Abstract:
PURPOSE:Explore the potential benefits of using priming methods prior to an active hand task in the acute phase post-stroke in persons with severe upper extremity hemiparesis. METHODS:Five individuals were trained using priming techniques including virtual reality (VR) based visual mirror feedback and contralaterally controlled passive movement strategies prior to training with an active pinch force modulation task. Clinical, kinetic, and neurophysiological measurements were taken pre and post the training period. Clinical measures were taken at six months post training. RESULTS:The two priming simulations and active training were well tolerated early after stroke. Priming effects were suggested by increased maximal pinch force immediately after visual and movement based priming. Despite having no clinically observable movement distally, the subjects were able to volitionally coordinate isometric force and muscle activity (EMG) in a pinch tracing task. The Root Mean Square Error (RMSE) of force during the pinch trace task gradually decreased over the training period suggesting learning may have occurred. Changes in motor cortical neurophysiology were seen in the unaffected hemisphere using Transcranial Magnetic Stimulation (TMS) mapping. Significant improvements in motor recovery as measured by the Action Research Arm Test (ARAT) and the Upper Extremity Fugl Meyer Assessment (UEFMA) were demonstrated at six months post training by three of the five subjects. CONCLUSION:This study suggests that an early hand-based intervention using visual and movement based priming activities and a scaled motor task allows participation by persons without the motor control required for traditionally presented rehabilitation and testing. Implications for Rehabilitation Rehabilitation of individuals with severely paretic upper extremities after stroke is challenging due to limited movement capacity and few options for therapeutic training. Long-term functional recovery of the arm after stroke depends on early return of active hand control, establishing a need for acute training methods focused distally. This study demonstrates the feasibility of an early hand-based intervention using virtual reality based priming and scaled motor activities which can allow for participation by persons without the motor control required for traditionally presented rehabilitation and testing.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Patel J,Qiu Q,Yarossi M,Merians A,Massood S,Tunik E,Adamovich S,Fluet Gdoi
10.1080/09638288.2016.1226419subject
Has Abstractpub_date
2017-07-01 00:00:00pages
1515-1523issue
15eissn
0963-8288issn
1464-5165journal_volume
39pub_type
杂志文章abstract:PURPOSE:To systematically review the evidence about the effectiveness of manual therapy (MT) on pain intensity, frequency and impact of headache in individuals with tension-type headache (TTH). METHODS:Medline, Embase, Scopus, Web of Science, CENTRAL, and PEDro were searched in June 2020. Randomized controlled trials ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1813817
更新日期:2020-09-12 00:00:00
abstract:PURPOSE:The objective of this study was to examine disablement as experienced by young adult African American men and women with permanent mobility impairment. METHOD:This study included a sample of 5 male and 5 female participants ranging in age from 22 to 39. An exploratory descriptive design and qualitative methods...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.798362
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abstract:METHODS:Six electronic databases were searched for relevant studies from 2000 to 2019. Forty-one eligible studies were identified. RESULTS:Findings suggest that the people with disabilities' choice to seek healthcare services or not, as well as the quality of intervention provided by primary healthcare providers, are ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1817984
更新日期:2020-09-21 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280600948375
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journal_title:Disability and rehabilitation
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doi:10.1080/09638280410001665218
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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更新日期:1995-04-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.549285
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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更新日期:2014-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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更新日期:2018-04-01 00:00:00
abstract::Aim: To understand how people with stroke and carers adapt over time, and how health professionals support transition to home.Method: A multi-perspective, prospective, qualitative, longitudinal study was conducted using in-depth semi-structured interviews one and six months after inpatient discharge. Twenty-four parti...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1722263
更新日期:2020-02-08 00:00:00
abstract::Purpose: Medically underserved adults with spinal cord injury (SCI) remain at high risk of incurring medically serious pressure injuries even after receiving education in prevention techniques. The purpose of this research is to identify circumstances leading to medically serious pressure injury development in medical...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1552328
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:To examine validity and test-retest reliability of a sensory test developed to evaluate ability of elderly subjects with/out a stroke to discriminate between textures with the sole of their foot. METHODS:Subjects poststroke, old adults and young subjects were tested twice. Twelve materials relevant to foot fun...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1323019
更新日期:2018-08-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2012.717587
更新日期:2013-06-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2019-11-13 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.913702
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To systematically review research investigating measurement properties of the Personal Care Participation Assessment and Resource Tool (PC-PART), formerly the Handicap Assessment and Resource Tool (HART). DATA SOURCES:Seven databases were searched using (i) HART or PC-PART terms and (ii) known authors. Referen...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2012.690819
更新日期:2013-02-01 00:00:00
abstract:PURPOSE:Our aim was to identify demographic, clinical and socioeconomic predictors of self-management in multiple sclerosis (MS). METHODS:The study was performed on a group of 283 patients with multiple sclerosis who completed Multiple Sclerosis Self-Management Scale - Revised (MSSM-R), Multiple Sclerosis Impact Scale...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.993435
更新日期:2015-01-01 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2012.743603
更新日期:2013-08-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.637603
更新日期:2012-01-01 00:00:00
abstract::Cystic fibrosis is now an adult disease. The understanding of the basic pathophysiology of this disease has increased considerably over the past decade. This has resulted in effective management protocols and the development of innovative approaches to therapy. Management of young adults is complex and requires expert...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638289809166732
更新日期:1998-06-01 00:00:00
abstract:PURPOSE:Patients and carers frequently express disappointment with the extent of recovery achieved at the point of discharge from physiotherapy. Research has suggested that high expectations of recovery may be encouraged by physiotherapists. This study examined the information exchanged between physiotherapists and pat...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280210142158
更新日期:2002-11-10 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1236296
更新日期:2017-12-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2007-08-15 00:00:00
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更新日期:2013-09-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2000-09-10 00:00:00