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Effects of mobilization and tactile stimulation on recovery of the hemiplegic upper limb: a series of replicated single-system studies.

Abstract：

OBJECTIVE:To explore the effects on motor function and impairment of mobilization and tactile stimulation for the paretic arm and hand after stroke. DESIGN:Replicated single-system series, ABA design. SETTING:The stroke rehabilitation ward of a community hospital in the United Kingdom. PARTICIPANTS:Consecutive sample, men and women (N=6) with stroke (left or right), within 3 months of onset. INTERVENTION:Sixty minutes of daily mobilization and tactile stimulation to the paretic arm and hand for 6 weeks in addition to the usual rehabilitation program. MAIN OUTCOME MEASURES:Focal disability (Action Research Arm Test [ARAT]) and motor impairment (Motricity Index arm section). RESULTS:All participants showed visual change in 1 or more of trend, level, or slope between baseline and intervention phases for both the ARAT and the Motricity Index. The visual analysis was confirmed through statistical testing (c statistic and/or Mann-Whitney U test) for 5 of 6 participants (statistical analysis was precluded for 1 participant). No further improvements were made on intervention withdrawal. CONCLUSIONS:This study shows proof of concept for using mobilization and tactile stimulation to improve motor recovery after severe paresis, justifying conducting dose-finding studies as a precursor to multicenter phase III clinical trials.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Hunter SM,Crome P,Sim J,Pomeroy VM

doi

10.1016/j.apmr.2008.03.016

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

2003-10

issue

10

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(08)00470-X

journal_volume

89

pub_type

杂志文章

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