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1

Lin, Keh-chung, Yu-wei Hsieh, Ching-yi Wu, Chia-ling Chen, Yuh Jang, and Jung-sen Liu. "Minimal Detectable Change and Clinically Important Difference of the Wolf Motor Function Test in Stroke Patients." Neurorehabilitation and Neural Repair 23, no. 5 (2009): 429–34. http://dx.doi.org/10.1177/1545968308331144.

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Objectives. This study aimed to establish the minimal detectable change (MDC) and clinically important differences (CID) of the Wolf Motor Function Test (WMFT) in patients with stroke, and to assess the proportions of patients' change scores exceeding the MDC and CID after stroke rehabilitation. Methods. A total of 57 patients received 1 of the 3 treatments for 3 weeks and underwent clinical assessments before and after treatment. The MDC, at 90% confidence (MDC 90), was calculated from the standard error of measurement to indicate a real change for individual patients. Anchor-based and distri
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Bogard, Kimberly, Steven Wolf, Qin Zhang, Paul Thompson, David Morris, and Deborah Nichols-Larsen. "Can the Wolf Motor Function Test be Streamlined?" Neurorehabilitation and Neural Repair 23, no. 5 (2009): 422–28. http://dx.doi.org/10.1177/1545968308331141.

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Background. To assess upper extremity (UE) capabilities following stroke, the Wolf Motor Function Test (WMFT) measures time to complete 15 UE tasks and 2 strength tasks, but takes 30 to 45 minutes for the clinician to complete. Objective. In an effort to streamline the WMFT, this study evaluated the association between the magnitude of improvement on any timed task of the WMFT and the change score on all other tasks among participants in the Extremity Constraint Induced Therapy Evaluation (EXCITE) trial. Methods. This association was evaluated using regression methods according to chronicity a
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Fritz, Stacy L., Sarah Blanton, Gitendra Uswatte, Edward Taub, and Steven L. Wolf. "Minimal Detectable Change Scores for the Wolf Motor Function Test." Neurorehabilitation and Neural Repair 23, no. 7 (2009): 662–67. http://dx.doi.org/10.1177/1545968309335975.

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Background. The Wolf Motor Function Test (WMFT) is an impairment-based test whose psychometrics have been examined by previous reliability and validity studies. Standards for evaluating whether a given change is meaningful, however, have not yet been addressed. Objectives. To determine the standard error of measurement (SEM) and minimal detectable change (MDC) for the WMFT. Methods. Data were collected from 6 university laboratories that participated in the EXCITE national clinical trial and included 96 individuals with sub-acute stroke (3—9 months). Measurements were made by blinded evaluator
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Zhao, Jiang-Li, Pei-Ming Chen, Wen-Feng Li, et al. "Translation and Initial Validation of the Chinese Version of the Action Research Arm Test in People with Stroke." BioMed Research International 2019 (January 21, 2019): 1–9. http://dx.doi.org/10.1155/2019/5416560.

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Purpose. This study aimed to translate the English version of the Action Research Arm Test (ARAT) into Chinese and to evaluate the initial validation of the Chinese version (C-ARAT) in patients with a first stroke. Methods. An expert group translated the original ARAT from English into Chinese using a forward-backward procedure. Forty-four patients (36 men and 8 women) aged 22–80 years with a first stroke were enrolled in this study. The participants were evaluated using 3 stroke-specific outcome measures: C-ARAT, the upper extremity section of the Fugl–Meyer assessment (UE-FMA), and the Wolf
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Chen, Hui-fang, Ching-yi Wu, Keh-chung Lin, Hsieh-ching Chen, Carl P.-C. Chen, and Chih-kuang Chen. "Rasch Validation of the Streamlined Wolf Motor Function Test in People With Chronic Stroke and Subacute Stroke." Physical Therapy 92, no. 8 (2012): 1017–26. http://dx.doi.org/10.2522/ptj.20110175.

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Background The construct validity and reliability of the short form of the Wolf Motor Function Test (S-WMFT) in people with subacute stroke and chronic stroke (S-WMFT subacute stroke and chronic stroke versions) have not been investigated. Objective The purpose of this study was to investigate the dimensionality, item difficulty hierarchy, differential item functioning (DIF), and reliability of the S-WMFT subacute stroke and chronic stroke versions in people with mild to moderate upper-extremity (UE) dysfunction. Design This was a secondary study in which data collected from randomized control
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Wu, Ching-yi, Rong-jiuan Liing, Hsieh-ching Chen, Chia-ling Chen, and Keh-chung Lin. "Arm and Trunk Movement Kinematics During Seated Reaching Within and Beyond Arm's Length in People With Stroke: A Validity Study." Physical Therapy 94, no. 6 (2014): 845–56. http://dx.doi.org/10.2522/ptj.20130101.

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Background Kinematic analysis is commonly used to objectively measure upper extremity movement performance after stroke. However, the concurrent validity and predictive validity of arm-trunk kinematics during reaching within and beyond arm's length have not been studied. Objective The aim of this study was to estimate the concurrent validity of kinematic measures before and after treatment and the predictive validity for reaching within and beyond arm's length after stroke. Design This was a secondary analysis study. Methods Ninety-seven participants with stroke (mean age=55.9 years [SD=10.9])
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Fu, Tiffany Szu-Ting, Ching-yi Wu, Keh-chung Lin, et al. "Psychometric comparison of the shortened Fugl-Meyer Assessment and the streamlined Wolf Motor Function Test in stroke rehabilitation." Clinical Rehabilitation 26, no. 11 (2011): 1043–47. http://dx.doi.org/10.1177/0269215511431474.

