Functional recovery and muscle properties after stroke: a preleminary longitudinal study

Horstman, Astrid M.; Haan, A. de; Konijnenbelt, Manin; Janssen, Thomas W J; Gerrits, Karin

doi:10.5772/38458

Cited by 3 publications

(4 citation statements)

References 73 publications

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“…The similarities in MRMI and BI scores of both groups may be attributed to the fact that 40 (95%) of the participants had suffered a stroke less than 4 months prior to the study. This is within the time frame of 6 months when most functional recovery occurs (Bonita & Beaglehole, 1988; Horstman et al, 2012;Wade & Hewer, 1987). The mean change in BI score from baseline to follow-up for the intervention group in the current study is similar to that found in the study conducted by Mudzi, Stewart and Musenge (2012).…”

Section: Function and Adherencesupporting

confidence: 82%

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The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

Kara

Ntsiea

2015

Hong Kong Journal of Occupational Therapy

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Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 AE 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p Z .40; BI, p Z .65) and adherence (p Z .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also Funding/support: This study was partially funded by the

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Section: Function and Adherencesupporting

confidence: 82%

“…Most (95%) of the patients in this study had suffered a stroke less than 4 months prior to the study. Thus, they were in the most rapid functional recovery stage, which occurs in the first 6 months after stroke (Horstman, de Haan, Konijnenbelt, Janssen, & Gerrits, 2012;Wade & Hewer 1987).…”

Section: Discussionmentioning

confidence: 99%

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

Kara

Ntsiea

2015

Hong Kong Journal of Occupational Therapy

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“…The substantial difference should be due in large part to stroke-specific impairments such as muscle weakness [40], impaired sensation [24], and impaired balance [1, 14, 24] following stroke. Loss of motor units [41, 42], reduced firing rates [13, 43], decreased voluntary activation [44], and an increased proportion of fast-twitch fibers [45] in paretic muscles can lead to muscle weakness after stroke, which would be expected to hinder STS performance. Individuals with chronic stroke tend to have weaker knee extensors, which is correlated with less kinetic energy generated during STS maneuvers [1], lengthening the time taken to rise from sitting [1, 24].…”

Section: Discussionmentioning

confidence: 99%

Association of Seat Height and Arm Position on the Five Times Sit-to-Stand Test Times of Stroke Survivors

Cheung

Lai

et al. 2013

BioMed Research International

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Objectives. To investigate (1) the association of seat height and (2) the association of arm position on the five times sit-to-stand test (FTSTS) times of individuals with stroke. Design. A cross-sectional study. Setting. University-based rehabilitation centre. Subjects. Patients (n = 43) with chronic stroke. Methods. The times in completing the FTSTS with different seat height (85%, 100%, and 115% knee height) and arm positions (arms across chest, hands on thighs). Results. FTSTS times were significantly different between 85% and 100% seat heights, and between the 85% and 115% seat heights in both arm positions. However, there was no significant difference between the FTSTS times with the two arm positions at any seat height tested. Conclusion. Seat heights lower than the knee height result in longer FTSTS times, whereas arms positions did not significantly affect the FTSTS times.

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“…15 Kontrol trunkus adalah kemampuan otot-otot trunkus untuk menjaga tubuh tetap tegak, menyesuaikan pergeseran berat badan, dan melakukan gerakan-gerakan selektif dari trunkus untuk mempertahankan pusat beban selama penyesuaian postur statis dan dinamis. 11 Pasien-pasien pasca stroke mengalami kesulitan mengontrol postur karena aktivitas otot trunkus terganggu. 3 Ketidakstabilan trunkus memengaruhi pusat gravitasi tubuh.…”

Section: Karakteristik Subjek Penelitianunclassified

Pengaruh latihan core-strengthening terhadap stabilitas trunkus dan keseimbangan pasien pasca stroke

Wowiling¹,

Sengkey²,

Lolombulan³

2016

JBM

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This study aimed to analyze whether core-strengthening exercise could correct trunk stability and increase balance in post stroke patients. This was an experimental study with a pretest – posttest group design. Subjects were trained to perform the core strengthening exercise for 12 sessions. The trunk stability was evaluated with trunk impairment scale (TIS) and the balance was evaluated with Berg balance scale (BBS) and timed up and go test (TUG). Data were analyzed with the paired T-test and the Wilcoxon test. The results showed that there were 23 subjects that met the inclusion criteria. Of the 23 subjects, only 19 subjects completed the 12 sessions of exercise. The statistical analysis showed that there were significant increases of TIS (P <0.0001), BBS (P <0.0001), and TUG (P <0.0001) after the whole exercise. Conclusion: Core-strengthening exercise improved trunk stability as wel as static and dynamic balance in post stroke patients.Keywords: core-strengthening exercise, trunk stability, static and dynamic balanceAbstrak: Penelitian ini bertujuan untuk menganalisis sejauh mana latihan core-strengthening memperbaiki stabilitas trunkus dan meningkatkan keseimbangan pada pasien pascastroke. Jenis penelitian ini ialah eksperimental dengan pretest–posttest group design. Subjek penelitian ialah 23 pasien pasca stroke yang memenuhi kriteria inklusi. Perlakuan yang diberikan ialah latihan core-strengthening sebanyak12 sesi. Penilaian stabilitas trunkus menggunakan trunk impairment scale (TIS) sedangkan keseimbangan diukur dengan Berg balance scale (BBS) dan timed up and go test (TUG). Data dianalisis menggunakan uji T berpasangan dan uji Wilcoxon. Hasil penelitian memperlihatkan dari 23 subjek penelitian hanya 19 yang menyelesaian 12 sesi latihan, Analisis statistik menunjukkan bahwa setelah dilakukan latihan penguatan trunkus sebanyak 12 sesi didapatkan peningkatan bermakna dari TIS (P <0,0001), BBS (P <0,0001), dan TUG (P <0,0001). Simpulan: Latihan core-strengthening dapat memperbaiki stabilitas trunkus serta keseimbangan statik dan dinamik pada pasien pasca stroke.Kata kunci: Latihan core-strengthening, stabilitas trunkus, keseimbangan statik dan dinamik

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Functional recovery and muscle properties after stroke: a preleminary longitudinal study

Cited by 3 publications

References 73 publications

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

Association of Seat Height and Arm Position on the Five Times Sit-to-Stand Test Times of Stroke Survivors

Pengaruh latihan core-strengthening terhadap stabilitas trunkus dan keseimbangan pasien pasca stroke

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