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A 1 year follow-up after shortened constraint induced movement therapy with and without mitt poststroke / C. Brogardh in Archives of Physical Medicine and Rehabilitation, 2010/3 (2010)
Titre : Accelerometer Measurements Indicate That Arm Movements of Children With Cerebral Palsy Do Not Increase After Constraint-Induced Movement Therapy (CIMT). Type de document : Article Auteurs : Briana M. Goodwin ; Emily K. Sabelhaus ; Ying-Chun Pan ; Kristie F. Bjornson ; Kelly L. Pham ; William O. Walker ; Katherine M. Steele Année de publication : 2020 Article en page(s) : p. 1-9 Note générale : doi:10.5014/ajot.2020.040246 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Mouvement du corps ; Paralysie cérébrale ; Réadaptation ; ThérapeutiqueMots-clés : Thérapie par le mouvement induit par la contrainte kinésithérapie par contrainte Résumé : Importance: Constraint-induced movement therapy (CIMT) is a common treatment for children with unilateral cerebral palsy (CP). Although clinic-based assessments have demonstrated improvements in arm function after CIMT, whether these changes are translated and sustained outside of a clinic setting remains unclear.
Objective: Accelerometers were used to quantify arm movement for children with CP 1 wk before, during, and 4 wk or more after CIMT; measurements were compared with those from typically developing (TD) peers.
Design: Observational.
Setting: Tertiary hospital and community.
Participants: Seven children with CP (5 boys, 2 girls; average [AVE] age ± standard deviation [SD] = 7.4 ± 1.2 yr) and 7 TD peers (2 boys, 5 girls; AVE age ± SD = 7.0 ± 2.3 yr). Intervention: 30-hr CIMT protocol.
Outcomes and Measures: Use ratio, magnitude ratio, and bilateral magnitude were calculated from the accelerometer data. Clinical measures were administered before and after CIMT, and parent surveys assessed parent and child perceptions of wearing accelerometers.
Results: During CIMT, the frequency and magnitude of paretic arm use among children with CP increased in the clinic and in daily life. After CIMT, although clinical scores showed sustained improvement, the children's accelerometry data reverted to baseline values. Children and parents in both cohorts had positive perceptions of accelerometer use.
Conclusions and Relevance: The lack of sustained improvement in accelerometry metrics after CIMT suggests that therapy gains did not translate to increased movement outside the clinic. Additional therapy may be needed to help transfer gains outside the clinic.
What This Article Adds: Accelerometer measurements were effective at monitoring arm movement outside of the clinic during CIMT and suggested that additional interventions may be needed after CIMT to sustain benefits.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259395
in American journal of occupational therapy > Vol. 74, n° 5 (September/October 2020) . - p. 1-9[article] Accelerometer Measurements Indicate That Arm Movements of Children With Cerebral Palsy Do Not Increase After Constraint-Induced Movement Therapy (CIMT). [Article] / Briana M. Goodwin ; Emily K. Sabelhaus ; Ying-Chun Pan ; Kristie F. Bjornson ; Kelly L. Pham ; William O. Walker ; Katherine M. Steele . - 2020 . - p. 1-9.
doi:10.5014/ajot.2020.040246
Langues : Anglais (eng)
in American journal of occupational therapy > Vol. 74, n° 5 (September/October 2020) . - p. 1-9
Descripteurs : HE Vinci
Membre supérieur ; Mouvement du corps ; Paralysie cérébrale ; Réadaptation ; ThérapeutiqueMots-clés : Thérapie par le mouvement induit par la contrainte kinésithérapie par contrainte Résumé : Importance: Constraint-induced movement therapy (CIMT) is a common treatment for children with unilateral cerebral palsy (CP). Although clinic-based assessments have demonstrated improvements in arm function after CIMT, whether these changes are translated and sustained outside of a clinic setting remains unclear.
