Bibliografie tematiche / Stroke upper limb rehabilitation

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Letteratura scientifica selezionata sul tema "Stroke upper limb rehabilitation"

Autore: Grafiati
Pubblicato: 21 settembre 2024

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Articoli di riviste sul tema "Stroke upper limb rehabilitation"

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Shi, Lijuan, Runmin Wang, Jian Zhao, Jing Zhang e Zhejun Kuang. "Detection of Rehabilitation Training Effect of Upper Limb Movement Disorder Based on MPL-CNN". Sensors 24, n. 4 (8 febbraio 2024): 1105. http://dx.doi.org/10.3390/s24041105.

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Stroke represents a medical emergency and can lead to the development of movement disorders such as abnormal muscle tone, limited range of motion, or abnormalities in coordination and balance. In order to help stroke patients recover as soon as possible, rehabilitation training methods employ various movement modes such as ordinary movements and joint reactions to induce active reactions in the limbs and gradually restore normal functions. Rehabilitation effect evaluation can help physicians understand the rehabilitation needs of different patients, determine effective treatment methods and strategies, and improve treatment efficiency. In order to achieve real-time and accuracy of action detection, this article uses Mediapipe’s action detection algorithm and proposes a model based on MPL-CNN. Mediapipe can be used to identify key point features of the patient’s upper limbs and simultaneously identify key point features of the hand. In order to detect the effect of rehabilitation training for upper limb movement disorders, LSTM and CNN are combined to form a new LSTM-CNN model, which is used to identify the action features of upper limb rehabilitation training extracted by Medipipe. The MPL-CNN model can effectively identify the accuracy of rehabilitation movements during upper limb rehabilitation training for stroke patients. In order to ensure the scientific validity and unified standards of rehabilitation training movements, this article employs the postures in the Fugl-Meyer Upper Limb Rehabilitation Training Functional Assessment Form (FMA) and establishes an FMA upper limb rehabilitation data set for experimental verification. Experimental results show that in each stage of the Fugl-Meyer upper limb rehabilitation training evaluation effect detection, the MPL-CNN-based method’s recognition accuracy of upper limb rehabilitation training actions reached 95%. At the same time, the average accuracy rate of various upper limb rehabilitation training actions reaches 97.54%. This shows that the model is highly robust across different action categories and proves that the MPL-CNN model is an effective and feasible solution. This method based on MPL-CNN can provide a high-precision detection method for the evaluation of rehabilitation effects of upper limb movement disorders after stroke, helping clinicians in evaluating the patient’s rehabilitation progress and adjusting the rehabilitation plan based on the evaluation results. This will help improve the personalization and precision of rehabilitation treatment and promote patient recovery.
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Mehrholz, Jan. "Upper Limb Stroke Rehabilitation Summer School". neuroreha 10, n. 04 (dicembre 2018): 197–99. http://dx.doi.org/10.1055/a-0750-6251.

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Davis, Kathy. "Upper limb rehabilitation following a stroke". Primary Health Care 29, n. 6 (29 novembre 2019): 10. http://dx.doi.org/10.7748/phc.29.6.10.s12.

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Aprile, Irene, Marco Germanotta, Arianna Cruciani, Simona Loreti, Cristiano Pecchioli, Francesca Cecchi, Angelo Montesano et al. "Upper Limb Robotic Rehabilitation After Stroke". Journal of Neurologic Physical Therapy 44, n. 1 (gennaio 2020): 3–14. http://dx.doi.org/10.1097/npt.0000000000000295.

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Chockalingam, Manigandan, Lenny Thinagaran Vasanthan, Sivakumar Balasubramanian e Vimal Sriram. "Experiences of patients who had a stroke and rehabilitation professionals with upper limb rehabilitation robots: a qualitative systematic review protocol". BMJ Open 12, n. 9 (settembre 2022): e065177. http://dx.doi.org/10.1136/bmjopen-2022-065177.

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IntroductionEmerging evidence suggests that robotic devices for upper limb rehabilitation after a stroke may improve upper limb function. For robotic upper limb rehabilitation in stroke to be successful, patients’ experiences and those of the rehabilitation professionals must be considered. Therefore, this review aims to synthesise the available evidence on experiences of patients after a stroke with rehabilitation robots for upper limb rehabilitation and the experiences of rehabilitation professionals with rehabilitation robots for upper limb stroke rehabilitation.Methods and analysisDatabase search will include MEDLINE (Ovid), EMBASE (Elsevier), Cochrane CENTRAL, PsycINFO, Scopus, Web of Science, IEEE and CINAHL (EBSCOhost). Grey literature from Open Grey, PsyArXiv, bioRxiv, medRxiv and Google Scholar will also be searched. Qualitative studies or results from mixed-method studies that include adult patients after a stroke who use upper limb rehabilitation robots, either supervised by rehabilitation professionals or by patients themselves, at any stage of their rehabilitation and/or stroke professionals who use upper limb rehabilitation robots will be included. Robotic upper limb rehabilitation provided by students, healthcare assistants, technicians, non-professional caregivers, family caregivers, volunteer caregivers or other informal caregivers will be excluded. Articles published in English will be considered regardless of date of publication. Studies will be screened and critically appraised for methodological quality by two independent reviewers. A standardised tool from JBI System for the Unified Management, Assessment and Review of Information for data extraction, the meta-aggregation approach for data synthesis and the ConQual approach for confidence evaluation will be followed.Ethics and disseminationAs this systematic review is based on previously published research, no informed consent or ethical approval is required. It is anticipated that this systematic review will highlight the experiences of patients after a stroke and perceived facilitators and barriers for rehabilitation professionals on this topic, which will be disseminated through peer-reviewed publications and national and international conferences.PROSPERO registration numberCRD42022321402.
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Chin, Lay Fong, Ingrid C. M. Rosbergen, Kathryn S. Hayward e Sandra G. Brauer. "A self-directed upper limb program during early post-stroke rehabilitation: A qualitative study of the perspective of nurses, therapists and stroke survivors". PLOS ONE 17, n. 2 (4 febbraio 2022): e0263413. http://dx.doi.org/10.1371/journal.pone.0263413.

