Document Detail

The effect of repetitive rhythmic precision grip task-oriented rehabilitation in chronic stroke patients: a pilot study.
MedLine Citation:
PMID:  23377231     Owner:  NLM     Status:  In-Data-Review    
Most chronic stroke patients present with difficulty in the manipulation of objects. The aim of this study was to test whether an intensive program of precision grip training could improve hand functioning of patients at more than 6 months after a stroke. This was a cross-over study; hence, at inclusion, the patients were randomly divided into two groups: one group started with the bilateral movement therapy and the other group started with the unilateral movement therapy. The patients were assessed on four separate occasions across a 12-week period: (a) at inclusion in the study, (b) 4 weeks later, immediately before the first rehabilitation session, (c) after 4 weeks of one therapy, and (d) after a further 4 weeks of the other therapy. Ten patients completed two consecutive 4-week sessions (1 h, 3 days/week) of therapy. The therapy comprised unilateral and bilateral repetitive grip-lift task-oriented rehabilitation with rhythmic auditory cueing. The grip-lift force coordination, digital dexterity, manual ability, and the level of satisfaction (with activities and participation) were assessed. A one-way repeated-measure analysis of variance across the four evaluations did not detect any objective improvement in the measured variables after 8 weeks of specific intensive training. Precision grip training was shown to not generate significant improvement in the grip-lift task, digital dexterity, manual ability, or satisfaction in chronic stroke patients.
Delphine Dispa; Thierry Lejeune; Jean-Louis Thonnard
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of rehabilitation research. Internationale Zeitschrift für Rehabilitationsforschung. Revue internationale de recherches de réadaptation     Volume:  36     ISSN:  1473-5660     ISO Abbreviation:  Int J Rehabil Res     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805421     Medline TA:  Int J Rehabil Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  81-7     Citation Subset:  IM    
aInstitute of Neuroscience, Université catholique de Louvain bPhysical Medicine and Rehabilitation Unit, Cliniques universitaires Saint-Luc, Brussels, Belgium.
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