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Objective: We aimed to compare the responsiveness, concurrent and predictive validity of the shortened Fugl-Meyer Assessment (S-FMA) and the streamlined Wolf Motor Function Test (S-WMFT) in persons with subacute stroke. Design: Test–retest design. Setting: Departments of physical medicine and rehabilitation at three hospitals. Participants: Participants with first-time stroke ( N = 51; 38 men, 13 women; mean age ± SD, 55.1 ± 11.7 years) based on scores of Mini-Mental State Examination and Brunnstrom stage. Interventions: Participants received one of three rehabilitation therapies for three wee
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Levin, Mindy F., Vimonwan Hiengkaew, Yongchai Nilanont, et al. "Relationship Between Clinical Measures of Upper Limb Movement Quality and Activity Poststroke." Neurorehabilitation and Neural Repair 33, no. 6 (2019): 432–41. http://dx.doi.org/10.1177/1545968319847969.

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Background. Understanding the relationship between movement quality (impairment) and performance (activity) in poststroke patients is important for rehabilitation intervention studies. This has led to an interest in kinematic characterization of upper limb motor impairment. Since instrumented motion analysis is not readily clinically available, observational kinematics may be a viable alternative. Objective. To determine if upper limb movement quality during a reach-to-grasp task identified by observation could be used to describe the relationship between motor impairments and the time to perf
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Buyandelger, Batsaikhan, Yu-Wen Chen, Yi-Chun Li, Chia-Jung Lin, Chia-Ling Chen, and Keh-Chung Lin. "Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials." International Journal of Environmental Research and Public Health 19, no. 24 (2022): 16514. http://dx.doi.org/10.3390/ijerph192416514.

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Background: The objective of the study was to determine predictors for upper-limb functional recovery trajectory after occupational therapy in a population with chronic stroke. Methods: In this retrospective secondary analysis, Fugl–Meyer Assessment-Upper Extremity (FMA-UE) scores before and after intervention and at the 3-month follow-up were used to divide 105 participants with chronic stroke into three groups of recovery trajectories: fast (participants who reached an improvement of 7 after intervention), extended (those who reached an improvement of 7 at follow-up), and limited (those who
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10

Conforto, Adriana B., André G. Machado, Nathalia H. V. Ribeiro, et al. "Repetitive Peripheral Sensory Stimulation as an Add-On Intervention for Upper Limb Rehabilitation in Stroke: A Randomized Trial." Neurorehabilitation and Neural Repair 35, no. 12 (2021): 1059–64. http://dx.doi.org/10.1177/15459683211046259.

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Introduction Repetitive peripheral sensory stimulation (RPSS) followed by 4-hour task-specific training (TST) improves upper limb motor function in subjects with stroke who experience moderate to severe motor upper limb impairments. Here, we compared effects of RPSS vs sham followed by a shorter duration of training in subjects with moderate to severe motor impairments in the chronic phase after stroke. Methods This single-center, randomized, placebo-controlled, parallel-group clinical trial compared effects of 18 sessions of either 1.5 h of active RPSS or sham followed by a supervised session
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Fritz, Stacy L., Steven Z. George, Steven L. Wolf, and Kathye E. Light. "Participant Perception of Recovery as Criterion to Establish Importance of Improvement for Constraint-Induced Movement Therapy Outcome Measures: A Preliminary Study." Physical Therapy 87, no. 2 (2007): 170–78. http://dx.doi.org/10.2522/ptj.20060101.

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Background and PurposeChanges in function following constraint-induced movement therapy (CIMT) are characterized primarily by improvements in performance; however, the importance of these outcome measures to the participant may be unclear. The primary purpose of this study was to determine whether either change scores or raw follow-up scores for the Motor Activity Log amount scale (MALa) and the Wolf Motor Function Test (WMFT) predicted participants’ self-reports of recovery of upper-extremity function at 4 to 6 months after starting CIMT.Subjects and MethodsThis study was a secondary analysis
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S Mishr, Siddharth, and Susan Jose. "Effect of Resisted Bimanual Therapy With Auditory Cues on Arm Function, Balance, and Endurance in Stroke Survivors: A Pilot Study." Iranian Rehabilitation Journal 2, SpecialIssue (2021): 9–16. http://dx.doi.org/10.32598/irj.20.specialissue.395.2.

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Objectives: Upper limb motor impairment causes limited activities of daily living in stroke survivors. Bimanual therapy is based on Bimanual movement that facilitates cortical balancing by simultaneous movement of paretic and non-paretic arms while performing a task. Studies aimed at exploring the effects of resisted Bimanual therapy with rhythmic auditory cues on arm function, balance, and endurance in stroke survivors. Methods: A pilot study was commenced after the institutional ethical committee approval. Twenty stroke survivors were randomly allocated into two treatment groups; Group A rec
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Das, P., D. Thakkar, S. G. Sudhan, A. Zeeshan, and S. M. Reddy. "Relationship between upper extremities functional recovery with speech recovery among post stroke patients - an observational study." CARDIOMETRY, no. 26 (March 1, 2023): 451–55. http://dx.doi.org/10.18137/cardiometry.2023.26.4514555.

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Globally stroke is one of the most common neurological disease, frequently causing death and disability. The survivors suffer from various impairments among which upper and lower limb motor deficits, visuo-spatial neglect and speech impairments are most common. The aim of the study is to find out the association between upper extremity functional recovery and speech recovery in acute stroke patients and to predict the recovery of upper extremity functions based on recovery of speech. Twenty-eight eligible and willing subjects diagnosed with dominant hemisphere supratentorial stroke were taken
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Padovani, Cauê, Cristhiane Valério Garabello Pires, Fernanda Pretti Chalet Ferreira, et al. "Application of the Fugl-Meyer Assessment (FMA) and the Wolf Motor Function Test (WMFT) in the recovery of upper limb function in patients after chronic stroke: a literature review." Acta Fisiátrica 20, no. 1 (2013): 42–49. http://dx.doi.org/10.11606/issn.2317-0190.v20i1a103753.

