Efficacy of a new video observational training method (intensive visual simulation) for motor recovery in the upper limb in subacute stroke: a feasibility and proof-of-concept study.
J Rehabil Med
; 56: jrm36119, 2024 Sep 25.
Article
em En
| MEDLINE
| ID: mdl-39320126
ABSTRACT
OBJECTIVE:
To demonstrate the feasibility and efficacy of a new video-observation training method (intensive visual simulation) to improve upper limb function.DESIGN:
Small sample, randomized, evaluator-blind, monocentric study. PATIENTS Seventeen early subacute ischaemic stroke patients with complete hemiplegia were randomly assigned to the therapeutic group (n = 8) or control group (CG, n = 9).METHODS:
Thirty sessions of intensive visual simulation combined with corrected visual feedback (therapeutic group) or uncorrected visual feedback (control group) were performed over 6 weeks on top of a standard rehabilitation programme. MAIN OUTCOMEMEASURE:
400-point hand assessment test (400p-HA). SECONDARY OUTCOMEMEASURES:
Box and Blocks (B&B), Purdue Pegboard test, Minnesota.RESULTS:
The 400p-HA test improved significantly from T0 to 6 months for both groups, with a significant difference between groups at 3 months (MW-UT p = 0.046) and 4 months (MW-UT p = 0.046) in favour of the therapeutic group. One-phase exponential modelling of 400p-HA showed a greater plateau for the therapeutic group (F test p = 0.0021). There was also faster recovery of the ability to perform the B&B tests for the therapeutic group (log-rank test p = 0.03).CONCLUSION:
This study demonstrated the feasibility and potential efficacy of an intensive visual simulation training programme to improve upper limb function in subacute stroke patients. A larger study is needed to confirm these results.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estudos de Viabilidade
/
Recuperação de Função Fisiológica
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Extremidade Superior
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Reabilitação do Acidente Vascular Cerebral
Limite:
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:
J Rehabil Med
Assunto da revista:
REABILITACAO
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
França
País de publicação:
Suécia