The effect of repetitive arm cycling on post stroke spasticity and motor control

Diserens, Karin; Perret, Nicolas; Chatelain, S.; Bashir, Shahid; Rüegg, D. G.; Vuadens, Philippe; Vingerhoets, François

doi:10.1016/j.jns.2006.10.021

Cited by 43 publications

(24 citation statements)

References 25 publications

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“…These results regarding the effect of repetitive training by an arm ergometer on spasticity were corroborated by other studies [3,4,6,11,14], where we evaluated spasticity by Ashworth Scale and the maximum extension of the biceps, the minimum torque on the lesioned side during arm cycling.…”

supporting

confidence: 88%

“…Therefore, they were transformed. The mean of all observations was subtracted from each observation and the resulting values were divided by their standard deviation (z-transformation) [14]. The data sets, which have then a mean of zero and a standard deviation of one, were pooled and a t-test was performed for pre-and post-testing.…”

Section: Discussionmentioning

confidence: 99%

“…Since all aspects of muscle force improved might be valuable for patient in daily life as assessed in qualitative approaching by RMA, MI, and quantitative by maximum cycling force for an adequate motor control [14]. …”

Section: Discussionmentioning

confidence: 99%

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The Effect of Repetitive Arm Cycling Training Priming with Transcranial Direct Current Stimulation on Post-Stroke: Pilot Study

Bashir

Hussain²,

Wasay³

et al. 2018

Brain Neurorehabil

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Highlights• Improvement of motor outcomes by transcranial direct current stimulation (tDCS) priming with motor training in chronic stroke patients.• Investigate the effect of excitability diminishing by cathodal tDCS of the unaffected hemisphere.• Improve motor function and the use of the affected limb in daily life. ABSTRACTTranscranial direct current stimulation (tDCS) is a noninvasive method that may increase the rehabilitation effects in stroke. The objective of the study was to test whether tDCS priming with training on an arm ergometer boosts motor performance in chronic stroke patients. Three chronic subcortical stroke patients had continued a sole unilateral stroke 30-36 months formerly. They had some voluntary control of the arm in the affected side underwent a cycling training on an arm ergometer for 20 minutes a day, during 5 days a week priming with cathodal tDCS stimulation of unaffected hemisphere. They were tested during 4 sessions 1 week before, at the beginning, at the end, and 1 week after the end of the training priming with tDCS. We executed; 1) Rivermead Motorik Assessment (global function, arm and leg), 2) the Modified Ashworth Scale of the elbow flexors and extensors, 3) the minimum torque on the lesion side, 4) grip strength, and 5) pegboard performance at each time of testing the patients. All patients tolerated tDCS very well during experiment. Patients showed significant (p = 0.01) improved of force and spasticity (p = 0.03). The grip strength and pegboard performance improved significantly too after DCS priming with training. These results showed that cathodal tDCS is a useful device for rehabilitation when priming with motor training in stroke patients. These patients proved the clinical relevance of the results.

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supporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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The Effect of Repetitive Arm Cycling Training Priming with Transcranial Direct Current Stimulation on Post-Stroke: Pilot Study

Bashir

Hussain²,

Wasay³

et al. 2018

Brain Neurorehabil

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“…In conclusion, therapeutic interventions in patients with spastic paresis of either spinal or cerebral origin should be focused on the training, re-learning and activation of residual motor function 133,134 , and the prevention of secondary complications such as muscle contractures. With regard to cerebral palsy, there have been a few controlled studies documenting the positive effect of a functional training programme to date 125,136 .…”

Section: Therapeutical Consequencesmentioning

confidence: 99%

Spastic movement disorder: impaired reflex function and altered muscle mechanics

Dietz

Sinkjær

2007

The Lancet Neurology

496

332

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In clinical practice the dominant view is that the signs of exaggerated tendon tap reflexes associated with muscle hypertonia are responsible for the spastic movement disorder. Consequently, most anti-spastic treatments are directed at reducing reflex activity. During the last years an increasing body of evidence suggests a discrepancy between clinical spasticity and spastic movement disorder.This is primarily due to the different role reflexes play in the passive and active condition, respectively. Today we know that a central motor lesion is associated with a loss of supraspinal drive and a defective utilization of afferent input with an impaired behaviour of short-and longlatency reflexes. This leads to a paresis and a mal-adaptation of the movement pattern.Secondary changes in mechanical muscle fibre, collagen tissue and tendon properties (e.g. loss of sarcomers; sub-clinical contractures) result in spastic muscle tone, which at part compensates for paresis. This allows functional movements on a simpler level of organisation. Anti-spastic drugs can accentuate paresis and therefore should be applied with caution in mobile subjects.

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“…Prolonged stretching, repetitive passive joint movement and splint therapy for the paretic upper extremity had an inhibitory effect on muscle tone [288][289][290][291][292][293][294][295][296][297] (IIa, IIb, III). An orthosis with FES improved spasticity in the paretic upper extremity and was useful for functional recovery of voluntary movement [298][299][300] (Ib, IIa, III).…”

Section: Evidencementioning

confidence: 99%

VII. Rehabilitation

Shinohara¹,

Yanagihara²,

Abe³

et al. 2011

Journal of Stroke and Cerebrovascular Diseases

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The effect of repetitive arm cycling on post stroke spasticity and motor control

Cited by 43 publications

References 25 publications

The Effect of Repetitive Arm Cycling Training Priming with Transcranial Direct Current Stimulation on Post-Stroke: Pilot Study

The Effect of Repetitive Arm Cycling Training Priming with Transcranial Direct Current Stimulation on Post-Stroke: Pilot Study

Spastic movement disorder: impaired reflex function and altered muscle mechanics

VII. Rehabilitation

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