Short-term effectiveness of trunk and bimanual hand training on upper limb motor recovery and function in stroke patients

https://doi.org/10.53730/ijhs.v6nS1.7384

Authors

  • Rajesh Kumar Sahu PhD Scholar, Dept. of Physiotherapy, Nims College of Physiotherapy, Nims University Rajasthan, Jaipur, India
  • Anchit Gugnani Principal & Professor, Dept. of Physiotherapy, Nims College of Physiotherapy, Nims University Rajasthan, Jaipur, India
  • Rahul Ahluwalia Neuro Surgeon, Dept. of Neurosurgery, Suyash Institute of Medical Science, Suyash Hospital, Raipur, Chhattisgarh, India

Keywords:

Bilateral movement training, stroke, Rehabilitation, bimanual hand training, upper limb motor recovery

Abstract

Background: Stroke is a leading cause of motor impairment in adults and the elderly, necessitating appropriate therapies that might aid upper-limb rehabilitation. Upper-limb rehabilitation is difficult limiting the anticipatory core action using trunk-restraints could be an important factor to consider during Physiotherapy for stroke individuals with upper-arm disability. Different approaches, such as the use of exergames in motor rehabilitation and balance, are being used because they work as motivators, making therapy more enjoyable. Aim: To assess the effects of trunk-restraint reach-to-grasp therapy on trunk arm control following a stroke. The goal of this research was to see how trunk and bimanual hand training affected patients' balance and upper-limb motor function following a stroke. Method: In this work, an experimental design was employed on a randomised control group of 62 stroke patients selected by simple randomization. The research was carried out from September 2020, to august 2021. The Fugl-Meyer Upper Extremity (FMUE) Scale, Modified Ashworth Scale, and the interviewing questionnaire were all employed in this investigation. Results: For the study and control groups, most of the groups that were examined (95.0 percent and 90.0 percent, respectively) had an ischemic stroke.

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References

Rohatgi S. Constraint-induced movement therapy is a potential treatment for improving upper limb function in stroke patients. Medical Journal of Dr. DY Patil Vidyapeeth. 2019 Mar 1;12(2):184.

Adukia SA, Ruhatiya RS, Jain GN. Is India ready to be “stroke ready”? An appraisal of our stroke preparedness. Medical Journal of Dr. DY Patil Vidyapeeth. 2020 Sep 1;13(5):431.

Trialists’Collaboration SU. Organised inpatient (stroke unit) care for stroke (Cochrane Review). Cochrane Library.

Yavuzer G, Selles R, Sezer N, Sütbeyaz S, Bussmann JB, Köseoğlu F, Atay MB, Stam HJ. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Archives of physical medicine and rehabilitation. 2008 Mar 1;89(3):393-8.

Hussain N, Alt Murphy M, Sunnerhagen KS. Upper limb kinematics in stroke and healthy controls using target-to-target task in virtual reality. Frontiers in neurology. 2018 May 9;9:300.

Taub E, Uswatte G, Mark VW, Morris DM. The learned nonuse phenomenon: implications for rehabilitation. Europa medicophysica. 2006 Sep 1;42(3):241.

Song GB. The effects of task-oriented versus repetitive bilateral arm training on upper limb function and activities of daily living in stroke patients. Journal of physical therapy science. 2015;27(5):1353-5.

Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, van Wijck F. Interventions for improving upper limb function after stroke. Cochrane Database of Systematic Reviews. 2014(11).

Vanbellingen T, Filius SJ, Nyffeler T, Van Wegen EE. Usability of videogame-based dexterity training in the early rehabilitation phase of stroke patients: a pilot study. Frontiers in neurology. 2017 Dec 8;8:654.

Hubbard IJ, Carey LM, Budd TW, Levi C, McElduff P, Hudson S, Bateman G, Parsons MW. A randomized controlled trial of the effect of early upper-limb training on stroke recovery and brain activation. Neurorehabilitation and neural repair. 2015 Sep;29(8):703-13.

Bassolino M, Sandini G, Pozzo T. Activating the motor system through action observation: is this an efficient approach in adults and children?. Developmental Medicine & Child Neurology. 2015 Apr;57:42-5.

Hayward K, Barker R, Brauer S. Interventions to promote upper limb recovery in stroke survivors with severe paresis: a systematic review. Disability and rehabilitation. 2010 Jan 1;32(24):1973-86.

Zhang C, Li-Tsang CW, Au RK. Robotic approaches for the rehabilitation of upper limb recovery after stroke: a systematic review and meta-analysis. International Journal of Rehabilitation Research. 2017 Mar 1;40(1):19-28.

Santisteban L, Térémetz M, Bleton JP, Baron JC, Maier MA, Lindberg PG. Upper limb outcome measures used in stroke rehabilitation studies: a systematic literature review. PloS one. 2016 May 6;11(5):e0154792.

Krassioukov A, Warburton DE, Teasell R, Eng JJ, Spinal Cord Injury Rehabilitation Evidence Research Team. A systematic review of the management of autonomic dysreflexia after spinal cord injury. Archives of physical medicine and rehabilitation. 2009 Apr 1;90(4):682-95.

