Article

Individuals with chronic stroke have limited options for hand
rehabilitation at home. Here, we sought to determine the feasibility and efficacy
of home-based MusicGlove therapy. Seventeen participants with moderate hand
impairment in the chronic phase of stroke were randomized to 3 wk of home-based
exercise with either the MusicGlove or conventional tabletop exercises. The
primary outcome measure was the change in the Box and Blocks test score from
baseline to 1 mo posttreatment. Both groups significantly improved their Box and
Blocks test score, but no significant difference was found between groups. The
MusicGlove group did exhibit significantly greater improvements than the
conventional exercise group in motor activity log quality of movement and amount
of use scores 1 mo posttherapy (p = 0.007 and p = 0.04, respectively).
Participants significantly increased their use of MusicGlove over time,
completing 466 gripping movements per day on average at study end. MusicGlove
therapy was not superior to conventional tabletop exercises for the primary end
point but was nevertheless feasible and led to a significantly greater increase
in self-reported functional use and quality of movement of the impaired hand than
conventional home exercises. CLINICAL TRIAL REGISTRATION
ClinicalTrials.gov
"Influence of Timing on Motor Learning"; NCT01769326;
https://clinicaltrials.gov/ct2/show/NCT01769326.

Langue : ANGLAIS