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It is estimated that 45-75% of chronic adult stroke patients have difficulty in using the hemiparetic upper limb (MS) in their daily life activities (DLAs). Functional scales are used in the practice of rehabilitation, in the search for diagnoses and prognoses, and in evaluating response to treatment. The Wolf Motor Function Test (WMFT) and Fugl-Meyer Assessment (FMA) scales are the instruments most commonly mentioned in the literature. Objective: The aim of this study was to review the use of the WMFT and FMA scales in the recovery of upper limb function in patients after chronic stroke. Meth
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Priya, S., S. Haripriya, and Amina Thaha. "The Effect of Task-oriented Training Combined with Scapular Stabilization Exercises on Paretic Upper Extremity Function in Patient with Stroke: A Case Study." Indian journal of physical therapy and research 6, no. 1 (2024): 106–9. http://dx.doi.org/10.4103/ijptr.ijptr_128_22.

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A stroke (cerebrovascular accident) is the rapid loss of neurological function brought on by an interruption in blood flow to the brain. Over 85% of stroke patients undergo hemiplegia, and more than 69% of them experience an upper limb motor function deficit. In this case report, a 68-year-old male was assessed for stroke; his upper extremity (UE) function was assessed using the manual function test, Fugl-Meyer Assessment UE, and Wolf Motor Function Test (WMFT) time. The patient underwent a 4-week treatment protocol that included task-oriented training (TOT) and scapular stabilization exercise
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Vaz, Daniela Virgínia, Rafaela Fernandes Alvarenga, Marisa Cotta Mancini, Tatiana Pessoa da Silva Pinto, Sheyla Rossana Cavalcanti Furtado, and Marcella Guimarães Assis Tirado. "Terapia de movimento induzido pela restrição na hemiplegia: um estudo de caso único." Fisioterapia e Pesquisa 15, no. 3 (2008): 298–303. http://dx.doi.org/10.1590/s1809-29502008000300014.

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A terapia de movimento induzido por restrição (TMIR) tem mostrado resultados positivos em indivíduos hemiparéticos após acidente vascular cerebral; consiste na contenção do membro superior não-afetado e treinamento intensivo do membro afetado. Este estudo visou documentar longitudinalmente os efeitos da TMIR na funcionalidade do membro superior de um indivíduo com hemiparesia esquerda crônica. Neste estudo de caso único tipo ABA, as fases linha de base (A) duraram duas semanas e a intervenção (B) compreendeu a contenção do membro sadio com um splint e cinco sessões semanais de 3 horas de trein
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Adhikari, Shambhu Prasad, Jarugool Tretriluxana, Pakaratee Chaiyawat, and Chutima Jalayondeja. "Enhanced Upper Extremity Functions with a Single Session of Action-Observation-Execution and Accelerated Skill Acquisition Program in Subacute Stroke." Stroke Research and Treatment 2018 (June 12, 2018): 1–14. http://dx.doi.org/10.1155/2018/1490692.

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Background. Action-observation-execution (AOE) primes physical training. We examined the immediate effect of AOE with accelerated skill acquisition program (ASAP) on dexterity in subacute stroke. Methods. Twelve individuals from 1 to 6 months after stroke were allocated into two groups by matching age and side of stroke. After AOE of 30 minutes, the experimental group received ASAP for 60 minutes whereas the control group received dose-equivalent usual care. The movement time (MT) and functional ability (FA) of hand items of the Wolf motor function test (WMFT), hand functions and global recove
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Kim, Sung-Hoon, Dong-Min Ji, In-Su Hwang, et al. "Three-Dimensional Magnetic Rehabilitation, Robot-Enhanced Hand-Motor Recovery after Subacute Stroke: A Randomized Controlled Trial." Brain Sciences 13, no. 12 (2023): 1685. http://dx.doi.org/10.3390/brainsci13121685.

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We developed an end-effector-type rehabilitation robot that can uses electro- and permanent magnets to generate a three-way magnetic field to assist hand movements and perform rehabilitation therapy. This study aimed to investigate the therapeutic effect of a rehabilitation program using a three-dimensional (3D) magnetic force-based hand rehabilitation robot on the motor function recovery of the paralyzed hands of patients with stroke. This was a double-blind randomized controlled trial in which 36 patients with subacute stroke were assigned to intervention and control groups of 18 patients ea
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Farias, Nayara Corrêa, Stella Maris Michaelsen, and Leticia Cardoso Rodrigues. "Treinamento da função bilateral de membros superiores em indivíduo com hemiparesia – estudo de caso." ConScientiae Saúde 11, no. 3 (2012): 506–12. http://dx.doi.org/10.5585/conssaude.v11n3.3263.

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Introdução: O movimento bilateral dos membros superiores (MMSS) promove a reorganização do movimento normal através do hemisfério contralateral à lesão e mostra-se favorável na recuperação funcional na hemiparesia. Objetivo: Avaliar o efeito do treinamento bilateral intensivo na recuperação dos MMSS no indivíduo com hemiparesia crônica de comprometimento moderado. Métodos: Realizaram-se quatro avaliações, duas pré e duas pós-treinamento, utilizando Teste de Função Bilateral de Membros Superiores (TEBIM), Wolf Motor Function Test (WMFT), Escala de Fugl-Meyer e Motor Activity Log (MAL). O treina
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Liu, Hong-Guang, Jing-Jing Liu, Yan-Ping Wang, et al. "Impact of task-oriented training based on acupuncture rehabilitation on upper extremity function and quality of life of patients with early stroke." World Journal of Clinical Cases 12, no. 19 (2024): 3776–84. http://dx.doi.org/10.12998/wjcc.v12.i19.3776.

