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Multisensory stimulation to promote upper extremity motor recovery in stroke: A pilot study / Lawla L.F. Law in The British Journal of Occupational Therapy, Vol.81 Issue 11 (Novembre 2018)
[article]
Titre : Multisensory stimulation to promote upper extremity motor recovery in stroke: A pilot study Type de document : texte imprimé Auteurs : Lawla L.F. Law ; Kenneth N.K. Fong ; Ray K.F. Li Année de publication : 2018 Article en page(s) : p. 641-648 Note générale : doi.org/10.1177/0308022618770141 Langues : Anglais (eng) Mots-clés : Multisensory motor recovery stroke upper extremity Résumé : Introduction
Occupational therapists have been using various preparatory methods as part of the treatment sessions to prepare clients for occupational performance and participation in occupation. Studies have shown sensory stimulation both activates brain areas inducing cortical reorganization and modulates motor cortical excitability for the stimulated afferents, hence re-establishing the disrupted sensorimotor loop due to stroke. This pilot investigates the potential effects of using multisensory stimulation as a preparatory method prior to conventional training (CT) on upper-extremity motor recovery and self-care function in stroke patients.
Method
This was a quasi-randomized controlled pilot. Twelve participants (age in years = 67.17 + /−11.29) with upper extremity motor deficits were randomly allocated to multisensory therapy (n = 6) or conventional (n = 6) groups for 12-week training. Assessments were conducted at baseline and post-intervention using Fugl-Meyer Assessment of Motor Recovery after Stroke (FMA), Manual Muscle Testing (MMT), Functional Test for the Hemiplegic Upper Extremity (Hong Kong version FTHUE-HK) and Modified Barthel Index (MBI).
Results
Significant between-group differences were shown in FMA (p = 0.003), FTHUE-HK (p = 0.028) and MMT (p = 0.034).
Conclusion
Multisensory stimulation could be used as a preparatory method prior to CT in improving upper extremity motor recovery in stroke rehabilitation. Further well-designed larger scale studies are needed to validate the potential benefits of this application.Permalink : ./index.php?lvl=notice_display&id=80278
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 641-648[article] Multisensory stimulation to promote upper extremity motor recovery in stroke: A pilot study [texte imprimé] / Lawla L.F. Law ; Kenneth N.K. Fong ; Ray K.F. Li . - 2018 . - p. 641-648.
doi.org/10.1177/0308022618770141
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 641-648
Mots-clés : Multisensory motor recovery stroke upper extremity Résumé : Introduction
Occupational therapists have been using various preparatory methods as part of the treatment sessions to prepare clients for occupational performance and participation in occupation. Studies have shown sensory stimulation both activates brain areas inducing cortical reorganization and modulates motor cortical excitability for the stimulated afferents, hence re-establishing the disrupted sensorimotor loop due to stroke. This pilot investigates the potential effects of using multisensory stimulation as a preparatory method prior to conventional training (CT) on upper-extremity motor recovery and self-care function in stroke patients.
Method
This was a quasi-randomized controlled pilot. Twelve participants (age in years = 67.17 + /−11.29) with upper extremity motor deficits were randomly allocated to multisensory therapy (n = 6) or conventional (n = 6) groups for 12-week training. Assessments were conducted at baseline and post-intervention using Fugl-Meyer Assessment of Motor Recovery after Stroke (FMA), Manual Muscle Testing (MMT), Functional Test for the Hemiplegic Upper Extremity (Hong Kong version FTHUE-HK) and Modified Barthel Index (MBI).
Results
Significant between-group differences were shown in FMA (p = 0.003), FTHUE-HK (p = 0.028) and MMT (p = 0.034).
Conclusion
Multisensory stimulation could be used as a preparatory method prior to CT in improving upper extremity motor recovery in stroke rehabilitation. Further well-designed larger scale studies are needed to validate the potential benefits of this application.Permalink : ./index.php?lvl=notice_display&id=80278 Exemplaires (1)
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Exclu du prêtPerception of task realism in mirror therapy activities for the upper extremity / Veronica T. Rowe in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)
[article]
Titre : Perception of task realism in mirror therapy activities for the upper extremity Type de document : texte imprimé Auteurs : Veronica T. Rowe ; Mallory Halverson ; Laiken Wilbanks ; Shannon Perry Année de publication : 2019 Article en page(s) : p. 685-692 Note générale : doi.org/10.1177/0308022619866654 Langues : Anglais (eng) Mots-clés : Mirror therapy upper extremity hemiparesis rehabilitation tasks movements occupational therapy Résumé : Introduction
Mirror therapy is an effective stroke rehabilitation intervention for upper extremity hemiparesis; however, there are no established protocols of specific tasks for use during mirror therapy. Identifying the most realistic tasks would help establish a protocol for replicable research studies. The aim of this study is to describe characteristics of mirror therapy tasks that appear to be most realistic to healthy individuals.
