Journal articles on the topic 'Motor abilities rehabilitation'
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1
D’Imperio, Daniela, Zaira Romeo, Lorenza Maistrello, Eugenia Durgoni, Camilla Della Pietà, Michele De Filippo De Grazia, Francesca Meneghello, Andrea Turolla, and Marco Zorzi. "Sensorimotor, Attentional, and Neuroanatomical Predictors of Upper Limb Motor Deficits and Rehabilitation Outcome after Stroke." Neural Plasticity 2021 (April 1, 2021): 1–12. http://dx.doi.org/10.1155/2021/8845685.
Abstract:
The rehabilitation of motor deficits following stroke relies on both sensorimotor and cognitive abilities, thereby involving large-scale brain networks. However, few studies have investigated the integration between motor and cognitive domains, as well as its neuroanatomical basis. In this retrospective study, upper limb motor responsiveness to technology-based rehabilitation was examined in a sample of 29 stroke patients (18 with right and 11 with left brain damage). Pretreatment sensorimotor and attentional abilities were found to influence motor recovery. Training responsiveness increased as a function of the severity of motor deficits, whereas spared attentional abilities, especially visuospatial attention, supported motor improvements. Neuroanatomical analysis of structural lesions and white matter disconnections showed that the poststroke motor performance was associated with putamen, insula, corticospinal tract, and frontoparietal connectivity. Motor rehabilitation outcome was mainly associated with the superior longitudinal fasciculus and partial involvement of the corpus callosum. The latter findings support the hypothesis that motor recovery engages large-scale brain networks that involve cognitive abilities and provides insight into stroke rehabilitation strategies.
2
Reid, Denise. "A Neo-Piagetian Analysis of Infants' Visual-Motor Abilities." Occupational Therapy Journal of Research 9, no. 5 (September 1989): 287–304. http://dx.doi.org/10.1177/153944928900900503.
Abstract:
Visual-motor abilities in infants were investigated within a neo-Piagetian framework of development. Case's (1985) theory of intellectual development provided the conceptual base for this study. The study's objective was to establish whether development in the motor domain proceeds in a stagelike fashion. This aim was addressed by (a) the development of a model that suggested how the structural changes, as specified by Case's theory, might manifest themselves in the subdomain of the use of an object to execute a simple motor response and (b) the measurement of infants' performances on a set of newly constructed tasks designed to assess the sequence of changes in cognitive operations. Forty children, aged 4 to 18 months, were tested. Subjects were classified by age into one of four groups corresponding to the substages of the sensorimotor stage postulated by the theory. The general hypothesis that children's visual-motor abilities would proceed through four substages was supported. The individual pattern of performance across substages yielded a perfect Guttman scale (Guttman, 1950). Analysis of variance indicated no significant deviation from linearity for any group, no sex effects, and no Sex × Age interactions, as predicted. This study suggests that a cognitive developmental approach can provide a more complete understanding of visual-motor abilities in children, because it can explain recurrent cycles in development and, given an appropriate task analysis, predict the skill level of a child at a given age. The implications for future research are also discussed.
3
Beretta, Elena, Ambra Cesareo, Cristina Maghini, Anna C. Turconi, Gianluigi Reni, Sandra Strazzer, and Emilia Biffi. "An Immersive Virtual Reality Platform to Enhance Walking Ability of Children with Acquired Brain Injuries." Methods of Information in Medicine 56, no. 02 (2017): 119–26. http://dx.doi.org/10.3414/me16-02-0020.
Abstract:
SummaryBackground: Acquired brain injury (ABI) may result in lifelong impairment of physical, cognitive, and psychosocial functions. Several rehabilitative treatments are often needed to support walking recovery, thus participants’ engagement becomes a crucial aspect, especially when patients are children. In the last few years, traditional physiotherapy (PT) has been flanked by innovative technologies for rehabilitation in the fields of robotics and Virtual Reality (VR). Preliminary results have shown interesting perspectives in the use of a VR system, the GRAIL (Gait Real-time Analysis Interactive Lab), in improving walking abilities in a small group of children with ABI, although further insights are needed about its use as rehabilitative tool in the pediatric population.Objectives: To evaluate the efficacy of a rehabilitation treatment on a GRAIL system for the improvement of walking abilities, in a group of children suffering from ABI.Methods: 12 children with ABI (study group – SG; mean age = 12.1 ± 3.8 years old) underwent a 10-session treatment with the GRAIL, an instrumented multi-sensor platform based on immersive VR for gait training and rehabilitation in engaging VR environments. Before (T0) and at the end of the treatment (T1), the participants were assessed by means of functional scales (Gross Motor Function Measure (GMFM), Functional Assessment Questionnaire (FAQ), 6-Minute Walk Test (6minWT) and the 3D-Gait Analysis, over ground (OGA) and on GRAIL (GGA).Results: All the participants completed the rehabilitative treatment. The functional evaluations showed an improvement in Gross Motor abilities (GMFM-88, p = 0.008), especially in standing (GMFM-D, p = 0.007) and walking (GMFM-E, p = 0.005), an increase of the endurance (6minWT, p = 0.002), and enhanced autonomy in daily life activities (FAQ, p = 0.025). OGA identified a significant decrease of the Gillette Gait Index for the impaired side and a general increase of symmetry. GGA showed improvements in spatiotemporal parameters and joints range of motion that moved towards normality and symmetry recovery.Conclusions: A 10-session treatment with GRAIL on children with ABI led to improvements in their walking abilities and enhanced their engagement during the training. This is desirable when long life impairments are faced and children’s motor functions have to be regained and it supports the leading role that VR might have in the rehabilitation field.
4
Fasoli, Susan E., Hermano I. Krebs, Mark Ferraro, Neville Hogan, and Bruce T. Volpe. "Does Shorter Rehabilitation Limit Potential Recovery Poststroke?" Neurorehabilitation and Neural Repair 18, no. 2 (June 2004): 88–94. http://dx.doi.org/10.1177/0888439004267434.
Abstract:
Objective. To examine retrospectively the recovery of patients engaged in robotic research during a 6- to 7-week course of inpatient rehabilitation. Because timing of the Interim evaluation at 31/2 weeks was comparable to the present length of inpatient stroke rehabilitation, the authors assessed whether significant gains in motor abilities occurred after the time when most stroke patients today are discharged home. Methods. Fifty-six inpatients with a single, unilateral stroke were randomly assigned to a robot therapy or robot exposure group. Therapists blinded to group assignment administered the Fugl-Meyer, Motor Status Score, and MRC motor power test. Results. Significant improvements in upper-limb motor abilities occurred throughout a period approximately twice the present length of stay in inpatient rehabilitation. However, in the latter half of this period, patients who received conventional therapy showed little improvement, whereas patients who received robot training plus conventional therapy continued to improve. Conclusion. Further opportunities for recovery after stroke are possible by extending intensive therapy beyond present inpatient rehabilitation stays.
5
Corallo, Francesco, Carmela Rifici, and Viviana Lo Buono. "Rehabilitation in atypical neurological disease: a case report." Journal of International Medical Research 50, no. 6 (June 2022): 030006052211020. http://dx.doi.org/10.1177/03000605221102083.
Abstract:
The rehabilitative management of neurological diseases such as Parkinson's disease (PD) and multiple sclerosis (MS) is complex; drug treatment alone is generally insufficient. Multidisciplinary rehabilitation programs can fundamentally contribute to the management of neurological patients and have important positive repercussions on their quality of life. We describe the unusual case of a 70-year-old man with a diagnosis of both MS and PD, who presented with motor and cognitive impairments. He was admitted to our institute for a rehabilitation program. Motor, cognitive, and linguistic abilities were evaluated at admission and 60 days after the multidisciplinary rehabilitation, which included motor exercises, speech therapy, and cognitive interventions. The multidisciplinary rehabilitation improved the patient’s functional status and exerted positive effects on his mood, autonomy in activities of daily life, perception of quality of life, cognitive performance, and speech skills. It is important to find new methods for treating neurological patients to better manage the social and economic implications of neurological disease, and to ensure a long course of treatment and rehabilitation.
6
Young, Susanne Yvette, Martin Kidd, and Soraya Seedat. "Motor Timing Outcome Differences between Patients with Alcohol- and/or Cocaine Use Disorder in a Rehabilitation Program." Timing & Time Perception 7, no. 1 (January 11, 2019): 48–70. http://dx.doi.org/10.1163/22134468-20181137.