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BACKGROUND Eighty percent of stroke patients develop upper limb dysfunction, especially hand dysfunction, which has a very slow recovery, resulting in economic burden to families and society. AIM To investigate the impact of task-oriented training based on acupuncture therapy on upper extremity function in patients with early stroke. METHODS Patients with early stroke hemiplegia who visited our hospital between January 2021 and October 2022 were divided into a control group and an observation group, each with 50 cases. The control group underwent head acupuncture plus routine upper limb rehabi
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Gular, Kumar, Viswanathan Sivasubramanian, Ravi Shankar Reddy, Jaya Shanker Tedla, and Snehil Dixit. "The Mediating Effect of Age, Gender, and Post-Stroke Duration on the Association between Trunk and Upper Limb Recovery in Subacute Stroke Population: A Cross-Sectional Study with Mediation Analysis." International Journal of Environmental Research and Public Health 19, no. 23 (2022): 15644. http://dx.doi.org/10.3390/ijerph192315644.

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Background: The trunk acts as proximal support with which limbs execute smooth and purposeful movement. Furthermore, as upper extremity functions are an integral component of daily living activities, exploring the association between trunk and upper extremity recovery will guide therapists in developing appropriate rehabilitation goals and interventions. The objectives of this study were to (1) assess the association between trunk and upper extremity recovery in the subacute stroke population and (2) assess the effect of trunk control on upper extremity impairment and function with age, gender
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BI, Sheng, and Chun-xiao WAN. "Comparison of the reaction time of wrist flexion and extension between patients with stroke and age-matched healthy subjects and correlation with clinical measures." Chinese Medical Journal 126, no. 13 (2013): 2485–88. http://dx.doi.org/10.3760/cma.j.issn.0366-6999.20123655.

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Background Brain injury had an effect on reaction time (RT) and brain-injured patients were normally significantly slower than normal controls. The RT of the paretic upper limb (UL) in patients with stroke was slower than in a control group. The present study was designed to compare the RTs of the unaffected and affected sides in stroke survivors and those of normal subjects. This study also explores the relationships among wrist flexion and extension RTs in the affected side and the motor deficits of the UL as measured by clinical Composite Spasticity Index (CSI), Associated Reaction Rating S
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Xu, Quan, Chong Li, Yu Pan, et al. "Impact of smart force feedback rehabilitation robot training on upper limb motor function in the subacute stage of stroke." NeuroRehabilitation 47, no. 2 (2020): 209–15. http://dx.doi.org/10.3233/nre-203130.

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OBJECTIVE: To explore the impact of rehabilitation robot training (RRT) on upper limb motor function and daily activity ability in patients with stroke. METHODS: Forty patients meeting the inclusion criteria were randomly divided into the treatment group (TRE) and the control group (CON). Group TRE was trained with an upper limb rehabilitation robot and group CON was trained with traditional occupational therapy. The training time was six weeks, and the upper limb function and daily activities were then assessed. RESULTS: (1) There was no statistical significance in the Fugl-Meyer (FM) score,
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Garcia, Julia Macruz, Rodrigo José Knabben, Natália Duarte Pereira, and Angélica Cristiane Ovando. "Terapia por Contensão Induzida (TCI) em adolescentes com hemiparesia espástica: relato de caso." Fisioterapia em Movimento 25, no. 4 (2012): 895–906. http://dx.doi.org/10.1590/s0103-51502012000400022.

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INTRODUÇÃO: A Terapia por Contensão Induzida (TCI) é um protocolo terapêutico que visa diminuir a assimetria de uso dos membros superiores. OBJETIVO: Verificar o efeito da TCI em dois adolescentes, com paralisia cerebral hemiparética (PCH). MATERIAIS E MÉTODOS: Dois adolescentes com PCH, de 12 e 14 anos de idade, receberam aplicação de TCI por três horas diárias durante três semanas. Este estudo apresentou desenho ABA experimental, com um mês de seguimento. Os adolescentes foram avaliados com a Teenager Motor Activity Log (TMAL) e o Wolf Motor Function Test (WMFT); o avaliador esteve independe
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Elhagarey, Mohamed. "WATER SAVING OF RICE CROP USING INNOVATIVE TECHNIQUE FOR SOIL MANAGEMENT, SWMR." International Journal of Advanced Research 10, no. 02 (2022): 1277–91. http://dx.doi.org/10.21474/ijar01/14340.

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The trial was conducted in, 2019 and 2020 Kafr-El Sheikh Governorate, Egypt, Rice (Sakha 104) was cultivated under two methods, traditional method (WTF3) and modified innovative method in furrow bottoms, soil and water management for rice cultivation (SWMR). The cross section of furrows is such as a zigzag shape using a soil management and soil bed preparation (soil surface shape) using innovative machine to soil bed preparation to harvest irrigation water. Without any reduction of rice intensity, and rice transplants at 40 ×40 cm in both of two cultivation methods. Besides, three treat
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Dr., Shilpy Jetly, Kaur Sukhwinder, and Jaspinder Kaur Dr. "Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and Repetitive Facilitation Exercises on Upper Limb Functions In Post Stroke Hemiparetic Patients." International Journal of Trend in Scientific Research and Development 1, no. 5 (2017): 872–81. https://doi.org/10.31142/ijtsrd2375.