Objective: Accelerometers were used to quantify arm movement for children with CP 1 wk before, during, and 4 wk or more after CIMT; measurements were compared with those from typically developing (TD) peers.
Design: Observational.
Setting: Tertiary hospital and community.
Participants: Seven children with CP (5 boys, 2 girls; average [AVE] age ± standard deviation [SD] = 7.4 ± 1.2 yr) and 7 TD peers (2 boys, 5 girls; AVE age ± SD = 7.0 ± 2.3 yr). Intervention: 30-hr CIMT protocol.
Outcomes and Measures: Use ratio, magnitude ratio, and bilateral magnitude were calculated from the accelerometer data. Clinical measures were administered before and after CIMT, and parent surveys assessed parent and child perceptions of wearing accelerometers.
Results: During CIMT, the frequency and magnitude of paretic arm use among children with CP increased in the clinic and in daily life. After CIMT, although clinical scores showed sustained improvement, the children's accelerometry data reverted to baseline values. Children and parents in both cohorts had positive perceptions of accelerometer use.
Conclusions and Relevance: The lack of sustained improvement in accelerometry metrics after CIMT suggests that therapy gains did not translate to increased movement outside the clinic. Additional therapy may be needed to help transfer gains outside the clinic.
What This Article Adds: Accelerometer measurements were effective at monitoring arm movement outside of the clinic during CIMT and suggested that additional interventions may be needed after CIMT to sustain benefits.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259395
Titre : Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study Type de document : Article Auteurs : Enrique V. Smith-Forbes ; Dana M. Howell ; Jason Willoughby Article en page(s) : pp. 1262–1268 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Observance par le patient ; Recherche qualitative ; Rééducation et réadaptationMots-clés : Patient satisfaction Satisfaction du patient Qualitative research Upper extremity Résumé : Objective
To describe the rehabilitation experiences, expectations, and treatment adherence of patients receiving upper extremity (UE) rehabilitation who demonstrated discrepancy between functional gains and overall improvement.
Design
Qualitative (phenomenologic) interviews and analysis.
Setting
Outpatient UE rehabilitation.
Participants
Patients with acute UE injuries (N=10).
Interventions
Not applicable.
Main Outcome Measure
Concerns related to UE rehabilitation patients demonstrating discrepancy between outcome measures.
Results
Five key themes emerged from the interviews of patients demonstrating discrepancy in their self-reported patient outcomes: (1) desire to return to normal, (2) initial anticipation of brief recovery, (3) trust of therapist, (4) cannot stop living, and (5) feelings of ambivalence. Challenges included living with the desire to move back into life. Multiple factors affected patient adherence: cost of treatment, patient-provider relation (difference between therapist and patient understanding on what is important for treatment), and patients expecting the treating therapists to be an expert and fix their problem.
Conclusions
Patient adherence to UE rehabilitation presents many challenges. Patients view themselves as laypersons and seek the knowledge of a dedicated therapist who they trust to spend time with them to understand what they value as important and clarify their injury, collaboratively make goals, and explain the intervention to get them in essence, back into life, in the minimal required time. When categorized according to the World Health Organization's multidimensional adherence model, domains identified in this model include social and economic, health care team and system, condition-related, therapy-related, and patient-related dimensions. Assessing factors identified to improve efficiency and effectiveness of clinical management can enhance patient adherence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117986
in Archives of Physical Medicine and Rehabilitation > 2016/8 (2016) . - pp. 1262–1268[article] Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study [Article] / Enrique V. Smith-Forbes ; Dana M. Howell ; Jason Willoughby . - pp. 1262–1268.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2016/8 (2016) . - pp. 1262–1268
Descripteurs : HE Vinci
Membre supérieur ; Observance par le patient ; Recherche qualitative ; Rééducation et réadaptationMots-clés : Patient satisfaction Satisfaction du patient Qualitative research Upper extremity Résumé : Objective
To describe the rehabilitation experiences, expectations, and treatment adherence of patients receiving upper extremity (UE) rehabilitation who demonstrated discrepancy between functional gains and overall improvement.