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Introduction This study aimed to explore the perspective of nurses, therapists and stroke survivors on the performance of upper limb self-exercise and use outside therapy during early inpatient stroke rehabilitation. Methods A descriptive qualitative approach was used in focus groups with nurses (n = 21) and therapists (n = 8), as well as in-depth semi-structured interviews with stroke survivors (n = 8) who were undergoing subacute inpatient stroke rehabilitation. Inductive thematic analysis of data was performed according to participant group. Results Nurses and therapists perceived that stroke survivors played a central role in determining the success of a self-directed upper limb program. Nurses perceived that stroke survivors needed a lot of prompting to be motivated to perform self-directed upper limb therapy outside therapy. Therapists perceived that not all stroke survivors would be able to perform self-directed upper limb therapy and deemed it important to consider stroke survivor factors before commencing a program. Although some stroke survivors expressed initial reservations with performing self-practice, many indicated that they would participate in the self-directed upper limb program because they wanted to recover faster. Conclusion A difference between the perspective of nurses/therapists and stroke survivors towards self-directed upper limb performance outside therapy was found. Deeper stroke survivor engagement and a shift in rehabilitation culture to encourage stroke survivor autonomy are important considerations for a self-directed upper limb program. Teamwork amongst healthcare professionals and families is essential to support stroke survivors to participate in a self-directed upper limb program during early inpatient stroke rehabilitation.
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Sidaway, Marta, Julita Głowacka-Popkiewicz, Maciej Krawczyk e Tomasz Waraksa. "Early upper limb physiotherapy in stroke patients. Questions without answers". Advances in Rehabilitation 31, n. 1 (28 marzo 2017): 37–47. http://dx.doi.org/10.1515/rehab-2015-0060.

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Abstract Stroke is still the most common cause of disability in Poland and in western countries. As many as 80% of patients report reduced upper limb function in the acute phase after stroke. It is estimated that only 5% to 20% of patients experience full functional recovery of an upper limb. In clinical practice, paretic upper limb stimulation after stroke is usually treated as of secondary importance. However, it constantly poses a challenge to physical therapists. The existing procedures do not provide detailed guidelines regarding upper limb rehabilitation model particularly in the first four weeks after stroke. It is hard to predict biological limitations and the effectiveness of upper limb rehabilitation. The aim of this work is to make an attempt at reviewing the knowledge of the current state of early upper limb physiotherapy, its intensity and strategy type as well as neurobiological foundations of the improvement process. Ample scientific evidence confirms that early post-stroke rehabilitation is crucial. There are relatively few foreign (and virtually no Polish) reports related to early upper limb rehabilitation that would take into account the type of exercises and their therapeutic dose. There are still no solid foundations for determining optimal intensity and type of upper limb rehabilitation (including physical and occupational therapy). There is a scarcity of extensive and uniform (in terms of research groups and tools) multicentre investigations aimed at defining an optimal model of upper limb rehabilitation at an early stage after stroke. Thus, a number of questions still remain unanswered.
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Ventura, Sara, Alessia Tessari, Sara Castaldini, Elisabetta Magni, Andrea Turolla, Rosa Baños e Giada Lullini. "Effectiveness of a Virtual Reality rehabilitation in stroke patients with sensory-motor and proprioception upper limb deficit: A study protocol". PLOS ONE 19, n. 8 (12 agosto 2024): e0307408. http://dx.doi.org/10.1371/journal.pone.0307408.

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Introduction Stroke is the second leading cause of death in Europe. In the case of stroke survival (almost 70%), only 25% of patients recover completely, while the remaining 75% will undergo a rehabilitation phase that varying from months to years. The primary outcomes of a stroke involve motor impairment in the upper limbs, resulting in a partial or complete inability to move the limb on the right or left side, depending on the affected hemisphere. Furthermore, the motor deficit distorts the proprioception of the body and the embodiment ability of the injured limb. This could be rehabilitated through the paradigm of body illusion that modulates the motor rehabilitation. The present protocol aims to investigate the effectiveness of a Virtual Reality system for sensorimotor and proprioception upper limb deficit compared to a traditional upper limb rehabilitation program. Method This study has a randomized and controlled design with control and experimental groups, and 4 measurement times: pre-intervention, immediately after the intervention, and two follow-ups (at 6 and 12 months). The inclusion criteria are: (a) Being 18 to 85 years old, both males and females; (b) Suffering from ischemic or haemorrhagic stroke; (c) The stroke event must have occurred from two to eighteen months before recruitment; (d) Patients must have moderate to severe upper limb motor deficit, and the alteration of sensorimotor and proprioception abilities of the injury upper limb; (e) Patients must understand and sign the written consent for enrolment. The rehabilitation last four weeks with three sessions per week at Bellaria Hospital of Bologna (Italy). The VR protocol uses two types of technology: immersive and non-immersive, and the control group follow the traditional rehabilitation program.
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ABO, Masahiro, Nobuyuki SASAKI, Toru TAKEKAWA e Wataru KAKUDA. "Rehabilitation for Upper Limb Hemiparesis after Stroke:". Japanese Journal of Rehabilitation Medicine 49, n. 12 (2012): 916–20. http://dx.doi.org/10.2490/jjrmc.49.916.

