Therapy incorporating a dynamic wrist-hand orthosis versus manual assistance in chronic stroke: a pilot study

Journal of Neurologic Physical Therapy : JNPT
Joni G BarryJudy Woehrle

Abstract

The purpose of this study was to compare the effect of therapy using a wrist-hand orthosis (WHO) versus manual-assisted therapy (MAT) for individuals with chronic, moderate-to-severe hemiparesis. The relationship between the repetitions during therapy and functional change was also examined. Nineteen participants were randomly assigned to either the WHO group (n = 10) or the MAT group (n = 9). The WHO group performed therapy while wearing a dynamic WHO (SaeboFlex), the MAT group performed therapy with manual assistance of a therapist. Both groups participated in 1 hour of therapy per week for 6 weeks and were prescribed exercises to perform at home 4 days per week. Pre- and posttraining assessments included grip strength, the Action Research Arm Test (ARAT), Box and Blocks (B&B) test, and Stroke Impact Scale (SIS). There were no significant between-group differences for any of the measures. Within-group differences showed that the WHO group had a significant improvement in the ARAT score (mean = 2.2; P = 0.04). The MAT group had a significant improvement on the percent recovery on the SIS (mean = 9.3%; P = 0.03) and approached a significant improvement on the ARAT (mean = 1.4; P = 0.08). When analyzing all participants together...Continue Reading

References

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Citations

May 24, 2016·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Kelly O ThielbarDerek G Kamper
Jun 26, 2013·Prosthetics and Orthotics International·Maja MlakarGaj Vidmar
Feb 11, 2018·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Barbara M Doucet, Joni A Mettler
Jan 1, 2020·Topics in Stroke Rehabilitation·Elena V Donoso BrownJeanne M Hoffman
Aug 7, 2019·Disability and Rehabilitation. Assistive Technology·Drew R DudleyJorge M Zuniga
Mar 31, 2015·Archives of Physical Medicine and Rehabilitation·Stephen J PageBrittani Blazak
Jan 3, 2015·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Stephen J PageValerie Hill

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