Robot-Assisted Rehabilitation of Hand Paralysis After Stroke Reduces Wrist Edema and Pain: A Prospective Clinical Trial

Borboni, Alberto; Villafañe, Jorge Hugo; Mullè, Chiara; Valdes, Kristin; Faglia, Rodolfo; Taveggia, Giovanni; Négrini, Stefano

doi:10.1016/j.jmpt.2016.10.003

Cited by 26 publications

(17 citation statements)

References 36 publications

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“…First-ever stroke, unilateral or ever stroke but not legacy neurological dysfunction; (3). Stable vital signs, clear consciousness; (4). Unilateral upper limb Brunnstrom evaluation: I-IV period; (5) Age from 20 to 80 years old; (6) The course of the diseases from 2 weeks to 6 months.…”

Section: Participantsmentioning

confidence: 99%

“…Motor dysfunction after stroke leads to a heavy financial pressure on the families. Post-stroke hemiplegic rehabilitation includes early rehabilitation treatment [2], routine treatment [3], computer aided rehabilitation training [4], secondary prevention by improving the life style [5], transcranial direct current stimulation [6], scalp acupuncture (SA) [7,8], repetitive transcranial magnetic stimulation (rTMS) [9] and other interventions. When traditional Chi-nese treatment is combined with Western medicine rehabilitation therapy, it is more common that SA [10,11] and rTMS are used in hemiplegia rehabilitation after stroke.…”

Section: Introductionmentioning

confidence: 99%

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Scalp acupuncture plus low-frequency rTMS promotes repair of brain white matter tracts in hemiplegic patients with stroke: A diffusion tensor imaging study

Zhao

Zhang

Qiu

et al. 2018

J. Integr. Neurosci.

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To study the clinical effects of scalp acupuncture plus low frequency rTMS in hemiplegic stroke patients. A total of 28 hemiplegic stroke patients were recruited and randomly assigned to the experimental group (scalp acupuncture low frequency rTMS routine rehabilitation treatment) or the control group (scalp acupuncture routine rehabilitation treatment). All patients received a diffusion tensor imaging examination on the day of admission and on the fourteenth day. Compared with pre-treatment, the upper limb motor function score and ability of daily life score increased significantly in the two groups, and motor function improvement was much greater in the experimental group. Fractional anisotropy values significantly increased in white matter tracts, such as the corticospinal tract, forceps minor, superior longitudinal fasciculus and uncinate fasciculus in the two groups. Compared with pretreatment, the fractional anisotropy values increased and mean diffusion values decreased synchronously in the forceps minor, left inferior fronto-occipital fasciculus, left inferior longitudinal fasciculus, left superior longitudinal fasciculus and left uncinate fasciculus in the experimental group. Before and after treatment, there were no significant differences in the changes of fractional anisotropy values between the two groups, but the changes of the mean diffusion values in the experimental group were much greater than those in the control group in the left superior longitudinal fasciculus and the left uncinate fasciculus (p < 0.05). Moreover, the increased fractional anisotropy values in the forceps minor in the experimental group were significantly positively correlated with the increased Fugl-Meyer assessment score. Our study concluded that based on routine rehabilitation treatment, scalp acupuncture plus low frequency rTMS can promote white matter tracts repair better than scalp acupuncture alone; the motor function improvement of the hemiplegic upper limb may be closely related to the rehabilitation of the forceps minor; the combination of scalp acupuncture and low frequency rTMS is expected to provide a more optimal rehabilitation protocol for stroke hemiplegic patients.

