PMID: 3766683Sep 1, 1986Paper

The effectiveness of therapy in improving finger extension in stroke patients

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
C A TromblyA Brexa-Hooson

Abstract

Twenty post-stroke patients were assigned to one of three treatment conditions or to a control group to test whether exercises, determined in a previous study to recruit maximal extensor digitorum participation, would improve finger extension function over time. The exercises were resisted grasp, resisted extension, and ballistic extension. Improved function was defined as increased active range of motion, speed of reversal of movement, and ability to grasp and release cylinders. Significantly more subjects assigned to ballistic or resisted extension conditions improved in their ability to rapidly reverse movement over the course of treatment as opposed to those assigned to resisted grasp or control conditions. However, Kruskal-Wallis nonparametric analyses of variance indicated that no exercise improved all three components of function significantly more than another or the control condition. Since no clear difference was found between the control and treatment conditions, it was concluded that motor unit recruitment as an attribute of activity is insufficient to improve function in post-stroke patients. The strength of this conclusion is limited by a chance imbalance of patient assignment in which significantly more patients ...Continue Reading

Citations

Jul 3, 2007·Current Treatment Options in Cardiovascular Medicine·Preeti Raghavan
Aug 7, 2010·Brain : a Journal of Neurology·Satoko KoganemaruKazuhisa Domen
Nov 16, 2013·Journal of Neurologic Physical Therapy : JNPT·Paul CordoElliot Roth
Nov 1, 1992·Acta Neurologica Scandinavica·J de Pedro-CuestaP Bach-y-Rita
May 22, 2009·Journal of Neurophysiology·Catherine E LangJustin A Beebe
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Sep 13, 2003·Topics in Stroke Rehabilitation·Sanjit K BhogalMark R Speechley
May 1, 2004·Topics in Stroke Rehabilitation·Joel Stein
Mar 1, 2005·Topics in Stroke Rehabilitation·Patricia Kluding, Sandra A Billinger
Aug 31, 2006·Topics in Stroke Rehabilitation·UNKNOWN Ottawa PanelJoanna Sarnecka
Jun 19, 2007·Topics in Stroke Rehabilitation·Archana P Sangole, Mindy F Levin
Sep 19, 2007·Neurorehabilitation and Neural Repair·James R CareyAlvaro Pascual-Leone
Aug 18, 2004·American Journal of Physical Medicine & Rehabilitation·Joel SteinNeville Hogan
Feb 8, 2020·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·S S PetrikovL B Zavaliy

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