Abstract:
Substance Use Disorders (SUD) lead to brain structural and functional deficits associated with cognitive and social functioning in affected individuals and can impact on treatment outcomes. The lack of behavioural autonomy is underpinned by direct reward, high impulsivity and difficulties in planning behaviour. The motor cortex — as part of a neural mechanism accounting for action and intention — plays a fundamental role in complex cognition, motor performance and coordination. The study sample consisted of 74 abstinent patients, aged 18–60 years, diagnosed with alcohol and/or cocaine dependence who were all inpatients at a private treatment programme for drug/alcohol dependence in South Africa. The main questions addressed were whether motor timing abilities would improve over time (as a function of recovery) in patients admitted to a rehabilitation programme for SUD, and if there were between-group differences. Timing abilities in SUD improved with prolonged abstinence. Timing in decision making (cognitive control) did not improve over time, nor did movement coordination. Rhythmic abilities and synchronisation with external events, as well as spatial abilities, improved with prolonged abstinence. The recovery of rhythmic and synchronisation abilities differed between the groups. This study shows for the first time that motor timing abilities can recover significantly with prolonged abstinence with differences in recovery between SUD populations. Improvements in interval timing only (both in time and in space) were observed. Not all motor timing abilities, and not every type of SUD, recovered equally, thereby suggesting that different substances may affect the brain differently with regard to timing abilities. These findings suggest that motor timing should further be investigated in different clinical settings.
7
Chen, Jianan, Yunjia Xia, Xinkai Zhou, Ernesto Vidal Rosas, Alexander Thomas, Rui Loureiro, Robert J. Cooper, Tom Carlson, and Hubin Zhao. "fNIRS-EEG BCIs for Motor Rehabilitation: A Review." Bioengineering 10, no. 12 (December 6, 2023): 1393. http://dx.doi.org/10.3390/bioengineering10121393.
Abstract:
Motor impairment has a profound impact on a significant number of individuals, leading to a substantial demand for rehabilitation services. Through brain–computer interfaces (BCIs), people with severe motor disabilities could have improved communication with others and control appropriately designed robotic prosthetics, so as to (at least partially) restore their motor abilities. BCI plays a pivotal role in promoting smoother communication and interactions between individuals with motor impairments and others. Moreover, they enable the direct control of assistive devices through brain signals. In particular, their most significant potential lies in the realm of motor rehabilitation, where BCIs can offer real-time feedback to assist users in their training and continuously monitor the brain’s state throughout the entire rehabilitation process. Hybridization of different brain-sensing modalities, especially functional near-infrared spectroscopy (fNIRS) and electroencephalography (EEG), has shown great potential in the creation of BCIs for rehabilitating the motor-impaired populations. EEG, as a well-established methodology, can be combined with fNIRS to compensate for the inherent disadvantages and achieve higher temporal and spatial resolution. This paper reviews the recent works in hybrid fNIRS-EEG BCIs for motor rehabilitation, emphasizing the methodologies that utilized motor imagery. An overview of the BCI system and its key components was introduced, followed by an introduction to various devices, strengths and weaknesses of different signal processing techniques, and applications in neuroscience and clinical contexts. The review concludes by discussing the possible challenges and opportunities for future development.
8
Bannink, Femke, Johnny R. J. Fontaine, Richard Idro, and Geert Van Hove. "Cognitive Abilities of Pre- and Primary School Children with Spina Bifida in Uganda." International Journal of Educational Psychology 5, no. 3 (October 24, 2016): 249. http://dx.doi.org/10.17583/ijep.2016.2075.
Abstract:
This study investigates cognitive abilities of pre/primary school children without and with spina bifida in Uganda. Qualitative semi structured interviews and quantitative functioning scales measurements were combined and conducted with 133 parents, 133 children with spina bifida, and 35 siblings. ANCOVA was used to test for differences in cognitive scores between children and siblings. Logistic regression analyses were used to study predictive demographic, impairment specific, and environmental factors of cognitive functioning. Children with spina bifida in Uganda had lower cognitive outcomes compared to their siblings. Cognitive outcomes were predicted by age, household income, motor functioning, and schooling. Better motor functioning was predicted by age, the presence of hydrocephalus, and parental support. Continence management was predicted by parental support and household income. Schooling was predicted by age, household income, and motor functioning. Limited access to neurosurgery and rehabilitative care, and schooling had a negative effect on cognitive functioning. Children of parents who have support had better motor functioning, and continence management. A holistic approach for children with spina bifida and their families, including community based rehabilitation; ensuring social support and livelihoods for parents; and access to health and education services can contribute to better cognitive outcomes.
9
Knežević, Dora. "Motor abilities of children with childhood apraxia of speech." Hrvatska revija za rehabilitacijska istraživanja 58, no. 2 (December 22, 2022): 81–91. http://dx.doi.org/10.31299/hrri.58.2.5.
Abstract:
Previous studies on fine and gross motor skills of children with childhood apraxia of speech (CAS) have reported inconclusive results. In this study, we investigate the motor abilities of children with CAS by focusing on three distinct motor factors: control during movement, fine motor skills/handwriting, and general coordination. Participants included 25 children with CAS and 20 age-matched typically developing (TD) children between the ages of 5 and 7 years. Motor abilities were evaluated using a parent questionnaire - the Croatian version of The Developmental Coordination Disorder Questionnaire (DCDQ-HR). Compared to age-matched TD children, those with CAS showed significantly poorer overall motor ability based on the DCDQ-HR, as well as on all three motor factors: control during movement, fine motor skills/handwriting, and general coordination. Even though their results were worse than TD children, they were still within the range that indicates normal motor abilities. Among the three motor factors considered, children with CAS exhibited significant problems with fine motor skills/handwriting. Children with CAS may not be categorised as children with motor deficits, but they exhibit poor overall motor abilities, especially fine motor skills, compared to TD children. This study supports the premise that co-occurring language impairment is an important variable to consider when discussing motor abilities in CAS.
10
Panasenko, Karina E., Ludmila V. Shinkareva, Tatiana A. Altukhova, Elena A. Nikolaeva, and Elena V. Shatalova. "Study and Assessment of Motor Abilities of Older Children of Pre-school Age With Speech Disorders." Iranian Rehabilitation Journal 21, no. 1 (March 1, 2023): 97–106. http://dx.doi.org/10.32598/irj.21.1.1695.1.
Abstract:
Objectives: The urgency of the given study is in the lack of knowledge of various types of motor abilities of older pre-school children with speech disorders and the need to realize an individually differentiated approach to provide the environment for their development. In the current study, it was tried to identify and assess the level of development of motor abilities in older pre-school children with speech disorders. Methods: The study included 200 older pre-school children, 100 children with a healthy level of speech development, and 100 with a speech disorder in the Belgorod and Belgorod region (Russian Federation). The study looked at scientific sources using motor abilities testing (motor coordination, speed, strength, strength, plasticity, and stamina). Methods of mathematical statistics (student's t-test) using the SPSS software, version 26 were used to calculate the statistic problems. Results: The study and assessment of motor abilities of older pre-school children showed the predominance of an insufficient level of development of motor and coordination abilities in both neurotypical children and those with a language disorder. In both groups, children performed the worse left-hand task (the insufficient level was noted in children with speech disorders in 100% of boys and girls; in the group of children with a healthy level of speech development – in 84.1% of boys and 81.5 % of girls). When performing the right task hand, an insufficient level was noticed in children with speech disorders in 95.5% of boys and 96.4% of girls; in the group of children with a healthy level of speech development–in 77.3% of boys and 74.1% of girls. Diagnosis of other motor abilities states the dominance of the insufficient level only in children with speech disorders: strength abilities (70.5% of boys and 72.3% of girls), speed and strength abilities (68.2 % of boys and 67.9 % of girls), stamina (77.3% of boys and 75% of girls), and plasticity (65.9% of boys and 62.5% of girls). The veracity of the results was confirmed through the student's t-test. The observed differences were statistically significant. Discussion: The obtained findings and assessment of motor abilities confirm developmental lag in older pre-school children with speech disorders. In children, low indicators in the level of development of motor-coordination abilities and stamina prevailed.
11
Feng, Guang, Jiaji Zhang, Guokun Zuo, Maoqin Li, Dexin Jiang, and Lei Yang. "Dual-Modal Hybrid Control for an Upper-Limb Rehabilitation Robot." Machines 10, no. 5 (April 29, 2022): 324. http://dx.doi.org/10.3390/machines10050324.
