Does Trunk, Arm, or Leg Control Correlate Best With Overall Function in Stroke Subjects?

Likhi, Moorkoth

doi:10.1310/tscir2001-62

Cited by 9 publications

(12 citation statements)

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“…UL function is an important contributor to the QoL in these individuals, because UL movement is essential for functional independence in performing basic activities of daily living (Likhi, Jidesh, Kanagaraj, & George, 2013). In the present study, both groups showed improvement in their overall QoL scores.…”

Section: Discussionsupporting

confidence: 56%

Effects of the addition of transcranial direct current stimulation to virtual reality therapy after stroke: A pilot randomized controlled trial

Viana

Laurentino

Souza

et al. 2014

NRE

117

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BACKGROUND: Upper limb (UL) impairment is the most common disabling deficit following a stroke. Previous studies have suggested that transcranial direct current stimulation (tDCS) enhances the effect of conventional therapies. OBJECTIVE: This pilot double-blind randomized control trial aimed to determine whether or not tDCS, combined with Wii virtual reality therapy (VRT), would be superior to Wii therapy alone in improving upper limb function and quality of life in chronic stroke individuals. METHODS: Twenty participants were randomly assigned either to an experimental group that received VRT and tDCS, or a control group that received VRT and sham tDCS. The therapy was delivered over 15 sessions with 13 minutes of active or sham anodal tDCS, and one hour of virtual reality therapy. The outcomes included were determined using the Fugl-Meyer scale, the Wolf motor function test, the modified Ashworth scale (MAS), grip strength, and the stroke specific quality of life scale (SSQOL). Minimal clinically important differences (MCID) were observed when assessing outcome data. RESULTS: Both groups demonstrated gains in all evaluated areas, except for the SSQOL-UL domain. Differences between groups were only observed in wrist spasticity levels in the experimental group, where more than 50% of the participants achieved the MCID. CONCLUSIONS: These findings support that tDCS, combined with VRT therapy, should be investigated and clarified further.

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Section: Discussionsupporting

confidence: 56%

Effects of the addition of transcranial direct current stimulation to virtual reality therapy after stroke: A pilot randomized controlled trial

Viana

Laurentino

Souza

et al. 2014

NRE

117

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“…In recent years researchers have identified trunk function and upper limb impairment to be correlated with overall functional independence (Likhi, Jidesh, Kanagaraj & George, 2013). Arm recovery has also been found to be correlated to daily life autonomy in stroke patients (Smania et al, 2009).…”

mentioning

confidence: 99%

Does use of the optokinetic chart stimulation based OKCSIB protocol improve recovery of upper and lower limb movements, function and quality of life at 3 year follow up in dense strokes? A retrospective case control series

Chitambira

2014

NRE

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BACKGROUND AND OBJECTIVE:The aim was to compare follow up impairment, function and quality of life outcomes between dense parietal centred strokes treated by the optokinetic chart based OKCSIB protocol and those treated by conventional neuro-physiotherapy. DESIGN AND SETTING: Follow up retrospective case control series in the community. METHOD AND MATERIALS: 643 persons with stroke were eligible for initial screening to see if they met inclusion criteria. Only 37 potential participants were eligible, with 18 of them still alive. From the 18 only 8 consented to participate in the follow up study. RESULTS: Sixteen mortalities that occurred post discharge were all from the conventional group. The OKCSIB group had statistically significant improved upper limb STREAM scores (p < 0.05). The OKCSIB group had statistically significant reduction in hand spasticity with none of the OKCSIB participants developing hand spasticity (p < 0.05). The OKCSIB group also had better lower limb STREAM scores although these were not statistically significant (p > 0.05). Barthel Index, and quality of Life improvements were non-significant (p > 0.05). CONCLUSION: The OKCSIB protocol led to better recovery of voluntary movements at 3 year follow up. However lack of randomisation and the small number of participants, necessitate further research to be carried out.

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“…11,12 These results are important in that walking restoration is known as the major aim of post-stroke lower-limb rehabilitation, and the speed of gait considered as a consistent deficit severity sign. 13 In addition, trunk control is considered to be a significant requirement to control more compound limb activities, 14 and as such, it is necessary to identify an available treatment which can improve trunk control in the early treatment phase. Considering this context, an excellent candidate seems to be cycling training.…”

Section: Role Of Cycling In Post-stroke Rehabilitationmentioning

confidence: 99%

“…13 To ensure success, the exercise protocol should not only replicate those successful cycling studies, but also provide novel and effective prescriptions for combining FES. 14…”

Section: Role Of Electrical Stimulation In Post-stroke Rehabilitationmentioning

confidence: 99%

Cycling Training and Functional Electrical Stimulation for Post-Stroke Patients

Shariat

Ansari

Shaw

et al. 2018

Rev Bras Med Esporte

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Introducion: Stroke is one of the leading causes of morbidity and mortality in adults worldwide. The prevalence of stroke in developing countries such as South Africa and Iran is growing, especially in an increasingly younger population. In Iran, the annual stroke incidence ranges from 23 to 103 per 100,000 inhabitants, with the rate being higher in those aged 15-45 years. Problematically, almost 50% of stroke patients face difficulties in performing activities of daily living, hence the importance of functional rehabilitation. These factors necessitate cost-effective solutions in developing countries, where there is insufficient research focused on practical solutions for treatment/rehabilitation. Objective: We hypothesize that while progressive cycling training would activate cortical regions and that cycling speed feedback could lead to additional cortical activations and resultant improvements in cycling performance, combined cycling training and functional electrical stimulation would result in superior improvements in cycling performance, aerobic capacity, and functional performance in post-stroke patients. Conclusions: Ultimately, we expect this hypothesis to provide a useful framework for facilitating combined cycling and functional electrical stimulation rehabilitation research in post-stroke patient populations. Level of Evidence V; Expert opinion.

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Does Trunk, Arm, or Leg Control Correlate Best With Overall Function in Stroke Subjects?

Cited by 9 publications

References 0 publications

Effects of the addition of transcranial direct current stimulation to virtual reality therapy after stroke: A pilot randomized controlled trial

Effects of the addition of transcranial direct current stimulation to virtual reality therapy after stroke: A pilot randomized controlled trial

Does use of the optokinetic chart stimulation based OKCSIB protocol improve recovery of upper and lower limb movements, function and quality of life at 3 year follow up in dense strokes? A retrospective case control series

Cycling Training and Functional Electrical Stimulation for Post-Stroke Patients

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