Design
Qualitative (phenomenologic) interviews and analysis.
Setting
Outpatient UE rehabilitation.
Participants
Patients with acute UE injuries (N=10).
Interventions
Not applicable.
Main Outcome Measure
Concerns related to UE rehabilitation patients demonstrating discrepancy between outcome measures.
Results
Five key themes emerged from the interviews of patients demonstrating discrepancy in their self-reported patient outcomes: (1) desire to return to normal, (2) initial anticipation of brief recovery, (3) trust of therapist, (4) cannot stop living, and (5) feelings of ambivalence. Challenges included living with the desire to move back into life. Multiple factors affected patient adherence: cost of treatment, patient-provider relation (difference between therapist and patient understanding on what is important for treatment), and patients expecting the treating therapists to be an expert and fix their problem.
Conclusions
Patient adherence to UE rehabilitation presents many challenges. Patients view themselves as laypersons and seek the knowledge of a dedicated therapist who they trust to spend time with them to understand what they value as important and clarify their injury, collaboratively make goals, and explain the intervention to get them in essence, back into life, in the minimal required time. When categorized according to the World Health Organization's multidimensional adherence model, domains identified in this model include social and economic, health care team and system, condition-related, therapy-related, and patient-related dimensions. Assessing factors identified to improve efficiency and effectiveness of clinical management can enhance patient adherence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117986
Titre : The Adult Assisting Hand Assessment Stroke: Psychometric Properties of an Observation-Based Bimanual Upper Limb Performance Measurement Type de document : Article Auteurs : Annick Van Gils ; Sarah Meyer ; Margaretha Van Dijk Article en page(s) : p. 2513-2522 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Membre supérieur ; Rééducation et réadaptationMots-clés : Outcome Assessment (Health Care) Stroke Task Performance and Analysis Analyse et exécution des tâches Upper extremity Résumé : Objective
To investigate interrater and intrarater reliability, measurement error, and convergent and discriminative validity of the Adult Assisting Hand Assessment Stroke (Ad-AHA Stroke).
Design
Cross-sectional observational study.
Setting
A total of 7 stroke rehabilitation centers.
Participants
Stroke survivors (reliability sample: n=30; validity sample: N=118) were included (median age 67y; interquartile range [IQR], 59-76); median time poststroke 81 days (IQR 57-117).
Interventions
N/A.
Main Outcome Measures
Ad-AHA Stroke, Action Research Arm Test (ARAT), upper extremity Fugl-Meyer Assessment (UE-FMA). The Ad-AHA Stroke is an observation-based instrument assessing the effectiveness of the spontaneous use of the affected hand when performing bimanual activities in adults poststroke. Reliability of Ad-AHA Stroke was examined using intraclass correlation coefficients (ICCs), Bland–Altman plots, and weighted kappa statistics for reliability on item level. SEM was calculated based on Ad-AHA units. Convergent validity was assessed by calculating Spearman rank correlation coefficients between Ad-AHA Stroke and ARA test and UE-FMA. Comparison of Ad-AHA Stroke scores between subgroups of patients according to hand dominance, neglect, and age evaluated discriminative validity.
Results
Intrarater and interrater agreement showed an ICC of 0.99 (95% confidence interval, 0.99-0.99), an SEM of 2.15 and 1.64 out of 100, respectively, and weighted kappa for item scores were all above 0.79. The relation between Ad-AHA and other clinical assessments was strong (ρ=0.9). Patients with neglect had significantly lower Ad-AHA scores compared to patients without neglect (P=.004).