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Colovic, Hristina, Lidija Dimitrijevic, Vanja Djuric e Sonja Jankovic. "Upper limb robotic neurorehabilitation after pediatric stroke". Srpski arhiv za celokupno lekarstvo 148, n. 5-6 (2020): 368–71. http://dx.doi.org/10.2298/sarh200104015c.

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Introduction. Pediatric brain stroke is a rare condition, with the incidence of 1.2?13/100,000. The most common consequence is hemiparesis with unilateral hand impairment. There is level 4 evidence that robotics may improve the function of upper limbs. In this paper, we present the effect of combined robotic rehabilitation and kinesitherapy on the distal portion of the arm in the chronic phase of hemiparesis in childhood. Case outline. In a 7.5-year-old girl the treatment with robotic neurorehabilitation was administered in the chronic phase of post-stroke rehabilitation, 18 months after the stroke, involving individualized kinesitherapy for 30 minutes, and virtual reality-based rehabilitation using the robotic Smart Glove for 30 minutes. The rehabilitation protocol was administered for 12 weeks (five times a week). The results of therapeutic evaluation showed that the level 2 of Manual Ability Classification System remained unchanged until the end of treatment, while the grade assigned for the spasticity of flexors in the forearm and fingers was 2 at the treatment onset, 1+ after four weeks of therapy, and 1 after eight and 12 weeks of therapy. Qualitative improvement of arm function through the increase of the overall value of the Quality of Upper Extremity Skills Test was evidenced at each evaluation testing, being the greatest after the first four weeks of rehabilitation (4.83%). Conclusion. The result of our study suggests that combined robotic rehabilitation and kinesitherapy can improve the functional motor performance of the arm involved in the chronic recovery phase after a pediatric stroke.
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Tesi sul tema "Stroke upper limb rehabilitation"

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Burke, James. "Games for upper limb stroke rehabilitation". Thesis, University of Ulster, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.554247.

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Stroke is a major cause of disability worldwide. For rehabilitation to be effective, it must be early, intensive and repetitive. Stroke rehabilitation starts in hospital, where a structured plan of exercise for the stroke survivor is designed and facilitated by a physiotherapist. Once the patient is discharged, however, supervised therapy sessions can be very infrequent and often people with stroke find it difficult to remain motivated and engaged in rehabilitation programmes when in the home environment. New technology, exploiting natural user interfaces, may offer opportunities for people with stroke to engage in home-based, unsupervised rehabilitation. The problems of poor motivation and low levels of engagement may be addressed by embedding design principles of video games, which are often associated with high levels of user engagement, into the solution. The hypothesis of this thesis is through the incorporation of novel input technology and game design theory, game- based rehabilitation solutions can be designed that are usable, playable and engaging for people with stroke. Reviews of the key areas of conventional stroke therapy, natural user interface technology and game design theory have been conducted and, following analysis, consolidated into a novel 'Games for Rehabilitation' (GAMER) framework. The framework is intended to inform the design of usable, playable and engaging games for stroke rehabilitation and has been evaluated through the development of two implementations which support user interaction through two different interface technologies: video capture (2D) and augmented reality (3D). Evaluation of these implementations with able-bodied and stroke participants using a novel user-centred protocol suggest that the GAMER framework can inform the design of usable, playable, engaging games for upper limb stroke rehabilitation in the home.
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Crosbie, Jacqueline H. "Virtual reality in the rehabilitation of the upper limb following stroke". Thesis, University of Ulster, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.445058.

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Lindberg, Påvel. "Brain plasticity and upper limb function after stroke: some implications for rehabilitation /". Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7816.

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Ang, Wei Sin. "A Biomechanical Model of Human Upper Limb for Objective Stroke Rehabilitation Assessment". Research Showcase @ CMU, 2017. http://repository.cmu.edu/dissertations/1052.