Method
Ninety-two healthy individuals completed 25 tasks and movements with their dominant upper extremity reflected in a mirror. Participants rated each task for its perceived level of reality, or naturalistic appearance of a bilateral task as reflected in the mirror, by completing a task realism scale. Nonparametric analyses were used to compare tasks/movements designated as simple vs complex, functional vs range of motion/exercise, and performed parallel vs perpendicular to the mirror.
Results
Tasks categorized as simple and range of motion/exercise movements performed parallel to the mirror were rated as more realistic than tasks categorized as complex, involving functional tasks, or performed perpendicular to the mirror.
Conclusions
The findings of this study could potentially increase the efficacy of mirror therapy. Further research of this precursory assumption is needed in developing a standardized mirror therapy treatment protocol.Permalink : ./index.php?lvl=notice_display&id=85656
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 685-692[article] Perception of task realism in mirror therapy activities for the upper extremity [texte imprimé] / Veronica T. Rowe ; Mallory Halverson ; Laiken Wilbanks ; Shannon Perry . - 2019 . - p. 685-692.
doi.org/10.1177/0308022619866654
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 685-692
Mots-clés : Mirror therapy upper extremity hemiparesis rehabilitation tasks movements occupational therapy Résumé : Introduction
Mirror therapy is an effective stroke rehabilitation intervention for upper extremity hemiparesis; however, there are no established protocols of specific tasks for use during mirror therapy. Identifying the most realistic tasks would help establish a protocol for replicable research studies. The aim of this study is to describe characteristics of mirror therapy tasks that appear to be most realistic to healthy individuals.
Method
Ninety-two healthy individuals completed 25 tasks and movements with their dominant upper extremity reflected in a mirror. Participants rated each task for its perceived level of reality, or naturalistic appearance of a bilateral task as reflected in the mirror, by completing a task realism scale. Nonparametric analyses were used to compare tasks/movements designated as simple vs complex, functional vs range of motion/exercise, and performed parallel vs perpendicular to the mirror.
Results
Tasks categorized as simple and range of motion/exercise movements performed parallel to the mirror were rated as more realistic than tasks categorized as complex, involving functional tasks, or performed perpendicular to the mirror.
Conclusions
The findings of this study could potentially increase the efficacy of mirror therapy. Further research of this precursory assumption is needed in developing a standardized mirror therapy treatment protocol.Permalink : ./index.php?lvl=notice_display&id=85656 Exemplaires (1)
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Exclu du prêtCross-cultural adaptation and Rasch validation of the Slovene version of the Orthotics and Prosthetics Users’ Survey (OPUS) Client Satisfaction with Device (CSD) in upper-limb prosthesis users / Helena Burger in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
[article]
Titre : Cross-cultural adaptation and Rasch validation of the Slovene version of the Orthotics and Prosthetics Users’ Survey (OPUS) Client Satisfaction with Device (CSD) in upper-limb prosthesis users Type de document : texte imprimé Auteurs : Helena Burger ; Andrea Giordano ; Maja Mlakar ; Caterina Albensi ; Darinka Brezovar ; Franco Franchignoni Année de publication : 2019 Article en page(s) : p. 168-173 Note générale : https://doi.org/10.1016/j.rehab.2019.03.003 Langues : Anglais (eng) Mots-clés : Patient satisfaction Upper extremity Prosthesis Outcome assessment Questionnaire Rehabilitation Résumé : Objective
To validate the Slovene version of the Orthotics and Prosthetics Users’ Survey (OPUS) 8-item Client Satisfaction with Device (CSD) questionnaire in upper-limb prosthesis users and to further verify measurement properties of this tool with Rasch analysis.
Design
Participants consisted of a convenience sample of 76 adults (54 men) using a prosthesis after unilateral upper-limb amputation who consecutively attended a follow-up visit at our centre.
Methods
After translation and cross-cultural adaptation of the CSD into the Slovene language, we evaluated functioning of the rating scale categories, item fit (internal construct validity), reliability indices and dimensionality, as well as convergent and discriminant construct validity of the questionnaire.
Results
Rasch analysis indicated that: (1) functioning of the 4 response options was acceptable; (2) all items fitted the measured construct [information-weighted (infit) and outlier-sensitive (outfit) mean-square statistics 0.60 to 1.40]; (3) person separation reliability was 0.62 (and Cronbach α = 0.76), item separation reliability was 0.83; (4) on principal component analysis (PCA) on the standardised residuals, the CSD showed borderline but acceptable unidimensionality and no local item dependency. Moreover, as expected, the CSD score showed good correlation with the QUEST 2.0 score (rs = 0.57) and little to fair correlation with the OPUS Upper Extremity Functional Status score (rs = 0.21).