Conclusions
The Ad-AHA Stroke captures actual bimanual performance. Therefore, it provides an additional aspect of upper limb assessment with good to excellent reliability and low SEM for patients with subacute stroke. High convergent validity with the ARA test and UE-FMA and discriminative validity were supported.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119110
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2513-2522[article] The Adult Assisting Hand Assessment Stroke: Psychometric Properties of an Observation-Based Bimanual Upper Limb Performance Measurement [Article] / Annick Van Gils ; Sarah Meyer ; Margaretha Van Dijk . - p. 2513-2522.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2513-2522
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Membre supérieur ; Rééducation et réadaptationMots-clés : Outcome Assessment (Health Care) Stroke Task Performance and Analysis Analyse et exécution des tâches Upper extremity Résumé : Objective
To investigate interrater and intrarater reliability, measurement error, and convergent and discriminative validity of the Adult Assisting Hand Assessment Stroke (Ad-AHA Stroke).
Design
Cross-sectional observational study.
Setting
A total of 7 stroke rehabilitation centers.
Participants
Stroke survivors (reliability sample: n=30; validity sample: N=118) were included (median age 67y; interquartile range [IQR], 59-76); median time poststroke 81 days (IQR 57-117).
Interventions
N/A.
Main Outcome Measures
Ad-AHA Stroke, Action Research Arm Test (ARAT), upper extremity Fugl-Meyer Assessment (UE-FMA). The Ad-AHA Stroke is an observation-based instrument assessing the effectiveness of the spontaneous use of the affected hand when performing bimanual activities in adults poststroke. Reliability of Ad-AHA Stroke was examined using intraclass correlation coefficients (ICCs), Bland–Altman plots, and weighted kappa statistics for reliability on item level. SEM was calculated based on Ad-AHA units. Convergent validity was assessed by calculating Spearman rank correlation coefficients between Ad-AHA Stroke and ARA test and UE-FMA. Comparison of Ad-AHA Stroke scores between subgroups of patients according to hand dominance, neglect, and age evaluated discriminative validity.
Results
Intrarater and interrater agreement showed an ICC of 0.99 (95% confidence interval, 0.99-0.99), an SEM of 2.15 and 1.64 out of 100, respectively, and weighted kappa for item scores were all above 0.79. The relation between Ad-AHA and other clinical assessments was strong (ρ=0.9). Patients with neglect had significantly lower Ad-AHA scores compared to patients without neglect (P=.004).
Conclusions
The Ad-AHA Stroke captures actual bimanual performance. Therefore, it provides an additional aspect of upper limb assessment with good to excellent reliability and low SEM for patients with subacute stroke. High convergent validity with the ARA test and UE-FMA and discriminative validity were supported.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119110
Titre : An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial Type de document : Article Auteurs : Liam Johnson ; Marie-Louise Bird ; Makii Muthalib Année de publication : 2020 Article en page(s) : p. 1131-1137 Note générale : https://doi.org/10.1016/j.apmr.2020.03.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Membre supérieur ; Réalité de synthèse ; TechnologieRésumé : Objective
To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors.
Design
Assessor-blinded randomized controlled trial.
Setting
Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting.
Participants
Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex.
Interventions
Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System.
Main Outcome Measures
Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study.
Results
Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported.
Conclusions
We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=256437
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 7 (2020) . - p. 1131-1137[article] An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial [Article] / Liam Johnson ; Marie-Louise Bird ; Makii Muthalib . - 2020 . - p. 1131-1137.
https://doi.org/10.1016/j.apmr.2020.03.011
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 7 (2020) . - p. 1131-1137
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Membre supérieur ; Réalité de synthèse ; TechnologieRésumé : Objective
To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors.
Design
Assessor-blinded randomized controlled trial.
Setting
Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting.
Participants
Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex.
Interventions
Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System.
Main Outcome Measures
Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study.
Results
Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported.
Conclusions
We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=256437 Analyse biomécanique des transferts réalisés seul par le sujet paraplégique / Marie-Christine Da Silva (2014)
PermalinkAnatomie de l'appareil locomoteur. Tome 2 : membre supérieur / M. Dufour (2002)
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