Journal ArticleDOI
Motor recovery after stroke: a systematic review
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TLDR
Although the existing evidence is limited by poor trial designs, some treatments do show promise for improving motor recovery, particularly those that have focused on high-intensity and repetitive task-specific practice.Abstract:
Loss of functional movement is a common consequence of stroke for which a wide range of interventions has been developed. In this Review, we aimed to provide an overview of the available evidence on interventions for motor recovery after stroke through the evaluation of systematic reviews, supplemented by recent randomised controlled trials. Most trials were small and had some design limitations. Improvements in recovery of arm function were seen for constraint-induced movement therapy, electromyographic biofeedback, mental practice with motor imagery, and robotics. Improvements in transfer ability or balance were seen with repetitive task training, biofeedback, and training with a moving platform. Physical fitness training, high-intensity therapy (usually physiotherapy), and repetitive task training improved walking speed. Although the existing evidence is limited by poor trial designs, some treatments do show promise for improving motor recovery, particularly those that have focused on high-intensity and repetitive task-specific practice.read more
Citations
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Journal ArticleDOI
Regional Cerebral Blood Flow (rCBF) after Low-frequency Repetitive Transcranial Magnetic Stimulation (rTMS) Combined with Intensive Occupational Therapy for Upper Limb Hemiplegia after Stroke : A Study using Single Photon Emission Computed Tomography
Journal ArticleDOI
Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study.
Steinunn A. Olafsdottir,Helga Jónsdóttir,Ingibjörg Bjartmarz,Charlotte Magnusson,Héctor Caltenco,Mikko Kytö,Mikko Kytö,Laura Maye,David McGookin,Solveig A. Arnadottir,Ingibjörg Hjaltadóttir,Thóra B. Hafsteinsdóttir,Thóra B. Hafsteinsdóttir +12 more
TL;DR: ActivABLES is feasible and can be a good asset for stroke survivors with slight or moderate disability to use in their homes and further studies are needed with larger samples.
Journal ArticleDOI
Protocol for a Randomized Controlled Trial of CI Therapy for Rehabilitation of Upper Extremity Motor Deficit: The Bringing Rehabilitation to American Veterans Everywhere Project.
David M. Morris,Edward Taub,Victor W. Mark,Wei Liu,Lisa A. Brenner,Treven C. Pickett,Kelly A. Stearns-Yoder,Staci Bishop-McKay,Andrea Taylor,Laura Reder,Terrie L. Adams,James H. Rimmer,Dustin Dew,Jerzy P. Szaflarski,Brent Womble,Lillian Flores Stevens,David Rothman,Gitendra Uswatte +17 more
TL;DR: The study design and methodological considerations of the Bringing Rehabilitation to American Veterans Everywhere (BRAVE) Project, a randomized controlled trial of CI therapy to improve the motor deficit of participants with chronic and subacute traumatic brain injury are described.
Dissertation
A home-based functional electrical stimulation system for upper-limb stroke rehabilitation
TL;DR: A home-based low cost rehabilitation system is developed which substantially extends the current state of art in terms of sensing and control methodologies and confirms the system's scope to provide more effective stroke rehabilitation.
Journal ArticleDOI
Effects of Training for Finger Perception on Functional Recovery of Hemiplegic Upper Limbs in Acute Stroke Patients.
TL;DR: The present results suggest that the sensory training program to enhance finger discrimination ability contributes to improvements in not only sensory function but also manual function in stroke patients.
References
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Journal ArticleDOI
International Classification of Functioning, Disability and Health
TL;DR: The World Health Organization’s (WHO) International Classification of Functioning, Disability and Health (ICF) has been revised to recognize that the concept of disability resides largely in the sociocultural domain of the authors' lives rather than being an attribute of the individual.
Journal ArticleDOI
Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial.
Steven L. Wolf,Carolee J. Winstein,J. Philip Miller,Edward Taub,Gitendra Uswatte,David M. Morris,Carol Giuliani,Kathye E. Light,Deborah S. Nichols-Larsen +8 more
TL;DR: The Extremity Constraint Induced Therapy Evaluation (EXCITE) trial as mentioned in this paper showed that a 2-week program of constraint-induced movement therapy (CIMT) for patients more than 1 year after stroke who maintain some hand and wrist movement can improve upper extremity function that persists for at least 1 year.
Journal Article
Technique to improve chronic motor deficit after stroke
Edward Taub,Neal E. Miller,Thomas A. Novack,E W Cook rd,W C Fleming,C S Nepomuceno,J S Connell,Jean E. Crago +7 more
TL;DR: Extensive restraint of an unaffected upper extremity and practice of functional movements with the impaired limb proved to be an effective means of restoring substantial motor function in stroke patients with chronic motor impairment identified by the inclusion criteria of this project.
Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After Stroke
TL;DR: The Extremity Constraint Induced Therapy Evaluation (EXCITE) trial as discussed by the authors was designed to compare the effects of a 2-week multisite program of CIMT vs usual andcustomary care.
Related Papers (5)
Robot-Assisted Therapy for Long-Term Upper-Limb Impairment after Stroke
Albert C. Lo,Peter Guarino,Lorie Richards,Jodie K. Haselkorn,George F. Wittenberg,Daniel G. Federman,Daniel G. Federman,Robert J. Ringer,Todd H. Wagner,Hermano Igo Krebs,Bruce T. Volpe,Christopher T. Bever,Dawn M. Bravata,Pamela W. Duncan,Barbara H. Corn,Alysia D. Maffucci,Stephen E. Nadeau,Susan S. Conroy,Janet M. Powell,Grant D. Huang,Peter Peduzzi +20 more