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Titre : | Effects of a Home-Based Upper Limb Training Program in Patients With Multiple Sclerosis: A Randomized Controlled Trial (2016) |
Auteurs : | Araceli Ortiz-Rubio ; Irene Cabrera-Martos ; Janet Rodríguez Torres |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/12, 2016) |
Article en page(s) : | pp. 20272033 |
Note générale : | https://doi.org/10.1016/j.apmr.2016.05.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Main ; Membre supérieur ; Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Exercise movement techniques ; Techniques d'exercices physiques ; Hand ; Multiple sclerosis ; Upper extremity |
Résumé : |
Objective To evaluate the effects of a home-based upper limb training program on arm function in patients with multiple sclerosis (MS). Additionally, the effects of this program on manual dexterity, handgrip strength, and finger prehension force were analyzed. Design Randomized, single-blind controlled trial. Setting Home based. Participants Patients with a clinical diagnosis of MS acknowledging impaired manual ability (N=37) were randomized into 2 groups. Interventions Patients in the experimental group were included in a supervised home-based upper limb training program for 8 weeks twice a week. Patients in the control group received information in the form of a leaflet with a schedule of upper limb exercise training. Main Outcome Measures The primary outcome measure was arm function (motor functioning assessed using the finger tapping test and a functional measure, the Action Research Arm Test). The secondary outcome measures were manual dexterity assessed with the Purdue Pegboard Test and handgrip strength and finger prehension force evaluated with a handgrip and a pinch dynamometer, respectively. Results After 8 weeks, a significant between-group improvement (P<.05 was found on the action research arm test bilaterally and finger tapping in most affected upper limb. secondary outcomes also improved limb experimental group.> Conclusions An 8-week home-based intervention program focused on upper limbs twice a week improved arm function and physiologic variables with a primary focus on the more affected extremity in patients with MS compared with the control group. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316302556 |