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Background and Objective According to world Health Organization WHO stroke is defined as "rapidly developing clinical sign of focal or global disturbance of cerebral function lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin.1 Focal neurological deficits must persists for at least 24 hours, motor deficits are characterized by paralysis hemiplegia or weakness hemiparesis , typically on the side of the body opposite site of lesion.Materials and Methods The study was performed among 30 patients of both genders, aged 45 60 years. Subjects were s
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Cardoso, Jeice Sobrinho, Izabelle Cristina da Cruz Miranda, and Glenda Miranda Da Paixão. "Efeitos da terapia baseada no conceito Bobath e da Terapia por Contensão Induzida na capacidade funcional de indivíduos sobreviventes de acidente vascular encefálico/Effects of therapy based on the Bobath concept and the Induced Contraction Therapy on the functional capacity of individuals who survived stroke." Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO 4, no. 2 (2020): 178–91. http://dx.doi.org/10.47222/2526-3544.rbto32154.

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Introdução: O acidente vascular encefálico pode desencadear diversas sequelas que resultam em incapacidades funcionais no indivíduo. Os cuidados da Terapia Ocupacional objetivam retorno à independência, à autonomia e à participação social. Para isso, os profissionais utilizam diversos métodos e técnicas. Dentre as mais utilizadas estão o Conceito Bobath e a Terapia por Contensão Induzida (TCI). Objetivo: Este estudo objetivou comparar efeitos da terapia baseada no conceito Bobath e da TCI na capacidade funcional de sobreviventes de acidente vascular encefálico. Métodos: Utilizou-se abordagem q
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Escalante-Gonzalbo, Ana María, Yoás Saimon Ramírez-Graullera, Herminia Pasantes, et al. "Safety, Feasibility, and Acceptability of a New Virtual Rehabilitation Platform: A Supervised Pilot Study." Rehabilitation Process and Outcome 10 (January 2021): 117957272110332. http://dx.doi.org/10.1177/11795727211033279.

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Purpose: Stroke is the leading cause of disability in adults worldwide, with hemiparesis being the most prevalent consequence. The use of video games and movement sensors could contribute to improving patients’ chances of recovery. We performed a supervised pilot study to validate the safety, feasibility, and acceptability of a new virtual rehabilitation platform in patients with chronic post-stroke upper limb hemiparesis. Methods: The participants (n = 9) participated in 40 rehabilitation sessions, twice a week, for a period of 20 weeks. Their experiences with the platform were documented usi
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Smith, Mary Ann, and Machiko R. Tomita. "Combined Effects of Telehealth and Modified Constraint-Induced Movement Therapy for Individuals with Chronic Hemiparesis." International Journal of Telerehabilitation 12, no. 1 (2020): 51–62. http://dx.doi.org/10.5195/ijt.2020.6300.

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Telehealth use allows improved access to services and results in potential cost savings. The purpose of this study was to examine the effectiveness of a combined modified Constrained Induced Movement Therapy (mCIMT) program using telehealth and in-person sessions, for participants with higher (Group 1) and lower (Group 2) functional ability of the hemiparetic upper extremity. Using a pre-experimental design with a 6-week intervention, 28 participants were assessed twice on use of upper extremity via subjective and objective measures. For the Motor Activity Log, the amount of use and quality of
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Yamada, Naoki, Ryo Ueda, Wataru Kakuda, et al. "Diffusion Tensor Imaging Evaluation of Neural Network Development in Patients Undergoing Therapeutic Repetitive Transcranial Magnetic Stimulation following Stroke." Neural Plasticity 2018 (2018): 1–8. http://dx.doi.org/10.1155/2018/3901016.

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We aimed to investigate plastic changes in cerebral white matter structures using diffusion tensor imaging following a 15-day stroke rehabilitation program. We compared the detection of cerebral plasticity between generalized fractional anisotropy (GFA), a novel tool for investigating white matter structures, and fractional anisotropy (FA). Low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) of 2400 pulses applied to the nonlesional hemisphere and 240 min intensive occupation therapy (OT) daily over 15 days. Motor function was evaluated using the Fugl-Meyer assessment (FMA) an
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Yamada, Naoki, Kazumi Kashiwabara, Toru Takekawa, et al. "Comparison of the effect and treatment sequence between a 2-week parallel repetitive transcranial magnetic stimulation and rehabilitation and a 2-week rehabilitation-only intervention during a 4-week hospitalization for upper limb paralysis after stroke: An open-label, crossover observational study." Journal of Central Nervous System Disease 14 (January 2022): 117957352110727. http://dx.doi.org/10.1177/11795735211072731.

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Background NEURO® is a 2-week program that combines low-frequency repetitive transcranial magnetic stimulation (rTMS) and intensive occupational therapy (OT) to treat patients with chronic hemiparesis following stroke. The degree to which each element contributes to the improvement of upper limb function remains unclear. It has been suggested that low-frequency rTMS applied to a healthy cerebrum activates neural activity in the contralateral hemispheric area surrounding the lesion. Intensive OT performed in parallel to rTMS promotes the functional remodeling of the cerebrum to help with rehabi
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Munawar, Aisha, Pakeeza Seemal, Hamna Afzal, Amna Yaseen, Tooba Ashraf, and Ayesha Amjad. "Effects of Hand-Arm Bimanual Intensive Training on Fine Motor Skills in Patients of Chronic." Pakistan Journal of Medical and Health Sciences 16, no. 11 (2022): 49–51. http://dx.doi.org/10.53350/pjmhs2022161149.

