Your doctor should have already analyzed these 36 posts on gloves and 127 posts on hand and 36 on fingers to know exactly how to recover your hand and see if this new one is better. But I bet s/he doesn't have any clue how to recover your hand. This does nothing to address those like me that have dead hand control areas.
Use of a portable assistive glove to facilitate rehabilitation in stroke survivors with severe hand impairment
Treatment options for stroke survivors with severe hand impairment
are limited. Active task practice can be restricted by difficulty in
voluntarily activating finger muscles and interference from involuntary
muscle excitation. We developed a portable, actuated glove-orthosis,
which could be employed to address both issues. We hypothesized that
combining passive cyclical stretching (reducing motoneuronal
hyperexcitability) imposed by the device with active-assisted,
task-oriented training (rehabilitating muscle activation) would improve
upper extremity motor control and task performance post-stroke. Thirteen
participants who experienced a stroke 2-6 months prior to enrollment
completed 15 treatment sessions over 5 weeks. Each session involved
cyclically stretching the long finger flexors (30-min) followed by
active-assisted task-oriented movement practice (60-min). Outcome
measures were completed at 6 intervals: three before and three after
treatment initiation. Overall improvement in post-training scores was
observed across all outcome measures, including the Graded Wolf Motor
Function Test, Action Research Arm Test, and grip and pinch strength
(p≤0.02), except finger extension force. No significant change in
spasticity was observed. Improvement in upper extremity capabilities is
achievable for stroke survivors even with severe hand impairment through
a novel intervention combining passive cyclical stretching and
active-assisted task practice, a paradigm which could be readily
incorporated into the clinic.
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