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Titre : | Three Ways to Improve Arm Function in the Chronic Phase After Stroke by Robotic Priming Combined With Mirror Therapy, Arm Training, and Movement-Oriented Therapy (2023) |
Auteurs : | Yi-chun Li ; Keh-Chung Lin ; Chia-Ling Chen ; Grace Yao ; Ya-ju Chang, ; Ya-yun Lee ; Chien-ting Liu ; Wen-Shiang Chen |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 8, 2023) |
Article en page(s) : | p. 1195-1202 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.02.015 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Amorçage par répétition ; Réadaptation ; Robotique ; Techniques d'exercices physiques ; Thérapie par le miroir pour l'amélioration de la fonction motrice |
Résumé : | Objective To examine the effects of bilateral robotic priming combined with mirror therapy (R-mirr) vs bilateral robotic priming combined with bilateral arm training (R-bilat), relative to the control approach of bilateral robotic priming combined with movement-oriented training (R-mov) in patients with stroke. Design A single-blind, preliminary, randomized controlled trial. Setting Four outpatient rehabilitation settings. Participants Outpatients with stroke and mild to moderate motor impairment (N=63). Interventions Patients received 6 weeks of clinic-based R-mirr, R-bilat, or R-mov for 90 min/d, 3 d/wk, plus a transfer package at home for 5 d/wk. Main Outcome Measures Fugl-Meyer Assessment Upper Extremity subscale (FMA-UE), ABILHAND, and Stroke Impact Scale v3.0 scores before, immediately after, and 3 months after treatment as well as lateral pinch strength and accelerometry before and immediately after treatment. Results The posttest results favored R-mirr over R-bilat and R-mov on the FMA-UE score (P<.05 follow-up analysis revealed that significant improvement in fma-ue score was retained at the r-mirr over r-bilat or r-mov improvements were not observed and on other outcomes. conclusions between-group differences only detected for primary outcome fma-ue. more effective enhancing upper limb motor effect has potential to be maintained months of follow-up.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323001508 |