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Aim: To determine the effects of Hand-arm Bimanual Intensive Training on fine motor skills of chronic stroke patients. Methods: A randomized control trail was conducted at District Head Quarter Hospital Sargodha. Twenty-eight stroke patients were randomized into 2 groups. All patients were examined by using Questionnaire of Disabilities of Arm, Shoulder, and Hand (DASH), Action Research Arm Test (ARAT) and Wolf Motor Function Test (WMFT). Control group was treated with Conventional Physical Therapy and experimental group with Hand Arm Bimanual Intensive Training. There were 3 sessions every we
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Matuti, Gabriela Da Silva, Rafaela Do Nascimento Borges Marques, Amanda Conte Magesto, Rafael Eras Garcia, and Clarissa Barros De Oliveira. "Efeitos da terapia por contensão induzida nas lesões encefálicas adquiridas." Fisioterapia Brasil 17, no. 1 (2016): 30. http://dx.doi.org/10.33233/fb.v17i1.19.

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Introdução: A Terapia por Contensão Induzida (TCI) é uma técnica de reabilitação que tem como objetivo melhora da função do membro superior.acometido. Objetivos: Determinar se o protocolo da TCI é adequado para a reabilitação do membro superior em adultos com Lesões Encefálicas Adquiridas (LEA), analisar a manutenção dos resultados e identificar possíveis preditores de eficácia da técnica. Método: Estudo retrospectivo, 40 pacientes. As escalas utilizadas foram Motor Activity Log (MAL), Quantidade (QT) e Qualidade (QL) de movimento do membro superior acometido e Wolf Motor Function Test (WMFT).
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Souza, Wilma Costa, Maria da Conceição Moraes Rangel, and Elirez Bezerra da Silva. "Mirror Visual Feedback na Recuperação Motora e Funcional da Mão Após Acidente Vascular Cerebral." Revista Neurociências 20, no. 2 (2001): 254–59. http://dx.doi.org/10.4181/rnc.2012.20.685.6p.

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Objetivo. Verificar o efeito da técnica Mirror Visual Feedback na recuperação motora e funcional da mão plégica após o AVC. Mé­todo. participaram desse estudo seis pacientes com idade média de 53,8±15 anos e tempo de AVC de 7±8,6 meses. Para avaliação da independência nas atividades da vida diária foi utilizada a Medida de Independência Funcional (MIF). A função motora foi avaliada através do Protocolo de Desempenho Físico de Fugl-Meyer (PDFFM) e as habilidades motoras através do Wolf Motor Function Test (WMFT). A técnica MVF foi individualmente aplicada durante 10 sessões, duas vezes por sema
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35

Beekhuizen, Kristina S., and Edelle C. Field-Fote. "Massed Practice versus Massed Practice with Stimulation: Effects on Upper Extremity Function and Cortical Plasticity in Individuals with Incomplete Cervical Spinal Cord Injury." Neurorehabilitation and Neural Repair 19, no. 1 (2005): 33–45. http://dx.doi.org/10.1177/1545968305274517.

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To determine the effect of massed practice (MP) versus massed practice combined with somatosensory stimulation (MP+SS) on cortical plasticity and function in persons with incomplete tetraplegia. Methods. Ten subjects were assigned to either MP or MP+SS. Median nerve stimulation (500 ms train, 10 Hz, 1 ms pulse duration) was delivered at the intensity eliciting a motor threshold response. Training sessions were 5 d/week for 3 weeks at 2 h/session. Outcome measures included 1) motor-evoked potentials (MEPs) elicited via transcranial magnetic stimulation (TMS), motor threshold (MT) and MEP amplit
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Almeida, Akeline Santos de, Juliana De Santana Santos, and Diogo Costa Garção. "Análise da consolidação da funcionalidade manual de hemiparéticos crônicos após terapia de movimento induzido pela restrição." Revista de Terapia Ocupacional da Universidade de São Paulo 27, no. 3 (2016): 297. http://dx.doi.org/10.11606/issn.2238-6149.v27i3p297-304.

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Diversos métodos de intervenção são utilizados para a reabilitação da função manual de hemiparéticos, dentre os quais está a Terapia de Movimento Induzido pela Restrição (TMIR). O objetivo deste estudo foi investigar a possível consolidação da funcionalidade manual após três meses do término da TMIR em hemiparéticos crônicos pós-AVE. Participaram deste estudo 16 sujeitos, distribuídos em Grupo Intervenção (GI) e Grupo Controle (GC). Os integrantes do GI foram submetidos à TMIR, enquanto o GC realizou o mesmo treino funcional sem a contensão. Os sujeitos foram avaliados pré, pós e após três mes
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37

Ahn, So Young, Soo-Kyung Bok, Ji Young Lee, et al. "Benefits of Robot-Assisted Upper-Limb Rehabilitation from the Subacute Stage after a Stroke of Varying Severity: A Multicenter Randomized Controlled Trial." Journal of Clinical Medicine 13, no. 3 (2024): 808. http://dx.doi.org/10.3390/jcm13030808.

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Background: The aim of this study was to compare the clinical effectiveness of robot-assisted therapy with that of conventional occupational therapy according to the onset and severity of stroke. Methods: In this multicenter randomized controlled trial, stroke patients were randomized (1:1) to receive robot-assisted therapy or conventional occupational therapy. The robot-assisted training group received 30 min of robot-assisted therapy twice and 30 min of conventional occupational therapy daily, while the conventional therapy group received 90 min of occupational therapy. Therapy was conducted
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Pawani, Dhaval, Abraham M. Joshua, Akshatha Nayak, et al. "Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study." F1000Research 13 (June 3, 2024): 565. http://dx.doi.org/10.12688/f1000research.149935.1.

