Hand focused upper extremity rehabilitation in the subacute phase post-stroke using interactive virtual environments

Notice the extra 10 hours of intensive training vs. usual training, not a valid comparison.

 Hand focused upper extremity rehabilitation in the subacute phase post-stroke using interactive virtual environments

Frontiers in Neurology , Volume 11

NARIC Accession Number: J85886.  What's this?
ISSN: 1664-2295.
Author(s): Merians, Alma S. ; Fluet, Gerard G. ; Qiu, Qinyin ; Yarossi, Mathew ; Patel, Jigna ; Mont, Ashley J. ; Saleh, Soha ; Nolan, Karen J. ; Barrett, AM ; Tunik, Eugene ; Adamovich, Sergei V. .
Project Number: 90RE5021.
Publication Year: 2020.
Number of Pages: 13.

Abstract: 

Article presents the protocol for a study designed to empirically test dosing and timing of rehabilitation interventions. Specifically, the study will assess both the value of intensive, high-dosage training as well as the optimal timing of robotic/virtual reality upper-limb motor training, focusing on the hand, in the first 2 months after stroke. In this single-blinded, interventional study, subjects will be stratified on two dimensions, impairment level (Fugl-Meyer Upper Extremity Assessment) and presence or absence of motor evoked potentials. Stratified block randomization will then be used to achieve a balanced assignment. The early-therapy experimental group will receive in-patient usual care therapy plus an extra 10 hours of intensive upper-extremity therapy focusing on the hand using robotically facilitated rehabilitation interventions presented in virtual environments and initiated 5-30 days post stroke. The delayed-therapy experimental group will receive the same intervention but initiated 30-60 days post stroke. The usual-care group will receive the usual amount of physical/occupational therapy. The dose-matched usual-care group will receive an extra 10 hours of usual care initiated 5-30 days post stroke. The study uses clinical, neurophysiological, and kinematic/kinetic measures, plus measures of daily arm use and quality of life. The primary outcome measure is the Action Research Arm Test, measured at 4 months post stroke. Outcome measures will be assessed to determine whether there is an early time-period in which rehabilitation will be most effective, and whether there is a difference in the recapture of premorbid patterns of movement vs. the development of an efficient, but compensatory movement strategy.
Descriptor Terms: BODY MOVEMENT, COMPUTER APPLICATIONS, DEXTERITY, EARLY INTERVENTION, ELECTROPHYSIOLOGY, LIMBS, MOTOR SKILLS, REHABILITATION SERVICES, ROBOTICS, SERVICE DELIVERY, STROKE.


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Get this Document: https://www.frontiersin.org/articles/10.3389/fneur.2020.573642/full.

Citation: Merians, Alma S. , Fluet, Gerard G. , Qiu, Qinyin , Yarossi, Mathew , Patel, Jigna , Mont, Ashley J. , Saleh, Soha , Nolan, Karen J. , Barrett, AM , Tunik, Eugene , Adamovich, Sergei V. . (2020). Hand focused upper extremity rehabilitation in the subacute phase post-stroke using interactive virtual environments.  Frontiers in Neurology , 11 Retrieved 4/23/2021, from REHABDATA database.