Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand

Bütefisch, Cathrin M.; Hummelsheim, Horst; Denzler, Petra; Mauritz, Karl-Heinz

doi:10.1016/0022-510x(95)00003-k

Cited by 742 publications

(398 citation statements)

References 20 publications

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“…Improvements in upper extremity muscle strength following a strength training program have been reported by Butefisch et al [57] and Bourbonnais et al [58]. However, no study has investigated whether upper extremity muscle strengthening is beneficial in increasing or maintaining paretic arm bone mass in the stroke population.…”

Section: Discussionmentioning

confidence: 95%

Muscle strength is a determinant of bone mineral content in the hemiparetic upper extremity: Implications for stroke rehabilitation

Pang

Eng

2005

Bone

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Individuals with stroke have a high incidence of bone fractures and approximately 30% of these fractures occur in the upper extremity. The high risk of falls and the decline in bone and muscle health make the chronic stroke population particularly prone to upper extremity fractures. This was the first study to investigate the bone mineral content (BMC), bone mineral density (BMD) and soft tissue composition of the upper extremities and their relationship to stroke-related impairments in ambulatory individuals with chronic stroke (onset >1 year). Dual-energy X-ray absorptiometry (DXA) was used to acquire total body scans on 56 (22 women) communitydwelling individuals (≥50 years of age) with chronic stroke. BMC (g) and BMD (g/cm 2 ), lean mass (g) and fat mass (g) for each arm were derived from the total body scans. The paretic upper extremity was evaluated for muscle strength (hand-held dynamometry), spasticity (Modified Ashworth Scale), impairment of motor function (Fugl-Meyer Motor Assessment) and amount of use of the paretic arm in daily activities (Motor Activity Log). Results showed that the paretic arm had significantly lower BMC (13.8%, p<0.001), BMD (4.5%, p<0.001) and lean mass (9.0%, p<0.001) but higher fat mass (6.3%, p=0.028) than the non-paretic arm. Multiple regression analysis showed that lean mass in the paretic arm, height and muscle strength were significant predictors (R 2 =0.810, p<0.001) of the paretic arm BMC. Height, muscle strength and gender were significant predictors (R 2 =0.822, p<0.001) of lean mass in the paretic arm. These results highlight the potential of muscle strengthening to promote bone health of the paretic arm in individuals with chronic stroke.

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Section: Discussionmentioning

confidence: 95%

Muscle strength is a determinant of bone mineral content in the hemiparetic upper extremity: Implications for stroke rehabilitation

Pang

Eng

2005

Bone

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“…CIT has recently been shown to have advantages relative to neurodevelopmental treatment of equal intensity. 9 Other studies have reported that repetitive practice of hand and finger movements against loads resulted in greater improvements in motor performance and functional scales than Bobath-based treatment, 10 transcutaneous electric nerve stimulation, 10 and suprathreshold electric stimulation of hand and wrist muscles. 11 Parry et al 12 reported that additional treatment, in the form of repetitive practice of movements and functional activities with a trained assistant, was more effective than additional conventional treatment from a physical therapist that focused on teaching techniques and encouraging self-practice.…”

mentioning

confidence: 99%

Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke

Lum

Burgar

Shor

et al. 2002

Archives of Physical Medicine and Rehabilitation

1,011

521

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“…(2) Do patients also improve when treated with 3 hours ?f dally shaping training? and (3) Are there any differences 1ll the outcome of the 2 treatment schedules?…”

mentioning

confidence: 99%

Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: An exploratory study

Sterr

Elbert

Berthold

et al. 2002

Archives of Physical Medicine and Rehabilitation

246

132

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Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand

Cited by 742 publications

References 20 publications

Muscle strength is a determinant of bone mineral content in the hemiparetic upper extremity: Implications for stroke rehabilitation

Muscle strength is a determinant of bone mineral content in the hemiparetic upper extremity: Implications for stroke rehabilitation

Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke

Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: An exploratory study

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