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Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Scalp acupuncture plus low-frequency rTMS promotes repair of brain white matter tracts in hemiplegic patients with stroke: A diffusion tensor imaging study

Zhao

Zhang

Qiu

et al. 2018

J. Integr. Neurosci.

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“…One inexpensive option is the use of flexible sensors which change resistance when bent. These have been used previously in hand rehabilitation devices such as PneuGlove [1], WU Glove [2], FuncAssess glove [3] and the Gloreha system [4][5][6] to measure finger joint angles. They are very lightweight (< 5 g) and extremely low profile (< 0.5 mm in height).…”

Section: Introductionmentioning

confidence: 99%

Static accuracy of resistive bend sensors

Hollingshead¹,

Henry-Etesse²,

Tankere³

et al. 2020

2020 42nd Annual International Conference of the IEEE Engineering in Medicine &Amp; Biology Society (EMBC)

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Sensing of finger joint rotation can be difficult due to the hand's many degrees-of-freedom within a small space. Resistive bend sensors offer a potentially attractive option for making these measurements due to their low profile, small mass, and low cost. Further characterization of these bend sensors is needed, however, to ensure that readings are accurate. Specifically the static accuracy when bending and straightening the sensor has not been investigated. In this study, two-inch resistive sensors were bent from 0° to 90° and back to 0° while measuring the voltage output. Five calibration models were fitted to the measured data and used to determine the sensor's accuracy. When used with coated sensors, both the cubic and pchip models demonstrated non-monotonic behavior at low bend angles. Using uncoated sensors, the pchip calibration function and raw data resulted in a median error of 1.7° (SD 1.7°, range 12.1°).

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“…2 Prior studies have documented the negative impact of HSP including obstruction of the rehabilitation process, delay of motor recovery in the upper extremities, decrease in the functional performance of daily activities, and prolongation of hospital stay, and it has been associated with depression and decreased quality of life. 3 One-third of all individuals seeking physician intervention for musculoskeletal pain in the United States are seeking relief for shoulder pain. 4 The causes of the pain can be difficult for clinicians to diagnose due to the complexity of the shoulder anatomy and the wide spectrum of shoulder conditions.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Villafañe

López-Royo

Herrero

et al. 2019

PM&R

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Background In patients with stroke, hemiplegic shoulder pain can be a major problem. One source of shoulder pain can be myofascial trigger points (MTrPs). Objective To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between MTrPs and pain and function in patients presenting with shoulder pain following a stroke. Design Cross‐sectional study. Setting Department of Physical Therapy. Patients Fifty patients with stroke with shoulder pain. Intervention Not applicable. Main Outcome Measurements The prevalence of the MTrPs located in infraspinatus, supraspinatus, teres minor, and upper trapezius was studied, using the diagnosis criteria recommended by Simons et al. The pressure pain threshold was also evaluated. Pain and function were assessed with the Visual Analogue Scale (VAS) and the Disability of the Arm, Shoulder and Hand (DASH) scale, respectively. Results The prevalence of latent MTrPs was 68%, 92%, 40%, and 62% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. The prevalence of active MTrPs was 34%, 50%, 12%, and 20% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. Pain was moderately correlated with the prevalence of latent MTrPs (r = 0.35; P = .01) and active MTrPs (r = 0.31; P = .03) in the supraspinatus muscle. Disability was measured with the DASH scale and was moderately correlated with latent MTrPs in the infraspinatus (r = 0.31; P = .03) and active MTrPs of the supraspinatus (r = 0.32; P = .02). Conclusions This study shows that the prevalence of MTrPs is high in patents following a stroke. MTrPs in this population are moderately associated with pain and function. Level of Evidence II.

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Robot-Assisted Rehabilitation of Hand Paralysis After Stroke Reduces Wrist Edema and Pain: A Prospective Clinical Trial

Abstract: The results of the current study suggest that the partial paralysis group experienced a significantly greater reduction of edema at the wrist and pain when compared with the full paralysis group. The reduction in pain did not meet the threshold of a minimal clinically important difference.

Cited by 26 publications

References 36 publications

Scalp acupuncture plus low-frequency rTMS promotes repair of brain white matter tracts in hemiplegic patients with stroke: A diffusion tensor imaging study

Scalp acupuncture plus low-frequency rTMS promotes repair of brain white matter tracts in hemiplegic patients with stroke: A diffusion tensor imaging study

Static accuracy of resistive bend sensors

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

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