Effects of training with a passive hand orthosis and games at home in chronic stroke: a pilot randomised controlled trial.
Clin Rehabil
; 31(2): 207-216, 2017 Feb.
Article
en En
| MEDLINE
| ID: mdl-26869596
ABSTRACT
OBJECTIVES:
To compare user acceptance and arm and hand function changes after technology-supported training at home with conventional exercises in chronic stroke. Secondly, to investigate the relation between training duration and clinical changes.DESIGN:
A randomised controlled trial.SETTING:
Training at home, evaluation at research institute.SUBJECTS:
Twenty chronic stroke patients with severely to mildly impaired arm and hand function.INTERVENTIONS:
Participants were randomly assigned to six weeks (30 minutes per day, six days a week) of self-administered home-based arm and hand training using either a passive dynamic wrist and hand orthosis combined with computerised gaming exercises (experimental group) or prescribed conventional exercises from an exercise book (control group). MAINMEASURES:
Main outcome measures are the training duration for user acceptance and the Action Research Arm Test for arm and hand function. Secondary outcomes are the Intrinsic Motivation Inventory, Fugl-Meyer assessment, Motor Activity Log, Stroke Impact Scale and grip strength.RESULTS:
The control group reported a higher training duration (189 versus 118 minutes per week, P = 0.025). Perceived motivation was positive and equal between groups ( P = 0.935). No differences in clinical outcomes over training between groups were found (P ⩾ 0.165). Changes in Box and Block Test correlated positively with training duration ( P = 0.001).CONCLUSIONS:
Both interventions were accepted. An additional benefit of technology-supported arm and hand training over conventional arm and hand exercises at home was not demonstrated. Training duration in itself is a major contributor to arm and hand function improvements.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Paresia
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Juegos de Video
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Recuperación de la Función
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Accidente Cerebrovascular
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Terapia por Ejercicio
Tipo de estudio:
Clinical_trials
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Etiology_studies
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Prognostic_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Clin Rehabil
Asunto de la revista:
REABILITACAO
Año:
2017
Tipo del documento:
Article
País de afiliación:
Países Bajos