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
Does the use of Nintendo Wii SportsTM improve arm function? Trial of WiiTM in Stroke: A randomized controlled trial and economics analysis
Katja Adie,Christine Schofield,Margie Berrow,Jennifer Wingham,Jennifer Wingham,John Humfryes,Colin Pritchard,Martin A. James,Rhoda Allison +8 more
TL;DR: The trial showed that the WiiTM was not superior to arm exercises in home-based rehabilitation for stroke survivors with arm weakness and was well tolerated but more expensive than arm exercises.
Journal ArticleDOI
Unilateral versus bilateral upper limb exercise therapy after stroke: a systematic review
TL;DR: Unilateral and bilateral training are similarly effective, however, intervention success may depend on severity of upper limb paresis and time of intervention post-stroke.
Journal ArticleDOI
Effects of Kinect-based virtual reality game training on upper extremity motor recovery in chronic stroke.
TL;DR: The results suggest that the adjunct use of Kinect-based VR training may contribute to the improvement of UE motor function and AROM in chronic stroke patients.
Journal ArticleDOI
Robot training for hand motor recovery in subacute stroke patients: A randomized controlled trial
Felipe Orihuela-Espina,Giovana Femat Roldán,Israel Sánchez-Villavicencio,Lorena Palafox,Ronald Leder,Luis Enrique Sucar,Jorge Hernández-Franco +6 more
TL;DR: Robotic therapies may be useful during the subacute stages of stroke - both endpoints (FM hand and MI prehension) showed the expected trend with bigger effect size for the robotic intervention.
Journal Article
Constraint-induced movement therapy in stroke patients: systematic review and meta-analysis.
TL;DR: An update of the Cochrane review of Constraint-Induced Movement Therapy finds new evidence pushes the overall estimate of benefit toward the null effect, and larger randomised trials to resolve uncertainties are needed.
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.
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