Document Detail


Effects of intensive repetition of a new facilitation technique on motor functional recovery of the hemiplegic upper limb and hand.
MedLine Citation:
PMID:  20715890     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Kazumi Kawahira; Megumi Shimodozono; Seiji Etoh; Katsuya Kamada; Tomokazu Noma; Nobuyuki Tanaka
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Brain injury : [BI]     Volume:  24     ISSN:  1362-301X     ISO Abbreviation:  Brain Inj     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-18     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  1202-13     Citation Subset:  IM    
Affiliation:
Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. louisak@m.kufm.kagoshima-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Exercise Therapy / methods*
Female
Hand / physiopathology
Hemiplegia / physiopathology,  rehabilitation*
Humans
Isometric Contraction / physiology*
Male
Middle Aged
Recovery of Function / physiology*
Stroke / complications,  physiopathology,  rehabilitation*
Treatment Outcome
Upper Extremity* / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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