Abstract:
The recovery treatment of motor dysfunction plays a crucial role in rehabilitation therapy. Rehabilitation robots are partially or fully replacing therapists in assisting patients in exercise by advantage of robot technologies. However, the rehabilitation training system is not yet intelligent enough to provide suitable exercise modes based on the exercise intentions of patients with different motor abilities. In this paper, a dual-modal hybrid self-switching control strategy (DHSS) is proposed to automatically determine the exercise mode of patients, i.e., passive and assistive exercise mode. In this strategy, the potential field method and the ADRC position control are employed to plan trajectories and assist patients’ training. Dual-modal self-switching rules based on the motor and impulse information of patients are presented to identify patients’ motor abilities. Finally, the DHSS assisted five subjects in performing the training with an average deviation error of less than 2 mm in both exercise modes. The experimental results demonstrate that the muscle activation of the subjects differed significantly in different modes. It also verifies that DHSS is reasonable and effective, which helps patients to train independently without therapists.
12
Ackerley, Rochelle, Michael Borich, Calogero Maria Oddo, and Silvio Ionta. "Insights and Perspectives on Sensory-Motor Integration and Rehabilitation." Multisensory Research 29, no. 6-7 (2016): 607–33. http://dx.doi.org/10.1163/22134808-00002530.
Abstract:
The present review focuses on the flow and interaction of somatosensory-motor signals in the central and peripheral nervous system. Specifically, where incoming sensory signals from the periphery are processed and interpreted to initiate behaviors, and how ongoing behaviors produce sensory consequences encoded and used to fine-tune subsequent actions. We describe the structure–function relations of this loop, how these relations can be modeled and aspects of somatosensory-motor rehabilitation. The work reviewed here shows that it is imperative to understand the fundamental mechanisms of the somatosensory-motor system to restore accurate motor abilities and appropriate somatosensory feedback. Knowledge of the salient neural mechanisms of sensory-motor integration has begun to generate innovative approaches to improve rehabilitation training following neurological impairments such as stroke. The present work supports the integration of basic science principles of sensory-motor integration into rehabilitation procedures to create new solutions for sensory-motor disorders.
13
Tseng, Mei Hui, and Elizabeth A. Murray. "Differences in Perceptual-Motor Measures in Children with Good and Poor Handwriting." Occupational Therapy Journal of Research 14, no. 1 (January 1994): 19–36. http://dx.doi.org/10.1177/153944929401400102.
Abstract:
The concept that handwriting is primarily a perceptual-motor act is held by various authors (Chapman & Wedell, 1972; Furner, 1969; Sovick, 1975; Ziviani, Hayes, & Chant, 1990). However, the assumption that poor handwriters would perform less well than good handwriters on perceptual-motor tests has not yet been well researched. The purpose of this study was to examine this assumption as well as the relationship of perceptual-motor abilities to the legibility of handwriting. One hundred forty-three Chinese children in grades 3 through 5 served as subjects. Perceptual-motor tests that measured the abilities proposed to be subskills of handwriting were administered along with a handwriting test. Results showed that poor handwriters scored more poorly than good handwriters on most of the perceptual-motor tests. Regression analysis revealed that among the perceptual-motor measures visual-motor integration, as measured by the Developmental Test of Visual-Motor Integration, and eye-hand coordination, as measured by the Motor Accuracy Test, contributed most to the legibility of handwriting for the total group of handwriters. However, for poor handwriters, results of a stepwise regression analysis revealed that motor planning, as measured by the Finger Position Imitation Test, contributed the most to the legibility of handwriting. In contrast, for good handwriters, visual perception, as measured by the Test of Visual Perceptual Skills, contributed most to the legibility of handwriting.
14
MIYABARA, Hiroya, Jyurou TAKESHITA, and Mituyo NISHI. "Motor Abilities of Dwellers in Japanese Rural Communities." Rigakuryoho Kagaku 19, no. 4 (2004): 285–90. http://dx.doi.org/10.1589/rika.19.285.
15
Ginex, Valeria, Giulia Gilardone, Mauro Viganò, Alessia Monti, Elda Judica, Ilaria Passaro, Marco Gilardone, Nicola Vanacore, and Massimo Corbo. "Interaction Between Recovery of Motor and Language Abilities After Stroke." Archives of Physical Medicine and Rehabilitation 101, no. 8 (August 2020): 1367–76. http://dx.doi.org/10.1016/j.apmr.2020.04.010.
16
Fong, Kenneth N. K., Chetwyn C. H. Chan, and Derrick K. S. Au. "Relationship of motor and cognitive abilities to functional performance in stroke rehabilitation." Brain Injury 15, no. 5 (May 1, 2001): 443–53. http://dx.doi.org/10.1080/02699050010005940.
17
Kenneth N. K. Fong, Chetwyn C. H. C. "Relationship of motor and cognitive abilities to functional performance in stroke rehabilitation." Brain Injury 15, no. 5 (January 2001): 443–53. http://dx.doi.org/10.1080/02699050118772.
18
Kusnanto, Kusnanto, Eska Dwi Prajayanti, and Harmayetty Harmayetty. "JIGSAW PUZZLE IMPROVE FINE MOTOR ABILITIES OF UPPER EXTREMITIES IN POST-STROKE ISCHEMIC CLIENTS." Jurnal Ners 12, no. 1 (June 5, 2017): 142. http://dx.doi.org/10.20473/jn.v12i1.2790.
Abstract:
Introduction: Ischemic stroke is a disease caused by focal cerebral ischemia, where is a decline in blood flow that needed for neuronal metabolism, leading to neurologic deficit include motor deficit such as fine motor skills impairment. Therapy of fine motor skills disorders is to improve motor function, prevent contractures and complications. These study aimed to identify the effect of playing Jigsaw Puzzle on muscle strength, extensive motion, and upper extremity fine motor skills in patients with ischemic stroke at Dr. Moewardi Hospital, Surakarta. Methods: Experimental Quasi pre-posttest one group control. The number of samples were 34 respondents selected using purposive sampling technique. The samples were divided into intervention and control groups. The intervention group was 17 respondents who were given standard treatment hospital and played Jigsaw Puzzle 2 times a day for six days. Control group is one respondent given by hospital standard therapy without given additional Jigsaw Puzzle game. Evaluation of these research is done on the first and seventh day for those groups. Result: The results showed that muscle strength, the range of joint motion and fine motor skills of upper extremities increased (p = 0.001) significantly after being given the Jigsaw Puzzle games. These means playing Jigsaw Puzzle increase muscle strength, the range of joint motion and upper extremity fine motor skill of ischemic stroke patients. Discussion and conclusion: Jigsaw puzzle game administration as additional rehabilitation therapy in upper extremity fine motor to minimize the occurrence of contractures and motor disorders in patients with ischemic stroke. Jigsaw puzzle game therapy capable of creating repetitive motion as a key of neurological rehabilitation in Ischemic Stroke. This study recommends using jigsaw puzzle game as one of intervention in the nursing care of Ischemic Stroke patients.
19
Engel-Yeger, Batya. "Evaluation of gross motor abilities and self perception in children with amblyopia." Disability and Rehabilitation 30, no. 4 (January 2008): 243–48. http://dx.doi.org/10.1080/09638280701257221.
20
Bartlett, Doreen. "Age of Acquisition of Motor Abilities in Infants:." Physical & Occupational Therapy In Pediatrics 15, no. 4 (January 1995): 27–38. http://dx.doi.org/10.1080/j006v15n04_02.
21
Bartlett, Doreen. "Age of Acquisition of Motor Abilities in Infants:." Physical & Occupational Therapy In Pediatrics 15, no. 4 (September 1, 1995): 27–38. http://dx.doi.org/10.1300/j006v15n04_02.
22
Anwar, Sumreen, Muhammad Usman Fayyaz, Sumbal Saleem, Abdullah Imran, Hina Noman, and Syed Saqib Ali Shah. "Effectiveness of Motor Imagery Training to Improve Gait Abilities of Patients with Sub-Acute Stroke." Pakistan Journal of Medical and Health Sciences 16, no. 2 (February 26, 2022): 1092–93. http://dx.doi.org/10.53350/pjmhs221621092.
Abstract:
Aim: To determine the effectiveness of motor imagery training to improve the lower extremity function and gait in subjects with sub-acute stroke. Methods: Forty four patients with subacute stroke with gait impairment were randomly assigned to one of two groups: motor imagery training group or muscle relaxation group. At the beginning and after six weeks of therapy, the ability to use motor imagery and lower limb performance were assessed. Results: There were substantial differences of scores between both groups, with the motor imagery group progressing more than the muscle relaxation group. Conclusion: Motor imagery may have a beneficial and effective task-specific effect on gait function in sub-acute stroke patients. Keywords: motor imagery; gait rehabilitation; sub-acute stroke patients
23
Anwar, Sumreen, Muhammad Usman Fayyaz, Sumbal Saleem, Abdullah Imran, Hina Noman, and Syed Saqib Ali Shah. "Effectiveness of Motor Imagery Training to Improve Gait Abilities of Patients with Sub-Acute Stroke." Pakistan Journal of Medical and Health Sciences 16, no. 3 (March 31, 2022): 504–5. http://dx.doi.org/10.53350/pjmhs22163504.