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In stroke rehabilitation, the assessments of the severity of stroke that are based on objective and robust measurements are the key to improve the efficacy of the rehabilitation efforts. It is essential, therefore, to complement the existing tools, where the assessments are partly relied on therapists’ subjective judgements, with a tool that can quantify important indicators of stroke recovery. One such indicator is the level of spasticity. The reliability of the current methods of measuring the severity of spasticity can be significantly improved by incorporating a feasible way to measure muscle forces and activations during stroke assessment. However, most of the present methods of estimating muscle forces require input parameters that are difficult to obtain in a clinical setting. A musculoskeletal arm model has been developed to bridge the gap between the domains of muscle forces estimation and stroke rehabilitation assessment. The project is divided into three stages. In the first stage, a biomechanical arm model that computes the joint torques with kinematic data from sensors is developed. The model has three features that eliminate the need for parameters that are difficult to obtain thus making it a feasible tool in clinical settings. The first is the use of a hybrid method that combines the data from sensors and a shoulder rhythm model to compute the orientation of the shoulder complex. The second is a method to compute the elbow joint angles without the need to compute the ambiguous carrying angle. The third is a method of estimating the inertial properties using published data, scaled by parameters that can be easily measured. The musculoskeletal properties of the human arm are added to the model in the second stage. The muscle model consists of 22 muscles that span from the thorax via the shoulder and the upper arm to the forearm. The muscle path is defined using Obstacle Set method where the anatomical structures are modelled using regular-shaped rigid bodies. Dynamics of the muscle is computed based on the Hill’s type muscle model that consists of an active contractile element, a passive parallel element and a series element. Due the difficulties in defining the moment arms, an optimization routine is designed to compute the optimal moment arms for each muscle for a subject. The muscle-sharing problem is solved using optimization which minimises the square of sum of muscle stresses. The muscle activation predicted by the model is compared to EMG signal for validation. In the final stage of this project, the model is used in the application of spasticity assessment. The tonic stretch reflex threshold (TSRT) which is an indicator for the severity of spasticity is computed using the model. Fifteen patient subjects participated in the experiments where they were assessed by two qualified therapists using Modified Ashworth Scale (MAS), and their motions and EMG signals were captured at the same time. Using the arm model, the TSRT of each patient was measured and ranked. The estimated muscle activation profiles have a high correlation (0.707) to the EMG signal profiles. The null hypothesis that the rankings of the severity using the model and the MAS assessment have no correlation has been tested, and was rejected convincingly (p ≈ 0.0003). These findings suggest that the model has the potential to complement the existing practices by providing an alternative evaluation method.
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Lindberg, Påvel. "Brain Plasticity and Upper Limb Function After Stroke: Some Implications for Rehabilitation". Doctoral thesis, Uppsala University, Rehabilitation Medicine, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7816.

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Neuroimaging and neurophysiology techniques were used to study some aspects of cortical sensory and motor system reorganisation in patients in the chronic phase after stroke. Using Diffusion Tensor Imaging, we found that the degree of white matter integrity of the corticofugal tracts (CFT) was positively related to grip strength. Structural changes of the CFT were also associated with functional changes in the corticospinal pathways, measured using Transcranial Magnetic Stimulation. This suggests that structural and functional integrity of the CFT is essential for upper limb function after stroke.

Using functional magnetic resonance imaging (fMRI), to measure brain activity during slow and fast passive hand movements, we found that velocity-dependent brain activity correlated positively with neural contribution to passive movement resistance in the hand in ipsilateral primary sensory (S1) and motor (M1) cortex in both patients and controls. This suggests a cortical involvement in the hyperactive reflex response of flexor muscles upon fast passive stretch.

Effects of a four week passive-active movement training programme were evaluated in chronic stroke patients. The group improved in range of motion and upper limb function after the training. The patients also reported improvements in a variety of daily tasks requiring the use of the affected upper limb.

Finally, we used fMRI to explore if brain activity during passive hand movement is related to time after stroke, and if such activity can be affected with intense training. In patients, reduced activity over time was found in supplementary motor area (SMA), contralateral M1 and prefrontal and parietal association areas along with ipsilateral cerebellum. After training, brain activity increased in SMA, ipsilateral S1 and intraparietal sulcus, and contralateral cerebellum in parallel with functional improvements of the upper limb. The findings suggest a use-dependent modification of cortical activation patterns in the affected hand after stroke.

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Kutlu, Mustafa C. "A home-based functional electrical stimulation system for upper-limb stroke rehabilitation". Thesis, University of Southampton, 2017. https://eprints.soton.ac.uk/417274/.

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Due to an increased population of stroke patients and subsequent demand on health providers, there is an urgent need for effective stroke rehabilitation technology that can be used in patients' own homes. Over recent years, systems employing functional electrical stimulation (FES) have shown the ability to provide effective therapy. However, there is currently no low-cost therapeutic system available which simultaneously supplies FES to muscles in the patient's shoulder, arm and wrist to provide co-ordinated functional movement. This restricts the effectiveness of treatment, and hence the ability to support activities of daily living. In this thesis a home-based low cost rehabilitation system is developed which substantially extends the current state of art in terms of sensing and control methodologies. In particular, it embeds novel non-contact sensing approaches; the first use of an electrode array within a closed-loop model based control scheme; an interactive task display system; and an integrated learning-based controller for multiple muscles within the upper-limb (UL), which supports co-ordinated tasks. The thesis then focuses on compacting the prototype by upgrading the depth sensor and using embedded systems to transfer it to the home environment. Currently available home-based systems employing FES for UL rehabilitation are first reviewed in terms of their underlying technology, operation, scope and clinical evidence. Motivated by this, a detailed examination of a prototype system is carried out that combines low cost non-contact sensors with closed-loop FES controllers. Then potential avenues to extend the technology are highlighted, with specific focus given to low-cost non-contact based sensors for the hand and wrist. Sensing approaches are then reviewed and evaluated in terms of their scope to support the intended system requirements. Electrode array hardware is developed in order to provide accurate movement capability. Biomechanical models of the combined stimulated arm and mechanical support are then formulated. Using these, model-based iterative learning control methodologies are then designed and implemented. The system is evaluated with both unimpaired participants and stroke patients undergoing a course of treatment. Finally, a home-based prototype is developed which integrates and extends the aforementioned components. Results conrm the system's scope to provide more effective stroke rehabilitation. Based on the achieved results, courses of future work necessary to continue this development are outlined.
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Van, Vliet Paulette. "An investigation of reaching movements following stroke". Thesis, University of Nottingham, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.262879.

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Shublaq, Nour. "Use of inertial sensors to measure upper limb motion : application in stroke rehabilitation". Thesis, University of Oxford, 2010. http://ora.ox.ac.uk/objects/uuid:3b1709fb-8be6-4402-b846-096693fc75bc.

