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Kinematics variations after spring-assisted orthosis training in persons with stroke

WOO Y; JEON H; HWANG S M; CHOI B; LEE DAVIS J
PROSTHET ORTHOT INT , 2013, vol. 37, n° 4, p. 311-316
Doc n°: 165724
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364612461050
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, EC2 - ORTHESE

Static wrist splinting after stroke was not effective in facilitating
distal movement. However, the purpose of this study is to evaluate the efficacy
of training using kinematic parameters after a SaeboFlex orthosis training on
chronic stroke patients. METHODS: Five stroke patients
participated in 4 weeks of training using a SaeboFlex orthosis for 1 hour per
day, five times per week. Fugl-Meyer Assessment, Box and Block Test, Action
Research Arm Test, and Kinematics using a three-dimensional motion analysis
system were used for evaluating of training effects. FINDINGS AND OUTCOMES: The
upper extremity score of the Fugl-Meyer Assessment and the Box and Block Test
score were increased significantly after the intervention. The jerkiness score of
the shoulder and elbow joints at the sagittal plane decreased significantly
during the reach-to-grasp task at acromion height, and the jerkiness scores of
the wrist joint during the reach-to-grasp task decreased significantly at both
elbow and acromion heights. CONCLUSION: The results of this study indicate that a
SaeboFlex training is effective in recovering the movement of the hemiparetic
upper extremity of patients after stroke. CLINICAL RELEVANCE: Using a
spring-assisted dynamic hand orthosis is considered to be an effective treatment
option for providing repetition, task-oriented training, and real-world
activities for the hemiparetic upper extremity, which was impaired hand to
perform functional training.

Langue : ANGLAIS

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