2009, Number 4
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Arch Neurocien 2009; 14 (4)
Rehabilitation strategies of the stroke patients
Sánchez-Villavicencio I, Hernández-Franco J, Sucar E, Leder RS
Language: Spanish
References: 21
Page: 237-242
PDF size: 137.69 Kb.
ABSTRACT
Objective: virtual reality allows repetitive training in rehabilitation strategies, providing and multisensory environment that promotes neuroplasticy mechanisms in the neurologic patients. This study compares the conventional occupational programs with a virtual reality environment based on low cost technology in the rehabilitation of the stroke patients.
Methods: 22 chronic ischemic stroke patients were divides randomly into two groups using program of 15 sessions, 3 times per week. The study group use the software the simulated activities called gesture therapy. The control group treatment consisted of occupational therapy activities. Evaluation was made used the Fugl Meyer and Motricity index scales, and motivation intrinsic scale in the end of treatment.
Results: both groups showed a statistically significant recovery in the motor scales. The intrinsic motivation scale showed a higher score in the study group.
Conclusions: the use of virtual reality as a rehabilitation strategy in our study showed no advantage in comparison to conventional occupational therapy protocol, but enhanced the attachment of the patient to the treatment through a higher motivation.
REFERENCES
Sommerfeld DK, Elsy UB, Svensson AK, Holqvvist LW, Von Arbin H. Spasticity After Stroke. Its Occurrence and Association With Motor Impairments and Activity Limitations. Stroke 2004;35:134-40.
Sánchez BI, Valverde C. Valoración de la deficiencia motora del paciente hemipléjico. Rehabilitación 1994: 389-98.
Edzard E. A Review of stroke rehabilitation and phyisiotherapy. Stroke 1990; 21: 1081-5.
Paci M. Physiotherapy base don the Bobath concept for adults with post-stroke hemiplegia: a review of effectiveness studies. J Rehabil Med 2003 Jan;35(1):2-7. Developments in biofeedback for neuromotor rehabilitation, J Neuroeng Rehabil 2005;3:1-12.
Boake C, Noser EA, Ro T, Baraniuk S, Gaber M, Johnson R, Salmeron ET, Tran TM, Taub E. Constraint-induced movement therapy during early stroke rehabilitation. Neurorehabil Neural Repair 2007 jan-feb;21(1):14-24.
Mark VW, Taub E, Morris DM. Neuroplasticity and constraintinduced movement therapy. Eura Medicophys 2006;42(3):269-84.
Colombo R, Pisano F, Micera S, Mazzone A, Delconte C, Carozza C, et al. Assesing mechanisms of recovery during robot-aided neurorehabilitation of the upper limb. Neurorrehabil Neural Repair 2008; 22: 50-63.
Krutulyte G, Kimtys A, Krisciûnas A. The effectiveness of physical therapy methods (Bobath and motor relearning program) in rehabilitation of stroke patients. Medicina (Kaunas) 2003;39 (9):889-95.
Cramer SC, Nudo RJ. Rehabilitation and Repair. Introduction. Stroke. Published online 2008 Dec 8.
Huang G, Wolf SI, He J. Recent developments in biofeedback for neuromotor rehabilitation, J Neuroeng Rehabil 2005;3:1-12.
Volpe BT, Lynch D, Rykman-Berland A, Ferraro M, Galgano M, Hogan N, et al. Intensive sensoriomotor arm training mediated by therapist or robot improve hemiparesis in patientes with crronich stroke. Neurorehabil Neural Repair 2008;22(3): 305- 10.
Gauthier LV, Taub E, Perkins C, Ortmann M, Mark VW, Uswatte G. Remodeling the brain: plastic structural brain changes produced by different motor therapies after stroke. Stroke 2008; 39(5):1520-5.
Colombo R, Pisano F, Mazzone A, Delconte C, Micera S, Carozza MC. Design strategies to improve patient motivation during robot-aided rehabilitation. J Neuroeng Rehabil 2007;3: 1-12.
Reinkensmeyer D, Pang C, Nessler J, Painter C. Web- based telerehabilitation for the upper-extremity after Stroke, IEEE transactions on neural science and rehabilitation, engineering, 2002;(10)1-7.
Kwakkel G, Boudewijin J, Krebs HI. Effects of robot assited therapy on upper limb recovery after stroke: a systematic review. Neurorehabil and Neural Repair 2008; 22: 111-20.
Sucar LE, Azcarate G, Leder R, Reinkensmeyer D. Markless video arm trackingg as a tool for biomechanics/rehabilitation engineering. Pan American Health Care Exchanges febrero 2007.
Subramanian S, Knaut LA, Beaudoin C, McFadyen BJ, Feldman AG, Levin MF. Virtual reality environments for post-stroke arm rehabilitation. J Neuroeng Rehabil 2007;4:20.
Henderson A, Korner-Bitensky N, Levin M.Virtual reality in stroke rehabilitation: a systematic review of its effectiveness for upper limb motor recovery. Top Stroke Rehabil 2007;14(2):52-61.
Fugl-Meyer. The post stroke hemiplegic patients. A method for evaluation of physical performance. Scand J Rshabil Med 1975;7:13-31.
Sánchez BI, Valverde C. Valoración de la deficiencia motora del paciente hemipléjico. Rehabilitación 1994: 389-98.
Byl N, Roderick J, Mohamed O, Hanny M, Kotler J, Smith A, et al. Effectiveness of sensory and motor rehabilitation of the upper limb following the principles of neuroplasticity: patients stable pos stroke. Neurorehabil Neural Repair 2004;18(1):3-8.