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Background Numerous tools are available for evaluation of upper limb (UL) functions among stroke survivors. Despite the excellent psychometric properties, many require considerable amount of time, are resource-intensive, and often impractical for bedside evaluation. Objectives To develop and concurrently validate a simple, resource-efficient, and time-efficient bedside tool for evaluating UL function in stroke survivors. Methods Relevant literature review was carried out to conceptualize and define the theoretical framework of day-to-day UL movement tasks. Subsequently, an item pool of 18 UL m
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Waris, Misbah, Adnan Afzal, Tehreem Mukhtar, Binash Afzal, Sadaf Waris, and Qurat-Ul Ain. "Comparison of Constraint-Induced Movement Therapy Vs Traditional Rehabilitation Therapy to Improve Upper Limb Function in Hemiplegic Acute and Subacute Stroke Patients." Pakistan Journal of Medical and Health Sciences 15, no. 10 (2021): 3021–25. http://dx.doi.org/10.53350/pjmhs2115103021.

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Background: Stroke is a generic term in use to describe the sudden interruption of blood flow to the part of brain, resulting loss of brain function. A stroke may be also known as cerebrovascular accident. Cerebrovascular accident which defines as pathology in which brain disease occurs secondary to disorders of blood supply of brain. It is essential to know about the magnitude of impact of stroke globally. Aim: To determine effectiveness of constraint induced movement therapy and comparing its efficacy to traditional rehabilitation in acute and sub-acute stroke survivors exhibiting upper limb
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Wu, Dandong, Jingxi Ma, Liping Zhang, Sanrong Wang, Botao Tan, and Gongwei Jia. "Effect and Safety of Transcutaneous Auricular Vagus Nerve Stimulation on Recovery of Upper Limb Motor Function in Subacute Ischemic Stroke Patients: A Randomized Pilot Study." Neural Plasticity 2020 (August 1, 2020): 1–9. http://dx.doi.org/10.1155/2020/8841752.

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Background. Transcutaneous auricular vagus nerve stimulation (taVNS) is regarded as a potential method for recovery in stroke. The effectiveness of taVNS in acute and subacute stroke should be further discussed as previously, only a few small-scale trials have focused on chronic stroke patients. The objective of this study is to investigate the effect and safety of taVNS on upper limb motor function in subacute ischemic stroke patients. Methods. Twenty-one subacute ischemia stroke patients with single upper limb motor function impairment were enrolled and randomly assigned to conventional reha
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Underwood, Julie, Patricia C. Clark, Sarah Blanton, Dawn M. Aycock, and Steven L. Wolf. "Pain, Fatigue, and Intensity of Practice in People With Stroke Who Are Receiving Constraint-Induced Movement Therapy." Physical Therapy 86, no. 9 (2006): 1241–50. http://dx.doi.org/10.2522/ptj.20050357.

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Abstract Background and Purpose. There is little available information about changes in pain and fatigue status among people receiving constraint-induced movement therapy (CI therapy). This study examined such changes. Subjects. All participants were a subset of individuals with stroke enrolled in the Extremity Constraint-Induced Therapy Evaluation (EXCITE) trial and received 2 weeks of CI therapy either 3 to 9 months after stroke (subacute therapy group, n=18) or 1 year later (chronic therapy group, n=14). Methods. Pain, fatigue, and intensity of therapy were evaluated. The Wolf Motor Functio
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Tomić, Tijana J. Dimkić, Andrej M. Savić, Aleksandra S. Vidaković, et al. "ArmAssist Robotic System versus Matched Conventional Therapy for Poststroke Upper Limb Rehabilitation: A Randomized Clinical Trial." BioMed Research International 2017 (2017): 1–7. http://dx.doi.org/10.1155/2017/7659893.

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The ArmAssist is a simple low-cost robotic system for upper limb motor training that combines known benefits of repetitive task-oriented training, greater intensity of practice, and less dependence on therapist assistance. The aim of this preliminary study was to compare the efficacy of ArmAssist (AA) robotic training against matched conventional arm training in subacute stroke subjects with moderate-to-severe upper limb impairment. Twenty-six subjects were enrolled within 3 months of stroke and randomly assigned to the AA group or Control group (n=13each). Both groups were trained 5 days per
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Fritz, Stacy L., Kathye E. Light, Shannon N. Clifford, Tara S. Patterson, Andrea L. Behrman, and Sandra B. Davis. "Descriptive Characteristics as Potential Predictors of Outcomes Following Constraint-Induced Movement Therapy for People After Stroke." Physical Therapy 86, no. 6 (2006): 825–32. http://dx.doi.org/10.1093/ptj/86.6.825.

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Abstract Background and Purpose. Limited evidence exists regarding the characteristics of people who benefit most from constraint-induced movement therapy (CIMT). This study’s purpose was to investigate 6 potential descriptors in predicting CIMT outcomes. Subjects. The participants were a convenience sample (N=55) of people who were more than 6 months poststroke. Methods. The Wolf Motor Function Test (WMFT) and the Motor Activity Log amount scale (MALa) were used to assess outcomes for CIMT. The potential predictors (side of stroke, time since stroke, hand dominance, age, sex, and ambulatory s
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Kondo, Takahiro, Naoki Yamada, Ryo Momosaki, Masato Shimizu, and Masahiro Abo. "Comparison of the Effect of Low-Frequency Repetitive Transcranial Magnetic Stimulation with That of Theta Burst Stimulation on Upper Limb Motor Function in Poststroke Patients." BioMed Research International 2017 (2017): 1–7. http://dx.doi.org/10.1155/2017/4269435.