Abstract:
Aim: To determine the effectiveness of motor imagery training to improve the lower extremity function and gait in subjects with sub-acute stroke. Methods: Forty four patients with subacute stroke with gait impairment were randomly assigned to one of two groups: motor imagery training group or muscle relaxation group. At the beginning and after six weeks of therapy, the ability to use motor imagery and lower limb performance were assessed. Results: There were substantial differences of scores between both groups, with the motor imagery group progressing more than the muscle relaxation group. Conclusion: Motor imagery may have a beneficial and effective task-specific effect on gait function in sub-acute stroke patients. Keywords: motor imagery; gait rehabilitation; sub-acute stroke patients
24
Bajrami, Vedat, Lulzim Ibri, and Becir Sabotic. "INFLUENCE OF COGNITIVE AND SITUATIONAL MOTOR SKILLS IN SPORTS GAMES ON PRIMARY SCHOOL STUDENTS." Journal Human Research in Rehabilitation 12, no. 2 (September 10, 2022): 159–61. http://dx.doi.org/10.21554/hrr.092207.
Abstract:
When it comes to sports (volleyball, handball, basketball, football ...) the main value is reflected in their attractiveness, wide application, and availability. At the same time, these are sports of higher achievements (top sport), sports entertainment is an important mean of active rest (recreation) and, of course, one of the most powerful means of physical education. The popularity of sports games is especially pronounced among school children and youth. In addition to compulsory physical education classes, they are widely represented in free sports activities. As it is known among other anthropological dimensions, cognitive abilities have a significant impact in achieving top results in sports. The aim of this study is to determine the relationship between a set of predictor variables of cognitive abilities and a set of criterion variables of situational motor abilities in sports games, especially in volleyball in primary school boys. By analyzing the corresponding canonical functions in the space of cognitive abilities, the function is defined by all variables, as well as by another set of data, the function is defined by all situational motor variables. As all cognitive abilities are in direct proportionality with the results of situational motor skills tests, it can be concluded that subjects with higher spatialisation ability and higher IQ will have good results in specific motor, especially in volleyball. These results are logical considering the structure of performing exercises from sports games especially volleyball, which require good coordination of movements, which is directly related to cognitive abilities.
25
Karimullin, G. A., E. V. Levitina, V. A. Zmanovskaya, and I. A. Lebedev. "Influence of initial nutritional status on rehabilitation potential and motor abilities of children with cerebral palsy after orthopedic single-event multilevel surgery." Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery), no. 12 (December 20, 2022): 974–81. http://dx.doi.org/10.33920/med-01-2212-06.
Abstract:
Introduction. Protein-energy malnutrition in patients with cerebral palsy is an urgent problem. Given the high frequency of cerebral palsy orthopedic complications requiring surgical treatment, it is necessary to determine the impact of the initial nutritional status on the effectiveness of treatment. Purpose of the study: to analyze the impact of the initial nutritional status on the rehabilitation potential and motor abilities of children with cerebral palsy after orthopedic single-event multilevel surgeries. Materials and methods. The inclusion criteria were the age less than 18 years at the time of examination, spastic form of cerebral palsy, and a single-event multilevel surgical intervention due to orthopedic complications of cerebral palsy in medical history. Results. Lower indices of motor abilities after single-event multilevel surgeries were registered in patients with protein-energy malnutrition according to the FMS (5,50, and 500 meters) and the Gillette scale (p = 0.020, p = 0.026, p = 0.048, p = 0.008, respectively). Conclusion. The initial normal nutritional status before surgery has a positive effect on the rehabilitation potential and motor abilities of children with cerebral palsy after orthopedic single-event multilevel surgeries. Further research on this issue is needed.
26
Cantone, Mariagiovanna, Maria A. Catalano, Giuseppe Lanza, Gaetano La Delfa, Raffaele Ferri, Manuela Pennisi, Rita Bella, Giovanni Pennisi, and Alessia Bramanti. "Motor and Perceptual Recovery in Adult Patients with Mild Intellectual Disability." Neural Plasticity 2018 (2018): 1–9. http://dx.doi.org/10.1155/2018/3273246.
Abstract:
Introduction. The relationship between intellectual disability (ID) and hand motor coordination and speed-accuracy, as well as the effect of aging on fine motor performance in patients with ID, has been previously investigated. However, only a few data are available on the impact of the nonpharmacological interventions in adult patients with long-term hand motor deficit. Methods. Fifty adults with mild ID were enrolled. A group of thirty patients underwent a two-month intensive ergotherapic treatment that included hand motor rehabilitation and visual-perceptual treatment (group A); twenty patients performing conventional motor rehabilitation alone (group B) served as a control group. Data on attention, perceptual abilities, hand dexterity, and functional independence were collected by a blind operator, both at entry and at the end of the study. Results. After the interventions, group A showed significantly better performance than group B in all measures related to hand movement from both sides and to independence in activities of daily living. Discussion. Multimodal integrated interventions targeting visual-perceptual abilities and motor skills are an effective neurorehabilitative approach in adult patients with mild ID. Motor learning and memory-mediated mechanisms of neural plasticity might underlie the observed recovery, suggesting the presence of plastic adaptive changes even in the adult brain with ID.
27
Klochkova, O. A., A. L. Kurenkov, L. S. Namazova-Baranova, A. M. Mamed'yarov, and K. V. Zherdev. "DEVELOPMENT OF MOTOR FUNCTIONS AND MANUAL ABILITIES IN PEDIATRIC PATIENTS WITH SPASTIC CEREBRAL PALSY AFTER BOTULINUM TOXIN TREATMENT AND COMPLEX REHABILITATION." Annals of the Russian academy of medical sciences 68, no. 11 (November 12, 2013): 38–48. http://dx.doi.org/10.15690/vramn.v68i11.842.
Abstract:
Aim: to investigate the dynamic of general motor function and manual abilities in children with spastic forms of cerebral palsy (CP) after complex rehabilitation combined with single and repeated injections of botulinum toxin A (BTA). Patients and methods: the article presents 18 month follow-up of 52 patients with mono- and bilateral spastic forms of CP after single and multiple injections of botulinum toxin A and complex rehabilitation/ Patients received totally 74 injection sessions: 17 (32,7%) children — twice, 5 (9,6%) children — three times. Motor development assessment was done according to the GMFCS and GMFMS-88 scales and centile curves of normal motor development connected with these scales, hand function was classified according to the MACS scale. For the first time results of botulinum toxin therapy and rehabilitation were compared with the natural motor development of patients with different levels of motor disturbances according to centile tables. Results: patients with bilateral cerebral palsy improved slowly than hemiparetic and changes lasted for longer period. Level according to the MACS scale didn’t depend on the gestational age of the patients, was higher in children with hemiparesis and changed for 1 level in 4 (7,7%) patients after the first botulinum toxin A injections.
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Ko, Ming-Jian, Ya-Chi Chuang, Liang-Jun Ou-Yang, Yuan-Yang Cheng, Yu-Lin Tsai, and Yu-Chun Lee. "The Application of Soft Robotic Gloves in Stroke Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials." Brain Sciences 13, no. 6 (June 2, 2023): 900. http://dx.doi.org/10.3390/brainsci13060900.
Abstract:
Wearable robotic devices have been strongly put into use in both the clinical and research fields of stroke rehabilitation over the past decades. This study aimed to explore the effectiveness of soft robotic gloves (SRGs) towards improving the motor recovery and functional abilities in patients with post-stroke hemiparesis. Five major bibliographic databases, PubMed, Embase, Cochrane Library, Web of Science, and the Physiotherapy Evidence Database, were all reviewed for enrollment regarding comparative trials prior to 7 March 2023. We included adults with stroke and compared their rehabilitation using SRGs to conventional rehabilitation (CR) on hand function in terms of the Fugl-Meyer Upper Extremity Motor Assessment (FMA-UE), Fugl-Meyer Distal Upper Extremity Motor Assessment (FMA-distal UE), box and blocks test score, grip strength test, and the Jebsen–Taylor hand function test (JTT). A total of 8 studies, comprising 309 participants, were included in the analysis. Compared to CR, rehabilitation involving SRGs achieved better FMA-UE (MD 6.52, 95% CI: 3.65~9.39), FMA-distal UE (MD 3.27, 95% CI: 1.50~5.04), and JJT (MD 13.34, CI: 5.16~21.53) results. Subgroup analysis showed that stroke latency of more than 6 months and training for more than 30 min offered a better effect as well. In conclusion, for patients with stroke, rehabilitation using SRGs is recommended to promote the functional abilities of the upper extremities.
