Variation in the rate of recovery in motor function between the upper and lower limbs in patients with stroke: some proposed hypotheses and their implications for research and practice

Abdullahi, Auwal; Wong, Thomson W. L.; Ng, Sheung Mei Shamay

doi:10.3389/fneur.2023.1225924

Cited by 3 publications

(1 citation statement)

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“…One of the most important reasons for that is the affected UE is used less than the lower extremity, both in rehabilitation and in daily life after a stroke. At this point, it is recommended to use interventions, such as constraintinduced movement therapy (CIMT), in which the extremity is exposed to intensive practice, should be used (Abdullahi et al, 2023). In CIMT, which is one of the methods with the highest evidence value in UE rehabilitation after stroke (Shi et al, 2011;Sirtori et al, 2009), the less affected UE of the participants is restricted with a mitt 90% of the time while they are awake.…”

Section: Introductionmentioning

confidence: 99%

Effects of modified‐constraint induced movement therapy based telerehabilitation on upper extremity motor functions in stroke patients

Saygili,

Guclu‐Gunduz,

Eldemir

et al. 2024

Brain and Behavior

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IntroductionThe aim of this study is to investigate the effects of Modified‐Constraint Induced Movement Therapy (m‐CIMT) based telerehabilitation on upper extremity motor functions in stroke patients.MethodsEighteen stroke patients were included and randomly allocated into two groups. The Tele‐CIMT (modified‐constraint induced movement therapy‐based telerehabilitation) (n = 10) group received m‐CIMT based telerehabilitation for 90 min a day, 5 weekdays for 3 weeks at home. Additionally, both the Tele‐CIMT group and the control group (CG) (n = 8) underwent the home exercise program aimed at improving range of motion, active movement, balance, and walking every weekday for 3 weeks at home. The outcome measures were the Stroke Rehabilitation Assessment of Movement Scale (STREAM), Fugl‐Meyer Upper Extremity Motor Evaluation Scale (FM‐UE), Wolf Motor Function Test (WMFT), 9‐Hole Peg Test (9‐HPT), grip strengths, pinch strengths, Motor Activity Log‐28 (MAL‐28), and Functional Independence Measure (FIM).ResultsSignificant group‐by‐time interactions on STREAM, FM‐UE, WMFT, grip strength, pinch strengths, MAL‐28, and FIM were found to be in favor of the Tele‐CIMT group. Additionally, post hoc analyses revealed that the Tele‐CIMT group significantly improved in terms of these parameters (p > .05).ConclusionThis is the first randomized controlled trial showing that Tele‐CIMT improved upper extremity motor functions and activities of daily living in stroke patients. Tele‐CIMT can help improve the upper extremities in stroke survivors who have difficulties reaching rehabilitation clinics.

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Section: Introductionmentioning

confidence: 99%

Effects of modified‐constraint induced movement therapy based telerehabilitation on upper extremity motor functions in stroke patients

Saygili,

Guclu‐Gunduz,

Eldemir

et al. 2024

Brain and Behavior

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Feasibility of using a novel hand-training support robot for patients with acute stroke and severe hand paralysis: A retrospective study

Ochi,

Hori,

Tokunaga

et al. 2024

Preprint

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Background: Approximately 80% of patients with stroke develop upper limb dysfunction. Although the greatest recovery of hand function is seen in the acute phase, only 14% achieve complete recovery. Beginning upper extremity functional training and repetitive movements from the early stage of stroke onset is considered important; however, in the acute stage of stroke, during which getting out of the bedside and self-care training are prioritized, patients often use the unaffected upper extremity. The newly developed EsoGLOVE robot hand training module is expected to assist with bedside hand function training. In this retrospective study, we aimed to evaluate the feasibility of training using this novel hand training support robot and assess its effectiveness. Methods: The pneumatic robot provided auxiliary movements, such as flexion and extension of the fingers and passive movements. Of 24 eligible patients with similar Brunnström hand recovery stage, 12 who received treatment with EsoGLOVE were assigned to the robot-assisted training group, and 12 who did not were assigned to the usual training group. Some durability issues were encountered, and improvements were made to the robot at the therapists’ requests to make it easier to use. The primary outcome was the Brunnström hand recovery stage. Baseline comparisons between men and women were performed using the chi-square test for categorical variables (ischemic or hemorrhagic stroke) and the Mann–Whitney test for continuous variables. Within-group comparisons were performed using the Wilcoxon test for the primary outcome. Owing to the non-normal distribution of the data, between-group comparisons were performed using the Mann–Whitney U test. Results: No adverse events were associated with robot use (20–40 min a day, five times a week) in addition to conventional training during the early subacute phase. Compared with patients who underwent conventional training alone, hand and finger functions improved significantly (p=0.018) in those who used the robot after approximately 2 months. Conclusions: The EsoGLOVE robot is safe to use and has high clinical practicality. Nevertheless, we plan to conduct a prospective comparative study to verify its effectiveness.

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An Exploration of Self-Efficacy and Its Associated Factors among Rheumatoid Arthritis Patients in Taiwan

Hsiao,

Livneh,

Chen

et al. 2024

Medicina

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Self-efficacy is an important ingredient in successful disease management, especially in patients with chronic conditions such as rheumatoid arthritis (RA). However, the information on self-efficacy and its influencing factors among RA patients is scarce. This study investigated the level of self-efficacy and its pertinent predictors among RA patients in Taiwan. This cross-sectional study recruited patients with RA from a hospital in Taiwan between January and October 2023. A structured questionnaire was used to collect data on respondents’ demographic and job characteristics and included a Chinese version of the Arthritis Self-Efficacy Scale (ASES). Multiple linear stepwise regression analysis was employed to identify predictors of self-efficacy. A total of 284 RA patients were enrolled during the study period. The mean ASES score among enrollees was 1607.1, indicating a moderate level of self-efficacy (score range of 200–2000). The regression model displayed that those with higher disease activity scores, Taiwanese Depression Questionnaire scores, fatigue level, shorter disease duration, swollen upper limb joints, and no regular exercise regimen reported lower ASES scores, accounted for 46% of the total variance. The study findings may be useful for healthcare providers in identifying RA patients with low self-efficacy attitudes, a trait that appears to be linked to several medical indicators, and thus facilitating the provision of future tailored healthcare regimens.

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Variation in the rate of recovery in motor function between the upper and lower limbs in patients with stroke: some proposed hypotheses and their implications for research and practice

Cited by 3 publications

References 100 publications

Effects of modified‐constraint induced movement therapy based telerehabilitation on upper extremity motor functions in stroke patients

Effects of modified‐constraint induced movement therapy based telerehabilitation on upper extremity motor functions in stroke patients

Feasibility of using a novel hand-training support robot for patients with acute stroke and severe hand paralysis: A retrospective study

An Exploration of Self-Efficacy and Its Associated Factors among Rheumatoid Arthritis Patients in Taiwan

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