Effectiveness of task-specific training using assistive devices and task-specific usual care on upper limb performance after stroke: a systematic review and meta-analysis

Rozevink, Samantha G.; Hijmans, Juha M.; Horstink, Koen Andre; Sluis, Corry K. van der

doi:10.1080/17483107.2021.2001061

Cited by 16 publications

(9 citation statements)

References 68 publications

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“…The focus groups drew attention to difficulties faced by stroke survivors as they try to access sufficient rehabilitation, and some of the physical consequences of this lack of access. This is not a new finding[5] and highlights the ongoing challenges in accessing stroke rehabilitation services since the National Stroke strategy was published in 2007[27]. However, this study draws attention to the continued presence of this deficit, and its exacerbation by the Covid-19 pandemic.…”

Section: Discussionmentioning

confidence: 85%

“…Rehabilitation, which aims to minimise activity limitations and participation restrictions, may draw on repetitive, task-specific practice with appropriate equipment and feedback in a functionally relevant context. Appropriate levels of rehabilitation, which integrate these principles, can lead to improved movement and outcomes [3][4][5], while restricted rehabilitation access is associated with poor recovery profiles and readmissions [4]. Recently updated guidelines recognise the link between increased access to rehabilitation and improved recovery [2].…”

Section: Introductionmentioning

confidence: 99%

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Exploring stroke survivors’ and physiotherapists’ perspectives of the potential for markerless motion capture technology in community rehabilitation

Faux-Nightingale

Philp

Leone

et al. 2022

Preprint

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INTRODUCTION: Many stroke survivors do not receive the optimal levels of personalised therapy needed to support their recovery. Rehabilitation technology could offer a means to provide personalised guidance to stroke survivors struggling to access rehabilitation through other means. AIMS: The aim of this study was to explore stroke survivor and therapist experiences of stroke rehabilitation post discharge into the community and their thoughts about the potential use of markerless, 3D motion capture technology which could support rehabilitation, to contribute towards a better understanding of how technology can support stroke rehabilitation. METHODS: Focus groups and interviews were conducted with stroke survivors and therapists and the transcripts analysed using thematic analysis. RESULTS: Six themes were identified across the data: access and continuity of care for stroke survivors in the community, stroke survivor confusion and lack of education impacting service navigation and ability to access rehabilitation services, stroke survivor access to non-NHS/private facilities, impact of Covid on stroke services, potential use of technology to support post-stroke rehabilitation in the community and, stroke survivors willingness to try new technology. CONCLUSIONS: Stroke survivors and therapists identified problems with stroke survivors accessing rehabilitation services but were positive about the potential for technology to support stroke rehabilitation.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Exploring stroke survivors’ and physiotherapists’ perspectives of the potential for markerless motion capture technology in community rehabilitation

Faux-Nightingale

Philp

Leone

et al. 2022

Preprint

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“…Hence, to overcome issues of weakness, tightness and learned non-use, clients need rehabilitation to be effective in optimizing neural reorganization and functional recovery. To promote and achieve motor learning a challenging, engaging and meaningful task training needs to be emphasized [31][32][33].…”

Section: Stretch Through Range Of Motionmentioning

confidence: 99%

The Essential Elements of the PNF-concept, an Educational Narrative

Smedes¹

2022

J Phys Med Rehabil

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Introduction: The term Proprioceptive Neuromuscular Facilitation (PNF) was introduced in the 1950s by Dr. Kabat and Mrs. Knott. From the mid-1950s the PNF-concept has been in a progressive development clarifying the use of techniques, performances and clinical applications. The concept of PNF was originally developed by Dr. Kabat and Mrs. Knott for rehabilitation purposes. The International PNF Association (IPNFA) consider themselves to be the official successor of Dr. Kabat and Mrs. Knott. The PNF-concept evolved towards a comprehensive rehabilitation approach for various indications. There seems to be a misunderstanding about the PNF-concept, it is often seen as a basic stretching regime for wellbeing and general fitness. This has been criticized to avoid a confusion with the PNF-concept as a comprehensive rehabilitation approach. Purpose: Providing a background with an explanation for the essential elements of the PNF-concept, being a total and comprehensive rehabilitation approach in physiotherapy and rehabilitation. The elements from the PNF-concept facilitate treatment effects in the fields of musculoskeletal and central neurological disorders and indications with a focus on motor learning. Implications: The clarification of the essential elements from the PNF-concept in various fields of physiotherapy and physical rehabilitation will simplify how to transfer and incorporate the elements from the PNF-concept into individual treatments.

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“…The use of intensive, frequent, and obvious task-specific activities should be encouraged in order to support experience-dependent neuroplasticity and functional recovery. VR can enrich the training environment by participating in sensory, cognitive, and perceptual-motor pathways, and it is better able to provide the key components of neuroplasticity described above to support functional recovery outcomes than traditional rehabilitation interventions ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Virtual reality-induced motor function of the upper extremity and brain activation in stroke: study protocol for a randomized controlled trial

Shen

et al. 2023

Front. Neurol.

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BackgroundThe benefits of virtual reality (VR)-based rehabilitation were reported in patients after stroke, but there is insufficient evidence about how VR promotes brain activation in the central nervous system. Hence, we designed this study to explore the effects of VR-based intervention on upper extremity motor function and associated brain activation in stroke patients.Methods/designIn this single-center, randomized, parallel-group clinical trial with a blinded assessment of outcomes, a total of 78 stroke patients will be assigned randomly to either the VR group or the control group. All stroke patients who have upper extremity motor deficits will be tested with functional magnetic resonance imaging (fMRI), electroencephalography (EEG), and clinical evaluation. Clinical assessment and fMRI will be performed three times on each subject. The primary outcome is the change in performance on the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE). Secondary outcomes are functional independence measure (FIM), Barthel Index (BI), grip strength, and changes in the blood oxygenation level-dependent (BOLD) effect in the ipsilesional and contralesional primary motor cortex (M1) on the left and right hemispheres assessed with resting-state fMRI (rs-fMRI), task-state fMRI (ts-fMRI), and changes in EEG at the baseline and weeks 4 and 8.DiscussionThis study aims to provide high-quality evidence for the relationship between upper extremity motor function and brain activation in stroke. In addition, this is the first multimodal neuroimaging study that explores the evidence for neuroplasticity and associated upper motor function recovery after VR in stroke patients.Clinical trial registrationChinese Clinical Trial Registry, identifier: ChiCTR2200063425.

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Effectiveness of task-specific training using assistive devices and task-specific usual care on upper limb performance after stroke: a systematic review and meta-analysis

Cited by 16 publications

References 68 publications

Exploring stroke survivors’ and physiotherapists’ perspectives of the potential for markerless motion capture technology in community rehabilitation

Exploring stroke survivors’ and physiotherapists’ perspectives of the potential for markerless motion capture technology in community rehabilitation

The Essential Elements of the PNF-concept, an Educational Narrative

Virtual reality-induced motor function of the upper extremity and brain activation in stroke: study protocol for a randomized controlled trial

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