Complex Versus Simple Ankle Movement Training in Stroke Using Telerehabilitation: A Randomized Controlled Trial

Deng, Huiqiong; Durfee, William K.; Nuckley, David J.; Rheude, Brandon S.; Severson, Amy E.; Skluzacek, Katie M.; Spindler, Kristen K.; Davey, Cynthia; Carey, James R.

doi:10.2522/ptj.20110018

Cited by 46 publications

(63 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among these 64 papers were excluded for the following reasons: 35 because the ICTs used were not aimed to rehabilitation purposes ; eight papers were protocols of ongoing studies and results were not available [52][53][54][55][56][57][58][59] ; seven studies did not have a control group [60][61][62][63][64][65][66] ; five because the intervention setting was the same in the two groups 8,[67][68][69][70] ; five were pilot studies [71][72][73][74][75] ; two were secondary analysis of RCTs already included 76,77 ; two studies were excluded because the poor reporting precluded any possible assessment of its eligibility 78,79 . Finally, 12 RCTs for a total of 1047 participants were included in the review ( Figure 1).…”

Section: Studies Selectionmentioning

confidence: 99%

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

et al. 2015

View full text Add to dashboard Cite

Recent advances in telecommunication technologies have boosted the possibility to deliver rehabilitation via the internet (i.e. telerehabilitation). Several studies have shown that telerehabilitation is effective to improve clinical outcomes in disabling conditions. The aim of this review was to determine whether telerehabilitation was more effective than other modes of delivering rehabilitation to regain motor function, in different populations of patients.We searched PubMed, Embase and the Cochrane library retrieving 2360 records. Twelve studies were included involving different populations (i.e. neurological, total knee arthroplasty (TKA), cardiac) of patients. Inconclusive finding were found on the effect of telerehabilitation for neurological patients (SMD = 0.08, CI 95% = -0.13, 0.29), while both for cardiac (SMD = 0.24, CI 95% = 0.04, 0.43) and TKA patients (Timed Up and Go test: MD = -5.17, CI 95% = -9.79, -0.55) the results were in favour of telerehabilitation.Conclusive evidence on the efficacy of telerehabilitation for treatment of motor function, regardless of pathology, was not reached. Nevertheless, a strong positive effect was found for patients following orthopaedic surgery, suggesting that the increased intensity provided by telerehabilitation is a promising option to be offered to patients. More and higher quality research is needed in this field especially with neurological patients.

show abstract

Section: Studies Selectionmentioning

confidence: 99%

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

et al. 2015

View full text Add to dashboard Cite

show abstract

“…We chose this task over other dexterity tasks because it is an fMRI compatible task that probes sensorimotor regions of interest (Carey et al, 2002; Deng et al, 2012; Kimberley et al, 2004; Plow et al, 2009). Previous studies have examined finger tracking ability along with other motor tests including auditory reaction time, velocity of ballistic arm movements, finger tapping, and diadochokinesis in healthy children to study motor development with respect to CST maturation assessed with TMS (Fietzek et al, 2000; Heinen et al, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…Negative scores are possible and indicate a poor tracking response as described previously (Carey et al, 2002, 1990). This finger tracking paradigm has been shown to be reliable and valid in people with stroke (Carey et al, 1998, 1990), and it has been used repeatedly to study both manual and ankle control in people with stroke in MRI scanners (Bhatt et al, 2007; Carey et al, 2002, 2007; Deng et al, 2012; Kimberley et al, 2004). …”

Section: Methodsmentioning

confidence: 99%

Ipsilesional motor-evoked potential absence in pediatric hemiparesis impacts tracking accuracy of the less affected hand

Cassidy

Carey

et al. 2015

Research in Developmental Disabilities

Self Cite

View full text Add to dashboard Cite

This study analyzed the relationship between electrophysiological responses to transcranial magnetic stimulation (TMS), finger tracking accuracy, and volume of neural substrate in children with congenital hemiparesis. Nineteen participants demonstrating an ipsilesional motor-evoked potential (MEP) were compared with eleven participants showing an absent ipsilesional MEP response. Comparisons of finger tracking accuracy from the affected and less affected hands and ipsilesional/contralesional (I/C) volume ratio for the primary motor cortex (M1) and posterior limb of internal capsule (PLIC) were done using two-sample t-tests. Participants showing an ipsilesional MEP response demonstrated superior tracking performance from the less affected hand (p = 0.016) and significantly higher I/C volume ratios for M1 (p= 0.028) and PLIC (p = 0.005) compared to participants without an ipsilesional MEP response. Group differences in finger tracking accuracy from the affected hand were not significant. These results highlight differentiating factors amongst children with congenital hemiparesis showing contrasting MEP responses: less affected hand performance and preserved M1 and PLIC volume. Along with MEP status, these factors pose important clinical implications in pediatric stroke rehabilitation. These findings may also reflect competitive developmental processes associated with the preservation of affected hand function at the expense of some function in the less affected hand.

show abstract

“…In mehreren Studien konnten eine gute Akzeptanz und die Realisierbarkeit von Telerehabilitation nachgewiesen werden [82 -84]. Der telerehabilitative Ansatz war den konventionellen Therapien entweder überlegen [85] oder zumindest ebenbürtig [83].…”

Section: Zukünftige Therapie Im Ambulanten Rahmenunclassified

Neurorehabilitation nach Schlaganfall: Überblick über die gegenwärtigen Konzepte und Ausblick in die Zukunft

Liepert

2013

Klin Neurophysiol

View full text Add to dashboard Cite

Complex Versus Simple Ankle Movement Training in Stroke Using Telerehabilitation: A Randomized Controlled Trial

Abstract: The results suggest that telerehabilitation, emphasizing complex task training with the paretic limb, is feasible and can be effective in promoting further dorsiflexion in people with chronic stroke.

Cited by 46 publications

References 45 publications

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

Ipsilesional motor-evoked potential absence in pediatric hemiparesis impacts tracking accuracy of the less affected hand

Neurorehabilitation nach Schlaganfall: Überblick über die gegenwärtigen Konzepte und Ausblick in die Zukunft

Contact Info

Product

Resources

About