Conclusion
The metric properties of the Slovene version of CSD agree with previous studies. The present study confirms the validity of CSD for measuring patient satisfaction with an upper-limb device, enhances the confidence in this tool for assessing upper-limb prosthesis users, and contributes to further refining the technical quality of this measure.Permalink : ./index.php?lvl=notice_display&id=84115
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 168-173[article] Cross-cultural adaptation and Rasch validation of the Slovene version of the Orthotics and Prosthetics Users’ Survey (OPUS) Client Satisfaction with Device (CSD) in upper-limb prosthesis users [texte imprimé] / Helena Burger ; Andrea Giordano ; Maja Mlakar ; Caterina Albensi ; Darinka Brezovar ; Franco Franchignoni . - 2019 . - p. 168-173.
https://doi.org/10.1016/j.rehab.2019.03.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 168-173
Mots-clés : Patient satisfaction Upper extremity Prosthesis Outcome assessment Questionnaire Rehabilitation Résumé : Objective
To validate the Slovene version of the Orthotics and Prosthetics Users’ Survey (OPUS) 8-item Client Satisfaction with Device (CSD) questionnaire in upper-limb prosthesis users and to further verify measurement properties of this tool with Rasch analysis.
Design
Participants consisted of a convenience sample of 76 adults (54 men) using a prosthesis after unilateral upper-limb amputation who consecutively attended a follow-up visit at our centre.
Methods
After translation and cross-cultural adaptation of the CSD into the Slovene language, we evaluated functioning of the rating scale categories, item fit (internal construct validity), reliability indices and dimensionality, as well as convergent and discriminant construct validity of the questionnaire.
Results
Rasch analysis indicated that: (1) functioning of the 4 response options was acceptable; (2) all items fitted the measured construct [information-weighted (infit) and outlier-sensitive (outfit) mean-square statistics 0.60 to 1.40]; (3) person separation reliability was 0.62 (and Cronbach α = 0.76), item separation reliability was 0.83; (4) on principal component analysis (PCA) on the standardised residuals, the CSD showed borderline but acceptable unidimensionality and no local item dependency. Moreover, as expected, the CSD score showed good correlation with the QUEST 2.0 score (rs = 0.57) and little to fair correlation with the OPUS Upper Extremity Functional Status score (rs = 0.21).
Conclusion
The metric properties of the Slovene version of CSD agree with previous studies. The present study confirms the validity of CSD for measuring patient satisfaction with an upper-limb device, enhances the confidence in this tool for assessing upper-limb prosthesis users, and contributes to further refining the technical quality of this measure.Permalink : ./index.php?lvl=notice_display&id=84115 Exemplaires (1)
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Exclu du prêtEffectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial / Stéphanie Dehem in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)
[article]
Titre : Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial Type de document : texte imprimé Auteurs : Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune Année de publication : 2019 Article en page(s) : p. 313-320 Note générale : doi.org/10.1016/j.rehab.2019.04.002 Langues : Anglais (eng) Mots-clés : Stroke Upper extremity Robotics Rehabilitation Recovery of function Résumé : Background
Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF).
Objective
This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains.
Methods
We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction.
Results
In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups.
Conclusion
For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation.Permalink : ./index.php?lvl=notice_display&id=84140
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 313-320[article] Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial [texte imprimé] / Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune . - 2019 . - p. 313-320.
doi.org/10.1016/j.rehab.2019.04.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 313-320
Mots-clés : Stroke Upper extremity Robotics Rehabilitation Recovery of function Résumé : Background
Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF).
Objective
This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains.
Methods
We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction.
Results
In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups.
Conclusion
For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation.Permalink : ./index.php?lvl=notice_display&id=84140 Exemplaires (1)
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Exclu du prêtValidation of French upper limb Erasmus modified Nottingham Sensory Assessment in stroke / Claire Villepinte in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
[article]
Titre : Validation of French upper limb Erasmus modified Nottingham Sensory Assessment in stroke Type de document : texte imprimé Auteurs : Claire Villepinte ; Emilie Catella ; Magali Martin ; et al. Année de publication : 2019 Article en page(s) : p. 35-42 Note générale : Doi : 10.1016/j.rehab.2018.03.004 Langues : Anglais (eng) Mots-clés : Stroke Upper extremity Outcome assessment Somatosensory disorders Reproducibility of results Résumé : Background
Somatosensory impairment of the upper limb (UL) occurs in approximately 50% of adults post-stroke, associated with loss of hand motor function, activity and participation. Measurement of UL sensory impairment is a component of rehabilitation contributing to the selection of sensorimotor techniques optimizing recovery and providing a prognostic estimate of UL function. To date, no standardized official French version of a measure of somatosensory impairment has been established.