Bernhardt J, Hayward KS, Kwakkel G, Ward NS, Wolf SL, Borschmann K, Krakauer JW, Boyd LA, Carmichael ST, Corbett D, Cramer SC. Agreed definitions and a shared vision for new standards in stroke recovery research: the stroke recovery and rehabilitation roundtable taskforce. International Journal of Stroke. 2017 Jul;12(5):444-50.

Alt Murphy M, Häger CK. Kinematic analysis of the upper extremity after stroke–how far have we reached and what have we grasped?. Physical Therapy Reviews. 2015 Jun 1;20(3):137-55.

Levin MF, Kleim JA, Wolf SL. What do motor “recovery” and “compensation” mean in patients following stroke?. Neurorehabilitation and neural repair. 2009 May;23(4):313-9.

Kwakkel G, Lannin NA, Borschmann K, English C, Ali M, Churilov L, Saposnik G, Winstein C, Van Wegen EE, Wolf SL, Krakauer JW. Standardized measurement of sensorimotor recovery in stroke trials: consensus-based core recommendations from the stroke recovery and rehabilitation roundtable. Neurorehabilitation and neural repair. 2017 Sep;31(9):784-92.

Demers M, Levin MF. Do activity level outcome measures commonly used in neurological practice assess upper-limb movement quality?. Neurorehabilitation and neural repair. 2017 Jul;31(7):623-37.

Bohannon RW. Muscle strength and muscle training after stroke. Journal of rehabilitation Medicine. 2007 Jan 5;39(1):14-20.

Meyer S, De Bruyn N, Lafosse C, Van Dijk M, Michielsen M, Thijs L, Truyens V, Oostra K, Krumlinde-Sundholm L, Peeters A, Thijs V. Somatosensory impairments in the upper limb poststroke: distribution and association with motor function and visuospatial neglect. Neurorehabilitation and neural repair. 2016 Sep;30(8):731-42.

Bastola P, Singh P, Pinto D. A Comparison of the effect of resistance training on upper extremity motor function, motor recovery, and quality of life in sub-acute stroke participants. Medical Journal of Dr. DY Patil Vidyapeeth. 2021 Mar 1;14(2):219.

Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. The Lancet Neurology. 2009 Aug 1;8(8):741-54.

Meng G, Meng X, Tan Y, Yu J, Jin A, Zhao Y, Liu X. Short-term efficacy of hand-arm bimanual intensive training on upper arm function in acute stroke patients: a randomized controlled trial. Frontiers in neurology. 2018 Jan 19;8:726.

Hsieh YW, Lin KC, Horng YS, Wu CY, Wu TC, Ku FL. Sequential combination of robot-assisted therapy and constraint-induced therapy in stroke rehabilitation: a randomized controlled trial. Journal of neurology. 2014 May;261(5):1037-45.

Hoonhorst MH, Nijland RH, Van Den Berg JS, Emmelot CH, Kollen BJ, Kwakkel G. How do Fugl-Meyer arm motor scores relate to dexterity according to the action research arm test at 6 months poststroke?. Archives of physical medicine and rehabilitation. 2015 Oct 1;96(10):1845-9.

El-Helow MR, Zamzam ML, Fathalla MM, El-Badawy MA, El Nahhas N, El-Nabil LM, Awad MR, Von Wild K. Efficacy of modified constraint-induced movement therapy in acute stroke. Eur J Phys Rehabil Med. 2015 Aug 1;51(4):371-9.

Chun KS, Lee YT, Park JW, Lee JY, Park CH, Yoon KJ. Comparison of diffusion tensor tractography and motor evoked potentials for the estimation of clinical status in subacute stroke. Annals of Rehabilitation Medicine. 2016 Feb;40(1):126.

Cakar E, Akyuz G, Durmus O, Bayman L, Yagci I, Karadag-Saygi E, Gunduz OH. The relationships of motor-evoked potentials to hand dexterity, motor function, and spasticity in chronic stroke patients: a transcranial magnetic stimulation study. Acta NeurologicaBelgica. 2016 Dec;116(4):481-7.

Levin MF, Michaelsen SM, Cirstea CM, Roby-Brami A. Use of the trunk for reaching targets placed within and beyond the reach in adult hemiparesis. Experimental brain research. 2002 Mar;143(2):171-80.

Kim CM, Eng JJ, MacIntyre DL, Dawson AS. Effects of isokinetic strength training on walking in persons with stroke: a double-blind controlled pilot study. Journal of Stroke and Cerebrovascular Diseases. 2001 Nov 1;10(6):265-73.

Saunders DH, Greig CA, Mead GE. Physical activity and exercise after stroke: review of multiple meaningful benefits. Stroke. 2014 Dec;45(12):3742-7.

Published

15-05-2022

How to Cite

Sahu, R. K., Gugnani, A., & Ahluwalia, R. (2022). Short-term effectiveness of trunk and bimanual hand training on upper limb motor recovery and function in stroke patients. International Journal of Health Sciences, 6(S1), 10058–10071. https://doi.org/10.53730/ijhs.v6nS1.7384

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Section

Peer Review Articles