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Stroke is the largest cause of severe adult complex disability, caused when the blood supply to the brain is interrupted, either by a clot or a burst blood vessel. It is characterised by deficiencies in movement and balance, changes in sensation, impaired motor control and muscle tone, and bone deformity. Clinically applied stroke management relies heavily on the observational opinion of healthcare workers. Despite the proven validity of a few clinical outcome measures, they remain subjective and inconsistent, and suffer from a lack of standardisation. Motion capture of the upper limb has also been used in specialised laboratories to obtain accurate and objective information, and monitor progress in rehabilitation. However, it is unsuitable in environments that are accessible to stroke patients (for example at patients’ homes or stroke clubs), due to the high cost, special set-up and calibration requirements. The aim of this research project was to validate and assess the sensitivity of a relatively low cost, wearable, compact and easy-to-use monitoring system, which uses inertial sensors in order to obtain detailed analysis of the forearm during simple functional exercises, typically used in rehabilitation. Forearm linear and rotational motion were characterised for certain movements on four healthy subjects and a stroke patient using a motion capture system. This provided accuracy and sensitivity specifications for the wearable monitoring system. With basic signal pre-processing, the wearable system was found to report reliably on acceleration, angular velocity and orientation, with varying degrees of confidence. Integration drift errors in the estimation of linear velocity were unresolved. These errors were not straightforward to eliminate due to the varying position of the sensor accelerometer relative to gravity over time. The cyclic nature of rehabilitation exercises was exploited to improve the reliability of velocity estimation with model-based Kalman filtering, and least squares optimisation techniques. Both signal processing methods resulted in an encouraging reduction of the integration drift in velocity. Improved sensor information could provide a visual display of the movement, or determine kinematic quantities relevant to the exercise performance. Hence, the system could potentially be used to objectively inform patients and physiotherapists about progress, increasing patient motivation and improving consistency in assessment and reporting of outcomes.
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Gudipati, Radhika. "GENTLE/A : adaptive robotic assistance for upper-limb rehabilitation". Thesis, University of Hertfordshire, 2014. http://hdl.handle.net/2299/13895.

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Advanced devices that can assist the therapists to offer rehabilitation are in high demand with the growing rehabilitation needs. The primary requirement from such rehabilitative devices is to reduce the therapist monitoring time. If the training device can autonomously adapt to the performance of the user, it can make the rehabilitation partly self-manageable. Therefore the main goal of our research is to investigate how to make a rehabilitation system more adaptable. The strategy we followed to augment the adaptability of the GENTLE/A robotic system was to (i) identify the parameters that inform about the contribution of the user/robot during a human-robot interaction session and (ii) use these parameters as performance indicators to adapt the system. Three main studies were conducted with healthy participants during the course of this PhD. The first study identified that the difference between the position coordinates recorded by the robot and the reference trajectory position coordinates indicated the leading/lagging status of the user with respect to the robot. Using the leadlag model we proposed two strategies to enhance the adaptability of the system. The first adaptability strategy tuned the performance time to suit the user’s requirements (second study). The second adaptability strategy tuned the task difficulty level based on the user’s leading or lagging status (third study). In summary the research undertaken during this PhD successfully enhanced the adaptability of the GENTLE/A system. The adaptability strategies evaluated were designed to suit various stages of recovery. Apart from potential use for remote assessment of patients, the work presented in this thesis is applicable in many areas of human-robot interaction research where a robot and human are involved in physical interaction.
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Ramsay, Jill Rosamond Edith. "Proprioception in normal and brain damaged populations : assessment and rehabilitation of the upper limb". Thesis, University of Birmingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368801.

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Proprioception, the often forgotten sixth sense, is frequently impaired following stroke, with rehabilitationists addressing this loss within the therapeutic techniques presented to resolve motor problems. The aims of the current studies were to (i) establish the current clinical reality of somatosensory assessment undertaken by physiotherapists nationwide, (ii) how proprioceptive loss in particular was addressed, (iii) explore upper limb weightbearing within everyday activity, (iv) evaluate the proprioceptive response in normal subjects having differences in age and activity. Proprioceptive loss following brain insult has been shown to have an adverse effect on outcome (iv) undertake a series of single case-studies to explore the effect of therapeutic intervention of weightbearing. The findings showed that (i) there was a high degree of agreement in the clinical practice of somatosensory assessment undertaken, (ii) therapeutic intervention of weightbearing was found to be recommended for both motor and proprioceptive loss (iii) upper limb weightbearing was found to be a non-trivial component of everyday life, (iv) positive effects of upper limb weightbearing were found on the proprioceptive responses of stroke victims. The implications of this research are that upper limb weightbearing activities should be incorporated in therapeutic activities to re-establish and maintain proprioceptive control of both upper and lower limbs.
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Più fonti

Libri sul tema "Stroke upper limb rehabilitation"

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College of Occupational Therapists. Trauma & Orthopaedics, a cura di. Upper limb prosthetic rehabilitation: Guidance. London: College of Occupational Therapists, 2006.

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1940-, Muzumdar Ashok, a cura di. Powered upper limb prostheses. Berlin: Springer, 2004.

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Atkins, D. J. Comprehensive Management of the Upper-Limb Amputee. New York, NY: Springer New York, 1989.

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Hentz, Vincent R. Surgical rehabilitation of the upper limb in tetraplegia. London: W.B. Saunders, 2002.

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Mills, Deborah. Therapeutic activities for the upper limb. Bicester, Oxon: Winslow Press, 1989.