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Nazhar Saleh, S. Kh, S. V. Seleznyova, O. V. Kozynskyi, Sevinj Ali-Kyzy Mamedalieva, and Singh Hira Harpreet. "Features of VR Rehabilitation in Patients with Parkinson's Disease." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 8, no. 1 (February 27, 2023): 41–49. http://dx.doi.org/10.26693/jmbs08.01.041.
Abstract:
The purpose of the study was to determine the possibilities and effectiveness of VR rehabilitation in patients with Parkinson's disease compared to conventional rehabilitation intervention according to literature sources. Materials and methods. The study was carried out based on the results of the research and analysis of existing global scientific studies with the establishment of the possibilities and effectiveness of VR rehabilitation in patients with Parkinson's disease compared to the usual rehabilitation intervention. The search for information was performed using domestic and foreign Internet resources such as Google Scholar, PubMed, Medscape, Scopus, Web of Science databases, etc. Results and discussion. Treatment for Parkinson's disease is aimed at restoring motor and non-motor manifestations, which is corrected by appropriate pharmacological and surgical means, which are not fully effective without the addition of adequate rehabilitation interventions. Drug therapy is effective only in the first stages of the disease (some disorders do not respond to pharmacological agents at all); and deep stimulation of the affected area of the brain by implanting electrodes with their incorrect intraoperative location or incorrect stimulation parameters can provoke additional motor and sensory disorders and other adverse reactions. Physical rehabilitation in Parkinson's disease is an effective addition to drug therapy and surgery, and a long-term rehabilitation intervention effectively improves motor skills and cognitive abilities in this disease. In Parkinson's disease, rehabilitative measures aimed at motor-cognitive interactions are more useful in the early stages, which makes it possible to improve motor skills and general daily activities of the patient in real life. However, with the progression of Parkinson's disease, motor-cognitive impairments significantly limit the ability to learn, so it is directed at altered subcortical and cortical mechanisms of plasticity, which makes patients especially dependent on external sources of feedback. This problem is quite well leveled by the use of VR rehabilitation mechanisms. The effectiveness of rehabilitation with VR methodology in Parkinson's disease is determined by the need to take into account the arising sensory-motor and cognitive disorders, accurate assessment of the effectiveness of rehabilitation measures, optimized adaptation and safety for the patient himself. Conclusion. When determining the possibilities of VR rehabilitation technologies in patients with Parkinson's disease compared to conventional rehabilitation intervention, it was determined that these technologies are the most promising methods of treatment and rehabilitation intervention and an effective tool for the revitalization of disorders, have a number of advantages in the rehabilitation of gait and balance disorders, cognitive shifts, improving the quality of life and daily activities of patients, leveling neuropsychic symptoms, improving the plasticity of motor nerves and muscle control
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Pesnot Lerousseau, Jacques, Céline Hidalgo, and Daniele Schön. "Musical Training for Auditory Rehabilitation in Hearing Loss." Journal of Clinical Medicine 9, no. 4 (April 8, 2020): 1058. http://dx.doi.org/10.3390/jcm9041058.
Abstract:
Despite the overall success of cochlear implantation, language outcomes remain suboptimal and subject to large inter-individual variability. Early auditory rehabilitation techniques have mostly focused on low-level sensory abilities. However, a new body of literature suggests that cognitive operations are critical for auditory perception remediation. We argue in this paper that musical training is a particularly appealing candidate for such therapies, as it involves highly relevant cognitive abilities, such as temporal predictions, hierarchical processing, and auditory-motor interactions. We review recent studies demonstrating that music can enhance both language perception and production at multiple levels, from syllable processing to turn-taking in natural conversation.
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Tang, Qing Ping, Qi Dong Yang, Ying Hua Wu, Gai Qing Wang, Zhi Ling Huang, Zun Jing Liu, Xiao Song Huang, Lin Zhou, Pei Ming Yang, and Zhen Yong Fan. "Effects of Problem-Oriented Willed-Movement Therapy on Motor Abilities for People With Poststroke Cognitive Deficits." Physical Therapy 85, no. 10 (October 1, 2005): 1020–33. http://dx.doi.org/10.1093/ptj/85.10.1020.
Abstract:
Abstract Background and Purpose. Cognitive deficits after stroke are common and interfere with recovery. One purpose of this study was to determine whether the motor abilities of subjects who have poststroke cognitive deficits and who have received problem-oriented willed-movement (POWM) therapy will improve more than the motor abilities of subjects in the reference group who have received neurodevelopmental treatment (NDT). Another purpose of this study was to identify the relationship between cognitive function and motor abilities for both groups. Subjects. The subjects recruited for this study were 36 men and 11 women with various degrees of poststroke cognitive deficits. Methods. A randomized block design was used to assign the subjects to 2 groups. Cognitive function and motor ability were evaluated with the Mini-Mental State Examination and the Stroke Rehabilitation Assessment of Movement (STREAM). Both groups received physical therapy 5 or 6 times per week in 50-minute sessions. Results. The STREAM scores improved after treatment in both groups. Main group effects were found for the lower-extremity (F=4.58, P<.05) and basic mobility (F=27.49, P<.01) subscales of the STREAM. Pretest cognitive function showed a positive relationship with posttest motor ability in the NDT group (r=.446, P<.05). However, the relationship between pretest cognitive function and posttest motor ability had no statistical significance in the POWM group (r=.101, P=.630). Discussion and Conclusion. These findings suggest that, regardless of a person's cognitive function, POWM intervention is effective in improving lower-extremity and basic mobilities and indicates the need to use relatively intact cognitive function or perceptual function, or both, to improve motor rehabilitation for people with cognitive function deficits.
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Poole, Janet L. "A Comparison of Limb Praxis Abilities of Persons with Developmental Dyspraxia and Adult Onset Apraxia." Occupational Therapy Journal of Research 20, no. 2 (April 2000): 106–20. http://dx.doi.org/10.1177/153944920002000202.
Abstract:
The purpose of this study was to determine whether gesture performance in developmental dyspraxia and adult onset apraxia are similar. The performance of children and adults with dyspraxia and adults with apraxia on similar tasks were compared. A convenience sample of six groups of participants were as follows: children with learning disabilities and dyspraxia, young adults with learning disabilities and dyspraxia, older adults with left hemisphere brain damage and apraxia, and three age-matched groups of control participants. There were 10 subjects in each group except the young adults with learning disabilities. Performance on two types of motor tasks was measured: item (transitive, intransitive) and mode (verbal command and imitation). A mixed-model analysis of variance showed significant main effects for Diagnosis, Item, Mode, and the interactions of Diagnosis X Item and Mode X Item. This study suggests that participants with developmental dyspraxia and adult onset apraxia exhibit similar performance deficits in gestural motor tasks. The children and young adults with dyspraxia also scored similarly implying that dyspraxic behaviors continue into adulthood. Application of the findings to intervention suggest that task performance may improve if therapists demonstrate motor tasks and eliminate or minimize tool use.
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Radaš, Josipa, Marita Ukić, and Gordana Furjan-Mandić. "Motor abilities’ model values of junior rhythmic gymnasts in the Republic of Croatia." Kinesiology 51, no. 2 (2019): 219–26. http://dx.doi.org/10.26582/k.51.2.11.
Abstract:
Knowing the current status of rhythmic gymnasts’ motor abilities allows a valid objective evaluation of their competitive preparedness and facilitate planning of their further development. The main objective was to determine possible differences in motor abilities of rhythmic gymnasts regarding program level they were competing in, their age and national ranking. Three groups of junior rhythmic gymnasts, competing in either A, B, or C level programs, were investigated. Both the multivariate analysis of variance and univariate analysis of variance showed statistically significant differences in the selected motor abilities regarding the program level (flexibility, strength and coordination). A-level rhythmic gymnasts scored best in all the tests assessing flexibility, coordination and strength. The differences in motor abilities between junior rhythmic gymnasts with regard to their national ranking showed no statistical significance, whereas age was statistically significant. The Pearson’s correlation coefficient revealed significant relations between certain motor abilities among rhythmic gymnasts in A, B and C level programs. The higher the level of a program, the higher the correlatives, and vice versa. Two tests had the largest contribution to the success achieved in the competition: the figure of eight with bending and forward bent on the bench. The scientific value of the proposed research is aimed at better planning, programming and control of training process in rhythmic gymnastics.