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Background. The purpose of this study was to evaluate the difference between the therapeutic effect of low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) and that of continuous theta burst stimulation (cTBS), when each is combined with intensive occupational therapy (OT), in poststroke patients with upper limb hemiparesis. Materials and Methods. The study subjects were 103 poststroke patients with upper limb hemiparesis, who were divided into two groups: the LF-rTMS group (n=71) and the cTBS group (three pulse bursts at 50 Hz) (n=32). Each subject received 12 sessions of repe
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Hayward, Kathryn S., Jason L. Neva, Cameron S. Mang, et al. "Interhemispheric Pathways Are Important for Motor Outcome in Individuals with Chronic and Severe Upper Limb Impairment Post Stroke." Neural Plasticity 2017 (2017): 1–12. http://dx.doi.org/10.1155/2017/4281532.

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Background. Severity of arm impairment alone does not explain motor outcomes in people with severe impairment post stroke.Objective. Define the contribution of brain biomarkers to upper limb motor outcomes in people with severe arm impairment post stroke.Methods. Paretic arm impairment (Fugl-Meyer upper limb, FM-UL) and function (Wolf Motor Function Test rate, WMFT-rate) were measured in 15 individuals with severe (FM-UL ≤ 30/66) and 14 with mild–moderate (FM-UL > 40/66) impairment. Transcranial magnetic stimulation and diffusion weight imaging indexed structure and function of the corticos
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Rashid, Hiba, Muhammad Umar, Sania Rizwan, and Benish Ali. "Comparison of Bobath Therapy and Motor Relearning Program (MRP) to Improve Motor Control of the Upper Limb in Stroke Patients." Journal of Nursing and Allied Health 3, no. 01 (2025): 20–24. https://doi.org/10.37939/jnah.v3i01.112.

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Objective: To compare the effectiveness of Bobath Therapy and the Motor Relearning Program (MRP) in improving motor control of the upper limb in stroke patients. Study design: It was a Randomized Control Trial Study. Place and duration of study: The study was conducted at The Physiotherapy Clinic, RWP for 6 months from 1st July 2024 to 31st December 2024. Material and Methods: A total of 40 stroke patients with age between 50-75 years with upper limb motor deficits were randomly assigned to one of two groups: the Bobath Therapy group (n=20) or the Motor Relearning Program group (n=20). Both gr
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47

Yang, Seo-Won, Sung-Ryong Ma, and Jong-Bae Choi. "The Effect of Kinesio Taping Combined with Virtual-Reality-Based Upper Extremity Training on Upper Extremity Function and Self-Esteem in Stroke Patients." Healthcare 11, no. 13 (2023): 1813. http://dx.doi.org/10.3390/healthcare11131813.

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(1) Background: The purpose of this study is to investigate the effect of virtual-reality-based hand motion training (VRT) in parallel with the Kinesio Taping (KT) technique on upper extremity function in stroke patients and to present a more effective therapeutic basis for virtual reality training intervention. (2) Methods: First, 43 stroke patients were randomly assigned to two groups: 21 experimental subjects and 22 controls. The experimental group performed Kinesio Taping (KT) on the dorsal part of the hand along with virtual-reality-based hand motion training, and the control group perfor
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Cramer, Steven C., Jill See, Brent Liu, et al. "Genetic Factors, Brain Atrophy, and Response to Rehabilitation Therapy After Stroke." Neurorehabilitation and Neural Repair 36, no. 2 (2021): 131–39. http://dx.doi.org/10.1177/15459683211062899.

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Objective Patients show substantial differences in response to rehabilitation therapy after stroke. We hypothesized that specific genetic profiles might explain some of this variance and, secondarily, that genetic factors are related to cerebral atrophy post-stroke. Methods The phase 3 ICARE study examined response to motor rehabilitation therapies. In 216 ICARE enrollees, DNA was analyzed for presence of the BDNF val66met and the ApoE ε4 polymorphism. The relationship of polymorphism status to 12-month change in motor status (Wolf Motor Function Test, WMFT) was examined. Neuroimaging data wer
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Fatria, Ilham. "The EFFECTIVENESS OF VIRTUAL REALITY BASED EXERCISES ON UPPER EXTREMITY FUNCTIONAL ABILITY AND COGNITIVE FUNCTION FOR PATIENTS WITH STROKE." JURNAL INOVASI PENDIDIKAN DAN SAINS 3, no. 3 (2022): 152–58. http://dx.doi.org/10.51673/jips.v3i3.1273.

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Abstrak: Penelitian ini bertujuan untuk mengetahui efektivitas latihan berbasis Virtual Reality (VR) terhadap kemampuan fungsional ekstremitas atas dan fungsi kognitif pada insan pasca stroke. Jenis penelitian ini adalah kuasi ekperimental dengan menggunakan desain randomized control pre–post test. Kelompok perlakuan I berjumlah 8 orang yang diberikan latihan konvensional, sedangkan pada kelompok perlakuan II berjumlah 8 orang yang diberikan latihan berbasis VR. Penelitian ini dilakukan di Klinik Fisioterapi Sri Mulyani selama 4 minggu pada bulan Oktober sampai November 2022. Instrumen penguku
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dos Anjos, Sarah, Mary Bowman, and David Morris. "Effects of a Distributed Form of Constraint-Induced Movement Therapy for Clinical Application: The Keys Treatment Protocol." Brain Sciences 15, no. 1 (2025): 87. https://doi.org/10.3390/brainsci15010087.

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Background/Aim: Currently, there are limited evidence-based protocols for improving upper extremity (UE) motor function after stroke. The Keys protocol, a distributed form of constraint-induced movement therapy (CIMT), delivers CIMT components in fewer hours per day over an extended period, fitting outpatient rehabilitation schedules and third-party payor models. This pilot study aimed to assess the effectiveness of the Keys protocol in enhancing UE capacity and performance poststroke. Methods: Ten adults with chronic stroke (>6 months) participated in an 8-week intervention. The protocol i
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