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J, Atkins D., e Meier R. H, a cura di. Comprehensive management of the upper-limb amputee. New York: Springer-Verlag, 1989.

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Freeman, Chris. Control System Design for Electrical Stimulation in Upper Limb Rehabilitation. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-25706-8.

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Muzumdar, Ashok. Powered Upper Limb Prostheses: Control, Implementation and Clinical Application. Berlin, Heidelberg: Springer Berlin Heidelberg, 2004.

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College, of Occupational Therapists Clinical Interest Group in Orthotics Prosthetics and Wheelchairs. Occupational therapy in the rehabilitation of upper limb amputees and limb deficient children: Information booklet. [London?]: CIGOPW, 2000.

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College of Occupational Therapists. Clinical Interest Group in Orthotics, Prosthetics and Wheelchairs. Occupational therapy in the rehabilitation of upper limb amputees and limb deficient children: Standards and guidelines. [London?]: CIGOPW, 1995.

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Capitoli di libri sul tema "Stroke upper limb rehabilitation"

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Ambrosini, Emilia, Stefano Dalla Gasperina, Marta Gandolla e Alessandra Pedrocchi. "Upper-Limb Exoskeletons for Stroke Rehabilitation". In IFMBE Proceedings, 1722–28. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-31635-8_209.

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Abo, Masahiro, e Wataru Kakuda. "rTMS for Upper Limb Hemiparesis after Stroke". In Rehabilitation with rTMS, 9–71. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20982-1_2.

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Lobão, Rebeca, Maria Patacho, Mariana Pedro, Ana Oliveira, Frederico Jacob, Pedro Guimarães e Arcelina Marques. "HANDCARE: Post Stroke Upper Limb Rehabilitation Device". In Lecture Notes in Educational Technology, 740–46. Singapore: Springer Nature Singapore, 2024. http://dx.doi.org/10.1007/978-981-97-1814-6_73.

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Jost, Holger. "Kinect-Based Approach to Upper Limb Rehabilitation". In Modern Stroke Rehabilitation through e-Health-based Entertainment, 169–93. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-21293-7_6.

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Freeman, Chris T., Eric Rogers, Jane H. Burridge, Ann-Marie Hughes e Katie L. Meadmore. "ILC Based Upper-Limb Rehabilitation—Planar Tasks". In Iterative Learning Control for Electrical Stimulation and Stroke Rehabilitation, 25–61. London: Springer London, 2015. http://dx.doi.org/10.1007/978-1-4471-6726-6_4.

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Hortal, Enrique, Eduardo Iáñez, Andrés Úbeda, Daniel Tornero e José M. Azorín. "Decoding Upper Limb Movement Velocity for Stroke Rehabilitation". In Converging Clinical and Engineering Research on Neurorehabilitation, 415–19. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-34546-3_67.

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Tang, Bo, Li Jiang, Zhaowei Wang, Meng Ke e Yanzhao Sun. "Upper Limb Rehabilitation Electromechanical System for Stroke Patients". In Advances in Intelligent Systems and Computing, 283–89. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43306-2_40.

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Valencia, Nicolás, Vivianne Cardoso, Anselmo Frizera e Teodiano Freire-Bastos. "Serious Game for Post-stroke Upper Limb Rehabilitation". In Converging Clinical and Engineering Research on Neurorehabilitation II, 1445–50. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-46669-9_237.

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Freeman, Chris. "Clinical Application: Goal-Orientated Stroke Rehabilitation". In Control System Design for Electrical Stimulation in Upper Limb Rehabilitation, 111–19. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-25706-8_7.

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Freeman, Chris. "Clinical Application: Fully Functional Stroke Rehabilitation". In Control System Design for Electrical Stimulation in Upper Limb Rehabilitation, 141–62. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-25706-8_9.

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Atti di convegni sul tema "Stroke upper limb rehabilitation"

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Jordan, Kimberlee, Michael Sampson, Juha Hijmans, Marcus King e Leigh Hale. "ImAble system for upper limb stroke rehabilitation". In 2011 International Conference on Virtual Rehabilitation (ICVR). IEEE, 2011. http://dx.doi.org/10.1109/icvr.2011.5971835.

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Rashid, M. M., Mohammad Yeakub Ali e Sharifah Sai’dah Syed Nasir. "An adaptive upper-limb stroke rehabilitation system". In 8TH BRUNEI INTERNATIONAL CONFERENCE ON ENGINEERING AND TECHNOLOGY 2021. AIP Publishing, 2023. http://dx.doi.org/10.1063/5.0112694.

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Burke, J. W., P. J. Morrow, M. D. J. McNeill, S. M. McDonough e D. K. Charles. "Vision Based Games for Upper-Limb Stroke Rehabilitation". In 2008 International Machine Vision and Image Processing Conference (IMVIP). IEEE, 2008. http://dx.doi.org/10.1109/imvip.2008.16.

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Burke, James William, Michael McNeill, Darryl Charles, Philip Morrow, Jacqui Crosbie e Suzanne McDonough. "Serious Games for Upper Limb Rehabilitation Following Stroke". In 2009 Conference in Games and Virtual Worlds for Serious Applications (VS-GAMES). IEEE, 2009. http://dx.doi.org/10.1109/vs-games.2009.17.

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Bur, J. W., M. D. J. McNeill, D. K. Charles, P. J. Morrow, J. H. Crosbie e S. M. McDonough. "Augmented Reality Games for Upper-Limb Stroke Rehabilitation". In 2010 2nd International Conference on Games and Virtual Worlds for Serious Applications (VS-GAMES 2010). IEEE, 2010. http://dx.doi.org/10.1109/vs-games.2010.21.