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Furmaniuk, Lech, and Grażyna Cywińska-Wasilewska. "Evaluation of the influence of Active Rehabilitation camps on the functional abilities in persons with tetraplegia." Advances in Rehabilitation 26, no. 2 (June 1, 2012): 51–56. http://dx.doi.org/10.2478/rehab-2013-0038.
Abstract:
Abstract Introduction: Every year, about 400 new patients with tetraplegia arise in Poland. The solution ensuring the continuation of the rehabilitation process of such patients is the activity of non-governmental organizations associating disabled people. Among them Foundation of Active Rehabilitation (FAR) has greatest experience in rehabilitation of people after SCI. Annually, about 70 persons with tetraplegia participate in Active Rehabilitation (AR) camps. Aim of this study was to estimate the influence of AR camps on the functional abilities in persons with tetraplegia. Material and methods: 40 men with tetraplegia were examined. Subjects were divided into two groups: participants of AR camps (group A, n=20) and control (group B, n=20). TheASIA motor score was used to estimate the degree of upper limb impairment. Functional Independence Measure (FIM)was used to assess functional abilities. All subjects were assessed in the beginning of the study and reassessed after 8 days. Results: Both groups during preliminary investigation were homogeneous under regard the ASIA motor score as well as the results of FIM. During final investigations significant improvement of FIM was noted only in group A. The mean value of FIM significantly increased about 10.8 points. In group A significant correlation between FIM scores and ASIA motor score were found (p<0.001). Conclusion: Improvement of functional skills among patients with tetraplegia which participated in AR camps was observed. The highest improvement in FIM was observed among persons with a C6 tetraplegia. Obtained results (ceiling effect) through of examined persons from C7 tetraplegia were suggested the need of applying more sensitive tests.
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MAHER, LYNN M., M. CATHERINE CLAYTON, ANNA M. BARRETT, DEBRA SCHOBER-PETERSON, and LESLIE J. GONZALEZ ROTHI. "Rehabilitation of a case of pure alexia: Exploiting residual abilities." Journal of the International Neuropsychological Society 4, no. 6 (November 1998): 636–47. http://dx.doi.org/10.1017/s1355617798466128.
Abstract:
We present a case study of a 43-year-old woman with chronic and stable pure alexia. Using a multiple baseline design we report the results of two different interventions to improve reading. First, a restitutive treatment approach using an implicit semantic access strategy was attempted. This approach was designed to exploit privileged access to lexical–semantic representations and met with little success. Treatment was then switched to a substitutive treatment strategy, which involved using the patient's finger to pretend to copy the letters in words and sentences. Reading using this motor cross-cuing strategy was 100% accurate and doubled in speed after 4 weeks of intervention. We propose that this patient's inability to benefit from the implicit semantic access treatment approach may be in part related to her inability to suppress the segmental letter identification process of word recognition. (JINS, 1998, 4, 636–647.)
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Abraham, Amit, Ariel Hart, Isaac Andrade, and Madeleine E. Hackney. "Dynamic Neuro-Cognitive Imagery Improves Mental Imagery Ability, Disease Severity, and Motor and Cognitive Functions in People with Parkinson’s Disease." Neural Plasticity 2018 (2018): 1–15. http://dx.doi.org/10.1155/2018/6168507.
Abstract:
People with Parkinson’s disease (PD) experience kinesthetic deficits, which affect motor and nonmotor functions, including mental imagery. Imagery training is a recommended, yet underresearched, approach in PD rehabilitation. Dynamic Neuro-Cognitive Imagery (DNI™) is a codified method for imagery training. Twenty subjects with idiopathic PD (Hoehn and Yahr stages I–III) were randomly allocated into DNI training (experimental;n=10) or in-home learning and exercise program (control;n=10). Both groups completed at least 16 hours of training within two weeks. DNI training focused on anatomical embodiment and kinesthetic awareness. Imagery abilities, disease severity, and motor and nonmotor functions were assessed pre- and postintervention. The DNI participants improved (p<.05) in mental imagery abilities, disease severity, and motor and spatial cognitive functions. Participants also reported improvements in balance, walking, mood, and coordination, and they were more physically active. Both groups strongly agreed they enjoyed their program and were more mentally active. DNI training is a promising rehabilitation method for improving imagery ability, disease severity, and motor and nonmotor functions in people with PD. This training might serve as a complementary PD therapeutic approach. Future studies should explore the effect of DNI on motor learning and control strategies.
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Aleksandrović, Marko, Dragan Radovanović, Tomislav Okičić, Dejan Madić, and Georgi Georgiev. "Functional Abilities as a Predictor of Specific Motor Skills of Young Water Polo Players." Journal of Human Kinetics 29, no. 1 (September 1, 2011): 123–32. http://dx.doi.org/10.2478/v10078-011-0046-5.
Abstract:
Functional Abilities as a Predictor of Specific Motor Skills of Young Water Polo PlayersThe purpose of this study was to assess the influence of functional abilities on specificmotor skills. A total number of 92 male water polo players (age 12±0.5 years, body height 156.96±22.3 cm, body weight 51.02±33.18 kg) with at least two years' experience, were enrolled in the study. The investigation protocol consisted of standardized anthropometric measurements, estimation of maximum oxygen uptake, determination of the lung function values, specific swim tests and swim tests with a ball. The factor analysis was used for the estimation of the structure of specific motor skills. The influence of functional abilities on specific motor skills was estimated by regression analysis. Out of 15 correlations in total between the variables of space of functional abilities of water polo players, 6 were significant at the level of 95% (between the variables of aerobic power and lung function) and all of the correlations (15) between the variables of specific motor skills in water polo players were significant at the 99% level. Only one principal component, the General factor of specific motor skills in water polo (GFSWP) was obtained by way of factorization of the tests of specific motor skills, so the GFSWP represents the latent space of specific motor skills as a criterion. The regression analysis showed that functional abilities (as group predictors) (p= 0.00) and forced expiratory volume in 1 second (as a separate variable) have a significant influence on GFSWP (the criterion). The results of the study pointed out the impact of functional abilities on specific motor skills of selected young water polo players. This may be important for the selection and effective coaching in the early period of training and can affect the development of more appropriate and specific training programmes for optimal physical fitness preparation in young water polo players.
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Adomavičienė, Daunoravičienė, Kubilius, Varžaitytė, and Raistenskis. "Influence of New Technologies on Post-Stroke Rehabilitation: A Comparison of Armeo Spring to the Kinect System." Medicina 55, no. 4 (April 9, 2019): 98. http://dx.doi.org/10.3390/medicina55040098.
Abstract:
Background: New technologies to improve post-stroke rehabilitation outcomes are of great interest and have a positive impact on functional, motor, and cognitive recovery. Identifying the most effective rehabilitation intervention is a recognized priority for stroke research and provides an opportunity to achieve a more desirable effect. Objective: The objective is to verify the effect of new technologies on motor outcomes of the upper limbs, functional state, and cognitive functions in post-stroke rehabilitation. Methods: Forty two post-stroke patients (8.69 ± 4.27 weeks after stroke onset) were involved in the experimental study during inpatient rehabilitation. Patients were randomly divided into two groups: conventional programs were combined with the Armeo Spring robot-assisted trainer (Armeo group; n = 17) and the Kinect-based system (Kinect group; n = 25). The duration of sessions with the new technological devices was 45 min/day (10 sessions in total). Functional recovery was compared among groups using the Functional Independence Measure (FIM), and upper limbs’ motor function recovery was compared using the Fugl–Meyer Assessment Upper Extremity (FMA-UE), Modified Ashworth Scale (MAS), Hand grip strength (dynamometry), Hand Tapping test (HTT), Box and Block Test (BBT), and kinematic measures (active Range Of Motion (ROM)), while cognitive functions were assessed by the MMSE (Mini-Mental State Examination), ACE-R (Addenbrooke’s Cognitive Examination-Revised), and HAD (Hospital Anxiety and Depression Scale) scores. Results: Functional independence did not show meaningful differences in scores between technologies (p > 0.05), though abilities of self-care were significantly higher after Kinect-based training (p < 0.05). The upper limbs’ kinematics demonstrated higher functional recovery after robot training: decreased muscle tone, improved shoulder and elbow ROMs, hand dexterity, and grip strength (p < 0.05). Besides, virtual reality games involve more arm rotation and performing wider movements. Both new technologies caused an increase in overall global cognitive changes, but visual constructive abilities (attention, memory, visuospatial abilities, and complex commands) were statistically higher after robotic therapy. Furthermore, decreased anxiety level was observed after virtual reality therapy (p < 0.05). Conclusions: Our study displays that even a short-term, two-week training program with new technologies had a positive effect and significantly recovered post-strokes functional level in self-care, upper limb motor ability (dexterity and movements, grip strength, kinematic data), visual constructive abilities (attention, memory, visuospatial abilities, and complex commands) and decreased anxiety level.