Objective
To develop and validate a French version of the Erasmus modified Nottingham Sensory Assessment somatosensory (EmNSA-SS) and stereognosis (EmNSA-ST) component for evaluating the UL among adults with stroke.
Methods
This study is a single-center observational cross-sectional study. A French version of the EmNSA for UL was developed by forward-backward translation and cross-cultural adaptation. Fifty stroke patients were recruited to establish concurrent-criterion-related validity, internal consistency, intra- and inter-rater reproducibility with intracorrelation coefficients (ICCs) for reliability and the minimal detectable change with 95% confidence interval (MDC95) for agreement, as well as ceiling and floor effects. Criterion validity was assessed against the Fugl-Meyer Assessment-Sensory (FMA-S) for the UL.
Results
The median (range) EmNSA-SS score was 41.5 (1–44). The Spearman rank correlation coefficient between EmNSA-SS and FMA-S total scores was moderate (rho=0.74, P<0.001). The EmNSA-SS/ST internal consistency was adequate across subscales; with Cronbach α ranging from 0.82–0.96. For the EmNSA-SS total score, intra- and inter-rater reliability was excellent (ICC=0.92 in both cases), with MDC95 of 12.3 and 14.6, respectively. EmNSA-SS/ST total scores demonstrated no ceiling or floor effects.
Conclusions
The French EmNSA is a valid and reproducible scale that can be used for comprehensive and accurate assessment of somatosensory modalities in adults post-stroke. Taking less than 30min to administer, the instrument has clinical utility for use in patients with cognitive comorbidities and at various stages of recovery in multidisciplinary clinical practice and research settings.Permalink : ./index.php?lvl=notice_display&id=82637
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 35-42[article] Validation of French upper limb Erasmus modified Nottingham Sensory Assessment in stroke [texte imprimé] / Claire Villepinte ; Emilie Catella ; Magali Martin ; et al. . - 2019 . - p. 35-42.
Doi : 10.1016/j.rehab.2018.03.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 35-42
Mots-clés : Stroke Upper extremity Outcome assessment Somatosensory disorders Reproducibility of results Résumé : Background
Somatosensory impairment of the upper limb (UL) occurs in approximately 50% of adults post-stroke, associated with loss of hand motor function, activity and participation. Measurement of UL sensory impairment is a component of rehabilitation contributing to the selection of sensorimotor techniques optimizing recovery and providing a prognostic estimate of UL function. To date, no standardized official French version of a measure of somatosensory impairment has been established.
Objective
To develop and validate a French version of the Erasmus modified Nottingham Sensory Assessment somatosensory (EmNSA-SS) and stereognosis (EmNSA-ST) component for evaluating the UL among adults with stroke.
Methods
This study is a single-center observational cross-sectional study. A French version of the EmNSA for UL was developed by forward-backward translation and cross-cultural adaptation. Fifty stroke patients were recruited to establish concurrent-criterion-related validity, internal consistency, intra- and inter-rater reproducibility with intracorrelation coefficients (ICCs) for reliability and the minimal detectable change with 95% confidence interval (MDC95) for agreement, as well as ceiling and floor effects. Criterion validity was assessed against the Fugl-Meyer Assessment-Sensory (FMA-S) for the UL.
Results
The median (range) EmNSA-SS score was 41.5 (1–44). The Spearman rank correlation coefficient between EmNSA-SS and FMA-S total scores was moderate (rho=0.74, P<0.001). The EmNSA-SS/ST internal consistency was adequate across subscales; with Cronbach α ranging from 0.82–0.96. For the EmNSA-SS total score, intra- and inter-rater reliability was excellent (ICC=0.92 in both cases), with MDC95 of 12.3 and 14.6, respectively. EmNSA-SS/ST total scores demonstrated no ceiling or floor effects.
Conclusions
The French EmNSA is a valid and reproducible scale that can be used for comprehensive and accurate assessment of somatosensory modalities in adults post-stroke. Taking less than 30min to administer, the instrument has clinical utility for use in patients with cognitive comorbidities and at various stages of recovery in multidisciplinary clinical practice and research settings.Permalink : ./index.php?lvl=notice_display&id=82637 Exemplaires (1)
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Exclu du prêtReference values for transformed Van Lieshout handfunction test for Tetraplegia / Annemie I.F. Spooren
PermalinkDetermining the minimal clinically important difference of the hand function sort questionnaire in vocational rehabilitation / Zineb Benhissen in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
PermalinkImprovement of the Van Lieshout hand function test for tetraplegia using a Rasch analysis / Annemie I.F. Spooren
PermalinkPractical Considerations of the Both Hands Assessment (BoHA): A commentary on “Development and Validation of the Both Hands Assessment for Children with Bilateral Cerebra lPalsy” / Carlyne Arnould
Permalink