth Scale scores of 1 to 1+ for hand flexors. The study employed randomized assignments to intervention groups, utilizing assessments such as the Action Research Arm Test (ARAT), Fugl-Meyer Assessment for Upper Extremity (FMA UE), Hand-Held Dynamometer (HHD), and Stroke Impact Scale (SIS) at baseline, 3 weeks, and 6 weeks. Statistical analysis was performed using Pearson’s coefficient of correlation with SPSS version 25. Results: Significant improvements were observed in upper limb strength and hand dexterity, particularly in the group undergoing Mirror Therapy. The correlation coefficients among ARAT, HHD, and SIS were .676**, .748**, and .704** respectively, indicating strong positive relationships between hand grip strength, functional ability, and quality of life. Mirror Therapy demonstrated notable enhancements in ARAT (p = .001), FMA UE (p < .000), HHD (p = .000), and SIS scores (p = .000), reflecting increased functional ability, grip strength, and improved quality of life. Conclusion: The study confirmed the significant impact of hand grip strength on the functional independence and arm motor performance of stroke survivors, with Mirror Therapy providing substantial benefits. These findings advocate for the inclusion of grip strength-focused interventions and Mirror Therapy in stroke rehabilitation programs to improve survivors' functional outcomes and quality of life.

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Changes in Upper Limb Capacity and Performance in the Early and Late Subacute Phase After Stroke

Cited by 9 publications

References 39 publications

The use of accelerometer bracelets to evaluate arm motor function over a stroke rehabilitation period – an explorative observational study

The use of accelerometer bracelets to evaluate arm motor function over a stroke rehabilitation period – an explorative observational study

External Validation of a Dynamic Prediction Model for Upper Limb Function After Stroke

Impact of Hand Grip Strength on Functional Independence and Arm Motor Performance in Stroke Survivors

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