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Blasi, Francesco D. Di, Flaviana Elia, Serafino Buono, Ger J. A. Ramakers, and Santo F. Di Nuovo. "Relationships between Visual-Motor and Cognitive Abilities in Intellectual Disabilities." Perceptual and Motor Skills 104, no. 3 (June 2007): 763–72. http://dx.doi.org/10.2466/pms.104.3.763-772.
Abstract:
The neurobiological hypothesis supports the relevance of studying visual-perceptual and visual-motor skills in relation to cognitive abilities in intellectual disabilities because the defective intellectual functioning in intellectual disabilities is not restricted to higher cognitive functions but also to more basic functions. The sample was 102 children 6 to 16 years old and with different severities of intellectual disabilities. Children were administered the Wechsler Intelligence Scale for Children, the Bender Visual Motor Gestalt Test, and the Developmental Test of Visual Perception, and data were also analysed according to the presence or absence of organic anomalies, which are etiologically relevant for mental disabilities. Children with intellectual disabilities had deficits in perceptual organisation which correlated with the severity of intellectual disabilities. Higher correlations between the spatial subtests of the Developmental Test of Visual Perception and the Performance subtests of the Wechsler Intelligence Scale for Children suggested that the spatial skills and cognitive performance may have a similar basis in information processing. Need to differentiate protocols for rehabilitation and intervention for recovery of perceptual abilities from general programs of cognitive stimulations is suggested.
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Rand, Debbie, Patrice L. (Tamar) Weiss, and Daniel Gottlieb. "Does Proprioceptive Loss Influence Recovery of the Upper Extremity After Stroke?" Neurorehabilitation and Neural Repair 13, no. 1 (March 1999): 15–21. http://dx.doi.org/10.1177/154596839901300104.
Abstract:
Stroke patients with motor paralysis and proprioceptive deficits are considered to have a worse functional outcome than those with pure motor paralysis, but the mechanism of this detrimental effect is not clear. In order to clarify it, we compared the motor and functional recovery of the affected upper extremity in stroke patients having pure motor paralysis with that of such patients with both motor and proprioceptive deficits. Forty patients undergoing stroke rehabilitation were studied: 20 with pure motor deficits and 20 also with proprioceptive deficits. They were assessed on four occasions during the first six weeks of rehabilitation. Motor impairment was assessed with the Fugl-Meyer subscale of the upper extremity, disability with the Frenchay Arm Test, and proprio ception by the Thumb Localization Test. Significant within-group improvement of the motor and functional abilities was demonstrated in both groups, between admission to six weeks later (p < 0.001, either group). However, no significant difference was found between the two groups, although pure motor patients had a slightly better outcome. It was concluded that the proprioception deficit did not influence limb recovery in the first six weeks of rehabilitation. Therefore, the upper extremity of all patients should be treated and given a similar chance because significant improvement can be expected in all cases. Key Words: Upper Extremity—Stroke—Proprioception—Rehabilitation.
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Yuniarti, Irmina Ika. "Telerehabilitation Application In Post Stroke Patients After Hospitalization." Journal of Science Innovare 6, no. 1 (February 25, 2023): 05–09. http://dx.doi.org/10.33751/jsi.v6i1.7733.
Abstract:
Nursing services include promotive, preventive and rehabilitative. Rehabilitation of post-stroke post-hospitalized patients is growing rapidly along with the development of internet use and advances in information technology. Telerehabilitation is an innovation to make it easier for patients to get rehabilitation services as a continuation after treatment at the hospital to improve their motor, speech and psychosocial abilities as a result of a stroke. Telerehabilitation increases the client's comfort in doing exercises during rehabilitation both at home, in the community, health facilities that are easy to reach to help restore the patient's ability to be independent. Several countries have developed telerehabilitation to provide post-hospitalized post-stroke telerehabilitation services considering that there are so many benefits to be gained that it is necessary to consider applying the telerehabilitation system in Indonesia with various adjustments so that it can be implemented optimally.
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Ali, Faryal, Rahila Suleman, Adnan Noor, Irfan Ahmad, Misbah Shakeel, and Muhammad Aqeel. "Effectiveness of a Virtual Reality-Based Rehabilitation Program versus Conventional Physical Therapy in Improving Motor Function and Balance in Stroke Survivors: A Randomized Controlled Trial." Journal of Health and Rehabilitation Research 3, no. 2 (December 25, 2023): 817–21. http://dx.doi.org/10.61919/jhrr.v3i2.251.
Abstract:
Background: Stroke is a leading cause of mortality and functional impairment worldwide, often resulting in balance and motor function deficits. Conventional stroke therapy, primarily consisting of aerobic exercise and physical training, does not fully address neuroplasticity-related motor improvements in stroke survivors. Recent advancements in technology have enabled the development of virtual reality-based rehabilitation (VRBR), which offers immersive, intensive therapy that may be more effective than traditional methods. Objective: This study aims to evaluate the efficacy of VRBR compared to conventional physical therapy (CPT) in enhancing motor function and balance in individuals who have experienced a stroke. Methods: A randomized controlled trial was conducted at Johar Poly Clinic, Lahore, over a 9-month period, with 56 participants who had recent stroke diagnoses. Participants were randomly assigned to either the VRBR or CPT group. Balance was measured using the Berg Balance Scale, and functional abilities were assessed with the Barthel Index Scale. Statistical analysis included descriptive and inferential methods to identify within-group and between-group differences. Results: In the study, both the Virtual Reality-Based Rehabilitation (VRBR) and Conventional Physical Therapy (CPT) groups showed improvements, but the VRBR group exhibited statistically significant increases in both balance and functional abilities. Specifically, Berg Balance Scale scores improved more in the VRBR group (from 20 ± 3.5 at baseline to 30 ± 6 at 9 months) compared to the CPT group (from 19 ± 4 to 25 ± 5). Similarly, Barthel Index Scale scores, which measure functional abilities, increased substantially in the VRBR group (from 40 ± 6 to 55 ± 9), outperforming the CPT group (from 39 ± 5.5 to 48 ± 8) over the 9-month study period. These results indicate a potential advantage of VRBR in enhancing balance and functional independence among stroke survivors. Conclusion: Virtual Reality-Based Rehabilitation demonstrates significant potential in improving balance and functional abilities among stroke survivors compared to conventional physical therapy. The immersive nature and intensity of VRBR may contribute to its effectiveness, suggesting its incorporation into stroke rehabilitation protocols.
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Youssef, Amal Abdelwahab, Amira Mohamed Eltohamy, Kamal Elsayed Shokry, Engi E. Sarhan, and Nesma EM Barakat. "Sensory processing abilities in relation to motor capabilities in children with different types of cerebral palsy." Fizjoterapia Polska 24, no. 1 (March 22, 2024): 173–81. http://dx.doi.org/10.56984/8zg2ef88a7.
Abstract:
Background and purpose. children with cerebral palsy have sensory processing issues as well as motor problems, which lead to severe developmental disability. In this study, we aimed to assess correlation between sensory processing abilities and motor capabilities in children with cerebral palsy and assess the effect of cerebral palsy types on sensory processing abilities and motor capabilities. Materials and methods. One hundred cerebral palsy children of both sex were included in the study; their age ranged from 4-10 years old were selected from pediatric rehabilitation out clinic of faculty of Physical Therapy Cairo University, fulfilling inclusion criteria. All children were assessed by Short sensory profile: to measure sensory processing ability, Gross Motor Function Classification System: to measure the gross motor skills and Manual Ability Classification System: to measure the fine motor skills. Result. there was a significant correlation between GMFCS, MACS and the total score of SSP as well as Low energy weak, tactile sensitivity score, taste smell sensitivity, Movement sensitivity, and Under-responsive seeks sensation (P ≤ 0.05*). There was no significant correlations between both auditory filtering and Visual-auditory sensitivity with GMFCS and MACS (P = 0.676 and 0.266, respectively). There was statistical variation among different CP types regarding SSP and motor assessment (P ≤ 0.05*). Conclusion. the study showed: sensory processing abilities effect on motor capabilities in children with cerebral palsy.
