The Effects of Bilateral Activities of the Upper Extremities on Stroke Patients’ Daily Living Activities

Lee, Myoung-Hyo; Kim, Kyoung-Don; Park, Su‐Jin; Choi, Young-Chul; Jang, Sang-Hun; Lee, Jung-Ho; J, Kim

doi:10.1589/jpts.25.161

Cited by 4 publications

(5 citation statements)

References 12 publications

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“…Depending on the impairment levels of motor and sensory functions, an intervention for the unaffected limb including EMS might be a more efficient method of stroke rehabilitation than an intervention for the affected limb. Furthermore, the advantage of EMS is that it more easily permits delivery of electrical stimulation in conjunction with task-oriented training and other exercises 23 , 24 , 25 ) .…”

Section: Discussionmentioning

confidence: 99%

Changes in corticospinal excitability with short-duration high-frequency electrical muscle stimulation: a transcranial magnetic stimulation study

Miyata

Usuda

2015

J Phys Ther Sci

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[Purpose] Afferent input caused by electrical stimulation of a peripheral nerve or a muscle modulates corticospinal excitability. However, a long duration of stimulation is required to induce these effects. The purpose of this study was to investigate the effect of short-duration high-frequency electrical muscle stimulation (EMS) on corticospinal excitability through the measurement of motor evoked potentials (MEP) in young healthy subjects. [Subjects] Eleven healthy right-handed subjects participated in this study. [Methods] EMS was applied to the abductor pollicis brevis (APB) muscle at 100 Hz with a pulse width of 100 μs for 120 s. The intensity of stimulation was just below the motor threshold. Transcranial magnetic stimulation was applied over the motor cortex, and MEP were recorded from the APB before, and immediately, 10, and 20 min after EMS. [Results] In the APB muscle, the MEP amplitude significantly decreased after EMS, and this effect lasted for 20 min. [Conclusion] The excitability of the corticospinal tract decreased after short-duration high-frequency EMS, and the effect lasted for 20 min. These results suggest that even short duration EMS can change the excitability of the corticospinal tract.

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Section: Discussionmentioning

confidence: 99%

Changes in corticospinal excitability with short-duration high-frequency electrical muscle stimulation: a transcranial magnetic stimulation study

Miyata

Usuda

2015

J Phys Ther Sci

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“…Based on the social learning theory proposed by Bandura, we hypothesized that the status of voluntary training was associated with outcome expectations and efficacy expectations but could not find a significant association. Many stroke patients start to recover in the early days after stroke and become more independent with time [3][4][5][6][7]. Therefore, it is unsurprising that patients with a longer time after stroke are more able to perform voluntary training because they are more physically and cognitively capable of participating in activities.…”

Section: Discussionmentioning

confidence: 99%

“…They account for 24.1% of all adults requiring long-term nursing care, and stroke is the leading cause of severe disability corresponding to a nursing care level of 4 and 5 [2]. To avoid becoming bed-bound, it is important to start rehabilitation immediately after stroke and continue it for a long period [3][4][5][6][7]. Given the limited healthcare resources that are currently available, it is vital to help stroke patients perform voluntary training.…”

Section: Introductionmentioning

confidence: 99%

Voluntary training undertaken by stroke patients during the recovery phase and related factors

緑

Midori²

2016

Jpn J Compr Rehabil Sci

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Objective: This study assessed factors related to voluntary training undertaken by stroke patients. Methods: Patients who had been hospitalized for 1 or more months after stroke completed a questionnaire regarding their background, disease characteristics, voluntary training, outcome expectations, efficacy expectations, and the degree of life satisfaction. The Mann-Whitney U test, Fisher's exact test, and Spearman's rank correlation coefficient were used for analysis.Results: There was a significant positive correlation between the number of training days per week and the number of months after stroke. However, there was no significant correlation between the number of training days per week and outcome expectations, efficacy expectations, and the degree of life satisfaction. Conclusions:The factor related to the number of voluntary training days per week undertaken by stroke patients during the recovery phase was the number of months after stroke. In this period, outcome expectations, efficacy expectations, the degree of life satisfaction, and voluntary training by stroke patients may not be related. This may be because patients have mental agitation or a low degree of satisfaction during this period.

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“…The additional exercise consisted of movements of the upper extremities and trunk in a sitting position. The exercise was performed in a specific order 13 ) and supervised by a therapist to prevent the patients from falling during all sessions.…”

Section: Methodsmentioning

confidence: 99%

Effect of bilateral upper extremity exercise on trunk performance in patients with stroke

2017

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[Purpose] The aim of this study was to investigate the effect of bilateral upper extremity exercises on trunk performance in patients with stroke. [Subjects and Methods] Twenty in-patients with chronic stroke of at least 6 month’s duration participated in this study. Patients in the experimental and control groups received neurological rehabilitation treatment for stroke. In addition to the neurological rehabilitation treatment, patients in the experimental group received 30 minutes of bilateral upper extremity exercises 3 times weekly for 4 weeks. Outcomes were measured using the Trunk Impairment Scale before and after the 4-week training period. [Results] Significant intragroup differences in all items of Trunk Impairment Scale were observed after intervention. In particular, significant intergroup differences were observed for dynamic sitting balance, trunk coordination, and between total scores of the Trunk Impairment Scale. [Conclusion] The results of this study suggest bilateral upper extremity exercises could be used in addition to trunk exercises to improve trunk performance in patients with stroke.

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The Effects of Bilateral Activities of the Upper Extremities on Stroke Patients’ Daily Living Activities

Cited by 4 publications

References 12 publications

Changes in corticospinal excitability with short-duration high-frequency electrical muscle stimulation: a transcranial magnetic stimulation study

Changes in corticospinal excitability with short-duration high-frequency electrical muscle stimulation: a transcranial magnetic stimulation study

Voluntary training undertaken by stroke patients during the recovery phase and related factors

Effect of bilateral upper extremity exercise on trunk performance in patients with stroke

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