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Rosati, Giulio, Riccardo Secoli, Damiano Zanotto, Aldo Rossi e Giovanni Boschetti. "Planar Robotic Systems for Upper-Limb Post-Stroke Rehabilitation". In ASME 2008 International Mechanical Engineering Congress and Exposition. ASMEDC, 2008. http://dx.doi.org/10.1115/imece2008-67273.

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Abstract (sommario):
Rehabilitation is the only way to promote recovery of lost function in post-stroke hemiplegic subjects, leading to independence and early reintegration into social and domestic life. In particular, upper limb rehabilitation is fundamental to regain ability in Activities of Daily Living (ADLs). Robot-aided rehabilitation is an emerging field seeking to employ leading-edge robotic systems to increase patient recovery in the rehabilitation treatment. Even though the effectiveness of robotic therapy is still being discussed, the use of robotic devices can increase therapists’ efficiency by alleviating the labor-intensive aspects of physical rehabilitation, and can produce a reduction in treatment costs. This paper presents a comparison between different planar robotic devices designed for upper-limb rehabilitation in chronic patients. A planar configuration of the workspace leads to straightforward mechanical and control system design, and allows to define very simple and understandable treatment exercises. Also, the graphical user interface becomes very intuitive for the patient, and a set of Cartesian-based measures of the patient’s performance can be defined easily. In the paper, SCARA (Selective Compliance Assembly Robot Arm) robots such as the MIT-Manus, Cartesian robots and cable-driven robots are considered and compared in terms of inertial properties and force exertion capabilities. Two cable-driven devices, designed at the Robotics Lab of the Department if Innovation In Mechanics and Management, University of Padua, Italy, are presented for the first time. The first robot employs four driven cables to produce a planar force on the end-effector, whereas the second one is based on a three-cable configuration plus a linear actuator to obtain better overall robot performance.
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Miro, Michael, Benedict Theren, Tobias Schmelter e Bernd Kuhlenkötter. "SMA Actuator Usage in Upper Limb Rehabilitation Technology". In ASME 2021 Conference on Smart Materials, Adaptive Structures and Intelligent Systems. American Society of Mechanical Engineers, 2021. http://dx.doi.org/10.1115/smasis2021-67599.

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Abstract (sommario):
Abstract Today, therapy of neurologically induced functional losses of the upper limbs is mainly carried out manually. Recently, with the progress in automation technology, device-assisted therapy has established itself internationally as an additional treatment option. Thereby, proven therapy methods are applied automatically, which can relieve therapists, increase treatment frequency and lead to a better outcome. However, many of these solutions are still costly, heavy, bulky, or unsuitable for non-specialists because of the device’s and external actuator unit’s complexity. These limitations deny regular and otherwise immensely beneficial self-training by demanding the continuous presence of a therapist for setup and oversight. In this context, Shape-Memory-Alloy-based actuators’ usage may permit new design approaches with enhanced physical properties and usability. Thereby, inhibition thresholds are overcome by reducing the size and weight of available devices and their peripherals, which use standard actuators. For SMA, the necessary strokes and forces are a challenge. To meet the given demands of automated grasp therapy, a suitable actuator build is designed using VDI 2248. The build bases on an antagonistic SMA approach consisting of Nitinol spring combinations to match given boundary conditions, like necessary stroke and gripping forces for a physiologically correct hand movement. Furthermore, optimization for properties like a minimal size to stroke ratio is conducted. This paper delivers an early proof of concept based on a prototype for an SMA-actuated grasp therapy device for neurological rehabilitation.
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Mazzoleni, S., R. Crecchi, F. Posteraro e M. C. Carrozza. "Robot-assisted upper limb rehabilitation in chronic stroke patients". In 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2013. http://dx.doi.org/10.1109/embc.2013.6609643.

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Nordin, Khairul Muslim, Kalaivani Chellappan e Ramesh Sahathevan. "Upper limb rehabilitation in post stroke patients: Clinical observation". In 2014 IEEE Conference on Biomedical Engineering and Sciences (IECBES). IEEE, 2014. http://dx.doi.org/10.1109/iecbes.2014.7047597.

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Freeman, C. T., A.-M. Hughes, J. H. Burridge, P. H. Chappell, P. L. Lewin e E. Rogers. "An upper limb model using FES for stroke rehabilitation". In 2009 European Control Conference (ECC). IEEE, 2009. http://dx.doi.org/10.23919/ecc.2009.7074899.

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Rapporti di organizzazioni sul tema "Stroke upper limb rehabilitation"

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Zhang, Chengdong, Jinchao Du, Meiyi Luo, Junfang Lei, Xiaohua Fan e Jiqin Tang. Efficacy of transcutaneous electrical acupoint stimulation on upper limb function after stroke: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, gennaio 2023. http://dx.doi.org/10.37766/inplasy2023.1.0036.