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Podstawski, Robert, and Arkadiusz Marzec. "Relationships between socioeconomic factors versus the anthropometric and motor characteristics of Polish female university students (2000–2018)." Physical Activity Review 9, no. 1 (2021): 117–27. http://dx.doi.org/10.16926/par.2021.09.14.
Abstract:
Aim: The aim of this study was to determine the relationships between socioeconomic factors (SES), anthropometric characteristics and motor abilities of female university students. Materials and Methods: The study was conducted in 2000-2018 on 3955 female university students aged 19.72 ± 0.75 years who were randomly selected from the population of students attending obligatory physical education (PE) classes. The participants’ body mass and height were measured, and the students participated in 13 motor ability tests that assessed their speed/agility, flexibility, strength, endurance-strength, and endurance abilities. Multiple independent samples were compared using the Kruskal-Wallis test or the mean-ranks post-hoc test when significant differences were observed in the participants’ motor abilities. Results: Statistically significant differences in the participants’ body mass, body height, BMI and motor abilities (speed/agility, flexibility – partly, strength, and strength-endurance) were associated with differences in the students’ SES. Greater mean differences in SES were associated with differences in the anthropometric and motor characteristics of students. Environmental factors such as the place of permanent residence, monthly budgets, mother’s and father’s educational background were least likely to be associated with female students’ endurance abilities. Conclusions: Female students who had higher monthly budgets, resided in large cities, and had better educated parents were generally taller and had a higher level of motor abilities. An inverse relationship was noted between motor abilities vs. body mass and BMI.
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Li, Xiao-Wan, Yu-Fu Xin, Ai-Hui Chang, Xiao-Ge Zhang, Yan Weng, Jia-Hao Yang, and Qi-Zhi Fu. "Correlation study between motor rehabilitation level and psychological state in patients with limb movement disorders after stroke." World Journal of Psychiatry 13, no. 11 (November 19, 2023): 912–18. http://dx.doi.org/10.5498/wjp.v13.i11.912.
Abstract:
BACKGROUND The psychological state of patients with post stroke limb movement disorders undergoes a series of changes that affect rehabilitation training and recovery of limb motor function. AIM To determine the correlation between motor rehabilitation and the psychological state of patients with limb movement disorders after stroke. METHODS Eighty patients with upper and lower limb dysfunction post stroke were retrospectively enrolled in our study. Based on Hospital Anxiety and Depression Scale (HADS) scores measured before rehabilitation, patients with HADS scores ≥ 8 were divided into the psychological group; otherwise, the patients were included in the normal group. Motor function and daily living abilities were compared between the normal and psychological groups. Correlations between the motor function and psychological status of patients, and between daily living ability and psychological status of patients were analyzed. RESULTS After 1, 2, and 3 wk of rehabilitation, both the Fugl-Meyer assessment and Barthel index scores improved compared to their respective baseline scores (P < 0.05). A greater degree of improvement was observed in the normal group compared to the psychological group (P < 0.05). There was a negative correlation between negative emotions and limb rehabilitation (-0.592 ≤ r ≤ -0.233, P < 0.05), and between negative emotions and daily living ability (-0.395 ≤ r ≤ -0.199, P < 0.05). CONCLUSION There is a strong correlation between motor rehabilitation and the psychological state of patients with post stroke limb movement disorders. The higher the negative emotions, the worse the rehabilitation effect.
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Grishkina, Daria Aleksandrovna. "ASSESSMENT OF THE DEGREE OF DEVELOPMENT OF LARGE MOTOR SKILLS IN CHILDREN OF THE FIRST THREE YEARS OF LIFE ACCORDING TO THE MUNICH SYSTEM OF FUNCTIONAL DIAGNOSTICS OF CHILD DEVELOPMENT." Chronos 7, no. 4(66) (June 13, 2022): 17–20. http://dx.doi.org/10.52013/2658-7556-66-4-5.
Abstract:
Educators, parents, and pediatricians do not pay enough attention to the development of large motor skills in children of the first three years of life, focusing on fine motor skills, but it is large motor skills that act as the basis on which the movements of small motor skills are superimposed as they grow up. In this regard, the purpose of this work is to identify the abilities that most often do not manifest in children in time. The article used the method of Munich functional diagnostics, 20 families with children aged 4 to 5 years were interviewed. This functional diagnosis will be of interest to specialists of psychological and pedagogical and medical profile working in clinics, outpatient clinics, medical and psychological and pedagogical rehabilitation centers, early development centers, as it is a reference point for the appointment of therapy, allows you to coordinate all rehabilitation activities taking into account development, so it is an effective tool for monitoring early child development. As a result of the work, individual abilities were identified, which should be paid more attention to in order to timely undertake the necessary psychological, pedagogical and therapeutic assistance. Close contact between parents and teachers will ensure success in the development and correction of impaired motor functions in children. It became clear the importance of improving the effectiveness of training future pediatricians in the skills of assessing the motor development of a child, which helps to increase their professional competence.
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SHIGEMORI, Kenta, Ryuichi KUSAKA, Shohei OHGI, and Junichi HAMABE. "Characteristics of Elderly Person's Motor Abilities-A Comparison among Communities-." Rigakuryoho Kagaku 21, no. 3 (2006): 221–25. http://dx.doi.org/10.1589/rika.21.221.
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Filogna, Silvia, Elena Beani, Giada Martini, Beatrice Ceragioli, Elia Guidi, Francesco Lenci, Giovanni Cioni, and Giuseppina Sgandurra. "Does roller-skating sport improve motor abilities in pediatric population?" Gait & Posture 106 (September 2023): S63. http://dx.doi.org/10.1016/j.gaitpost.2023.07.078.
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Dusing, Stacey C., Deborah E. Thorpe, Michele D. Poe, Angela E. Rosenberg, Vicki S. Mercer, and Maria L. Escolar. "Gross Motor Development of Children With Hurler Syndrome After Umbilical Cord Blood Transplantation." Physical Therapy 87, no. 11 (November 1, 2007): 1433–40. http://dx.doi.org/10.2522/ptj.20070017.
Abstract:
Background and Purpose Little is known about the gross motor development of children with Hurler syndrome who have undergone umbilical cord blood transplantation (UCBT). The purpose of this study was to provide a description of gross motor development in children with Hurler syndrome after UCBT. Subjects and Method Longitudinal changes in gross motor abilities were documented on the gross motor subtests of the Peabody Developmental Motor Scales, second edition (PDMS-2) for 21 children with Hurler syndrome. Each child was assessed between 1 and 6 times after UCBT. The participants had a mean age (±SD) of 32.2±16.0 months at the time of the first assessment. The mean time (±SD) between UCBT and the first assessment was 16.2±16.5 months. Results The participants had marked gross motor delays, with a mean gross motor quotient 2 standard deviations below the mean for children who were developing typically. The rate of development differed between the subtests of the PDMS-2. The participants gained abilities at the slowest rate on the stationary subtest and at the fastest rate on the locomotor subtest. Discussion and Conclusion The participants had varying degrees of delay in different gross motor domains. While gaining new gross motor abilities over time, these children continued to have delays up to 48 months after UCBT. Physical therapists treating children with Hurler syndrome after UCBT should use assessment tools that will capture these differences and should individualize treatment plans accordingly. Additional research is needed to document the efficacy of physical therapy intervention with this population.
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Otinov, M., L. Korsunskaya, T. Golubova, E. Savchuk, G. Kushnir, E. Osmanov, S. Vlasenko, and N. Larina. "DIFFERENTIATED USE OF DOLPHIN THERAPY IN A COMPLEX WITH MOTOR REHA- BILITATION IN CHILDREN WITH CEREBRAL PALSY DEPENDING ON THE SEVERITY OF MOTOR AND PSYCHO-EMOTIONAL DISORDERS." Tavricheskiy Mediko-Biologicheskiy Vestnik 24, no. 1 (October 24, 2022): 52–57. http://dx.doi.org/10.29039/2070-8092-2021-24-1-52-57.
Abstract:
The paper studies the effectiveness of the complex application of dolphin therapy and subsequent rehabilitation aimed at restoring the motor capabilities of the hands. The study included 80 children with infantile cerebral palsy, a form of spastic diplegia. All patients underwent a comprehensive examination, including the study of motor capabilities and psychoemotional status. It was found that in children with severe disorders of the psychoemotional status, the most effective was the use of dolphin therapy, followed by rehabilitation of the motor abilities of the hands. The data of the repeated examination showed a significant improvement in comparison with similar indicators of patients in the control group of the psychoemotional status of the child, an increase in the motor capabilities (p <0.01) of the hands.
Thus, the use of dolphin therapy can significantly improve the psychoemotional status of the child, which in general allows for significant progress in the motor development of the manipulative function.