Effects of intensive repetition of a new facilitation technique on motor functional recovery of the hemiplegic upper limb and hand.

Abstract:

OBJECTIVE:To study the effects on the hemiplegic upper limb of repetitive facilitation exercises (RFEs) using a novel facilitation technique, in which the patient's intention to move the hemiplegic upper limb or finger was followed by realization of the movement using multiple sensory stimulations. METHODS:Twenty-three stroke patients were enrolled in a cross-over study in which 2-week RFE sessions (100 repetitions each of five-to-eight types of facilitation exercise per day) were alternated with 2-week conventional rehabilitation (CR) sessions, for a total of four sessions. Treatments were begun with the 2-week RFE session in one group and the 2-week CR session in the second group. RESULTS:After the first 2-week RFE session, both groups showed improvements in the Brunnstrom stages of the upper limb and the hand, in contrast to the small improvements observed during the first CR session. The Simple Test for Evaluating Hand Function (STEF) score, which evaluates the ability of manipulating objects, in both groups improved during both sessions. After the second 2-week RFE and CR sessions, both groups showed little further improvement except in the STEF score. CONCLUSION:The novel RFEs promoted the functional recovery of the hemiplegic upper limb and hand to a greater extent than the CR sessions.

journal_name

Brain Inj

journal_title

Brain injury

authors

Kawahira K,Shimodozono M,Etoh S,Kamada K,Noma T,Tanaka N

doi

10.3109/02699052.2010.506855

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

1202-13

issue

10

eissn

0269-9052

issn

1362-301X

journal_volume

24

pub_type

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