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Review question / Objective: To systematically evaluate the efficacy of transcutaneous electrical acupoint stimulation (TEAS) on upper limb motor dysfunction in stroke patients. P: Stroke patients. I: TEAS was performed on the basis of the control group. C: Routine rehabilitation training, which could be combined with transcutaneous electrical acupoint stimulation false stimulation, basic drug therapy or other sports therapy. O: Fugl-Meyer Assessment-Upper Extremity (FMA-UE), FMA wrist and hand part, FMA hand part, Modified Barthel Index (MBI) and Modified Ashworth Index (MAS). S: RCT. Information sources: Search PubMed, Web of Science, Cochrane Library, Embase, CNKI, Wanfang, Vip, and China Biology Medicine (CBM) Database, from the establishment of the database to December 2022.
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Lou, Huijuan, Xinxin Zhang, Zhanxin Li, Hongshi Zhang, Yufeng Wang e Deyu Cong. Electrocupuncture combined rehabilitation therapy for upper limb spasticity after stroke: A protocol for systematic review and meta analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, giugno 2021. http://dx.doi.org/10.37766/inplasy2021.6.0005.

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Chen, Gengbin, Tuo Lin, Manfeng Wu, Guiyuan Cai, Qian Ding, Jiayue Xu, Wanqi Li, Cheng Wu, Hongying Chen e Yue Lan. Effects of repetitive transcranial magnetic stimulation on upper-limb and finger function in stroke patients: a systematic review and meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, maggio 2022. http://dx.doi.org/10.37766/inplasy2022.5.0121.

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Review question / Objective: P:Adult patients (age ≥ 18 years) diagnosed with stroke based on relevant clinical examination; I:Intervention group with rTMS alone or in combination with other treatments with rTMS; C:Control group received sham treatment or no rTMS; O: Upper extremity function:the Fugl-Meyer Assessment Upper Extremity (FMA-UE); Hand function:box and block test(BBT), nine-hole peg test(NHPT), and Purdue pegboard test(PPT); S:Randomized controlled trials (rather than crossover designs). Condition being studied: In Europe, more than 1 million new cases of stroke are reported each year. The absolute number of stroke patients is expected to increase in the near future due to the progressive aging of the population. Approximately 50-80% of stroke survivors present with upper extremity dysfunction. Recovery of upper extremity function is associated with improvements in activities of daily living and mental health. However, few stroke survivors show full recovery of upper extremity function 6 months after stroke. In addition, rehabilitation has a limited impact on the recovery of hand motor function.
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Lou, Huijuan, Xinxin Zhang, Zhangxin Li, Hongshi Zhang, Yufeng Wang e Deyu Cong. Protocol for systematic review and meta-analysis of efficacy and safety of acupuncture combined with rehabilitation therapy for upper limb spasticity after stroke. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, maggio 2021. http://dx.doi.org/10.37766/inplasy2021.5.0076.

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ZHU, Shanshan, Huimin ZHANG, Ke XU, Xin GUO, Junyan MA e Xiaoyan ZHANG. Meta-analysis of the effects of upper limb robot-assisted training on cognitive function and upper limb function in patients after stroke. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, luglio 2023. http://dx.doi.org/10.37766/inplasy2023.7.0017.

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Gao, Wenyan, Peipei Wang e Shaoping Lv. Therapeutic effect of non-invasive brain stimulation for post-stroke upper limb dyskinesias:a Meta-Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, febbraio 2024. http://dx.doi.org/10.37766/inplasy2024.2.0086.

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Dong, yanhong, zuoju Zhang e yuxin sun. A systematic review and meta-analysis of the effects of Baduanjin on limb function rehabilitation in stroke patients. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, luglio 2024. http://dx.doi.org/10.37766/inplasy2024.7.0048.

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zheng, ying, e yun xiang. Rehabilitation effect of lower-limb motor function in stroke patients with Chinese traditional exercises : A systematic review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, febbraio 2022. http://dx.doi.org/10.37766/inplasy2022.2.0039.

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Abstract (sommario):
Review question / Objective: To systematically evaluate the effectiveness of Chinese traditional exercises（CTE）in the rehabilitation of lower-limb motor function in stroke patients by Meta analysis statistical method. Condition being studied: Stroke and motor dysfunction. Main outcome(s): Fugl-Meyer Motor Scale (FMA) and Berg Balance Scale (BBS), the higher the score, the lower the degree of Motor dysfunction; The timed "Up & Go" test shows that the shorter the test time is, the lower the degree of motor dysfunction.
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WU, Jingyi, Jiaqi LI, Ananda Sidarta e Patrick Wai Hang Kwong. Neural mechanisms of bimanual coordination in humans and application of neuromodulation therapy: a scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, maggio 2023. http://dx.doi.org/10.37766/inplasy2023.5.0080.

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Abstract (sommario):
Background: Bimanual coordination deficits are one of the most common characteristics of people with stroke, which have an adverse influence on their independence of activities daily living and other occupational activities. Existing studies and reviews mainly focused on how to improve motor impairment of the affected limb and cortical activation and functional connectivity in the impaired brain hemisphere by a series of rehabilitation strategies, e.g., non-invasive brain stimulation and rehabilitation robotics. It should be noted that functional bilateral abilities are not a simple compound and a combination of one-handed skills. Therefore, the bimanual coordination dysfunctions still need to be explored and addressed in clinical practice. Better understandings of the neural mechanisms underlying bilateral cooperative tasks in healthy subjects and changes in neural activities in stroke patients help foster the development of effective rehabilitation strategies, such as TMS and tDCS, and enhance the bimanual coordination through stimulating altered cortical areas, which is essential for boosting the independence and quality of daily life in stroke individuals.
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Asiri, Fiasal, Jaya Tedla e Kumar Gular. Modified constrained-induced movement therapy on upper extremity functions in post stroke survivors at various recovery stages and rehabilitation settings. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, ottobre 2020. http://dx.doi.org/10.37766/inplasy2020.10.0007.

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