http://www.jnsbm.org/article.asp?issn=0976-9668;year=2017;volume=8;issue=1;spage=75;epage=81;aulast=Kumar
K Vijaya Kumar1, Abraham M Joshua2, Rakshith Kedambadi3, P Prasanna Mithra4
1 Department of Physiotherapy, Center for Basic Sciences, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India
2 Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India
3 Department of Neurology, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India
4 Department of Community Medicine, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India
| Date of Web Publication | 13-Jan-2017 |
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K Vijaya Kumar
Department of Physiotherapy, Center for Basic Sciences, Kasturba Medical College, Manipal University, Mangaluru, Karnataka
India
Source of Support: None, Conflict of Interest: None
DOI: 10.4103/0976-9668.198357
 Abstract |
Background:
Eclectic treatment method is a flexible approach that uses techniques
drawn from various schools of thought involving several treatment
methods and allows the therapist to adapt to each client's individual
needs. Wider application for eclectic approach is however limited in
stroke rehabilitation.
Aim: The objective is to find out whether eclectic approach improves upper extremity (UE) functional recovery in acute stroke rehabilitation.
Methodology: Twenty-five postacute unilateral supratentorial stroke subjects recruited from tertiary care hospitals recovered with Stage 2–5 in Brunnstorm stage of UE motor recovery (BRS-UE) underwent 45 min of eclectic approach for UE every day involving seven different treatment methods (5 min for each method) for 6 days consecutively. The outcome was UE subscale of the Fugl-Meyer Motor test (UE-FM), UE subscale of the Stroke Rehabilitation Assessment of Movement (UE-STREAM), Wolf Motor Function test (WMFT-FAS), and Stroke Impact Scale-16 (SIS-16) was collected at the end of the sixth session.
Results: All the participants showed significant improvement in all the outcome measures. The Stage 2 and 3 subjects showed UE-STREAM (P = 0.007) WMFT-FAS (P < 0.001), SIS (P = 0.023) respectively and for Stage 4 and 5 the subjects have shown UE FM (P < 0.001), WMFT-FAS (P < 0.001), SIS (P = 0.004) with large magnitude of treatment effect for all stages of BRS-UE. Conclusion: Our study findings are in favor of integrating eclectic approach than single intervention/approach in clinical practice to improve the UE functional recovery for motor rehabilitation when the stroke occurs.
Aim: The objective is to find out whether eclectic approach improves upper extremity (UE) functional recovery in acute stroke rehabilitation.
Methodology: Twenty-five postacute unilateral supratentorial stroke subjects recruited from tertiary care hospitals recovered with Stage 2–5 in Brunnstorm stage of UE motor recovery (BRS-UE) underwent 45 min of eclectic approach for UE every day involving seven different treatment methods (5 min for each method) for 6 days consecutively. The outcome was UE subscale of the Fugl-Meyer Motor test (UE-FM), UE subscale of the Stroke Rehabilitation Assessment of Movement (UE-STREAM), Wolf Motor Function test (WMFT-FAS), and Stroke Impact Scale-16 (SIS-16) was collected at the end of the sixth session.
Results: All the participants showed significant improvement in all the outcome measures. The Stage 2 and 3 subjects showed UE-STREAM (P = 0.007) WMFT-FAS (P < 0.001), SIS (P = 0.023) respectively and for Stage 4 and 5 the subjects have shown UE FM (P < 0.001), WMFT-FAS (P < 0.001), SIS (P = 0.004) with large magnitude of treatment effect for all stages of BRS-UE. Conclusion: Our study findings are in favor of integrating eclectic approach than single intervention/approach in clinical practice to improve the UE functional recovery for motor rehabilitation when the stroke occurs.
Keywords: Eclectic approach, stroke, upper extremity interventions
| How to cite this article: Kumar K V, Joshua AM, Kedambadi R, Mithra P P. Eclectic/mixed model method for upper extremity functional recovery in stroke rehabilitation: A pilot study. J Nat Sc Biol Med 2017;8:75-81 |
| How to cite this URL: Kumar K V, Joshua AM, Kedambadi R, Mithra P P. Eclectic/mixed model method for upper extremity functional recovery in stroke rehabilitation: A pilot study. J Nat Sc Biol Med [serial online] 2017 [cited 2017 Jan 19];8:75-81. Available from: http://www.jnsbm.org/text.asp?2017/8/1/75/198357 |
Focusing exclusively on the hand for 35 minutes (5x7) in every treatment session rather than treating the arm and trunk or teaching compensation is an alternative explanation.
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