Topic
Upper Extremity Dysfunction
About: Upper Extremity Dysfunction is a research topic. Over the lifetime, 55 publications have been published within this topic receiving 919 citations.
Papers published on a yearly basis
Papers
TL;DR: In selected patients with upper extremity dysfunction secondary to spastic cerebral palsy, surgical intervention improves function, as measured by theupper extremity functional use scale.
Abstract: The purpose of this report is to review the surgical treatment of the upper extremity involved with cerebral palsy over a 25-year period and present our results with regard to changes in upper limb function. Surgical results were assessed by comparison of preoperative and postoperative levels of upper extremity functional use using a previously described 9-level scale. The effect of the following cofactors on surgical outcome were examined: type of cerebral palsy, age, voluntary control, mental impairment, sensibility, and type of surgical treatment. One hundred eighty operations representing 718 procedures in 134 patients were reviewed. Surgical treatment was based on the following principles: soft tissue releases of deforming spastic muscles, tendon transfers to augment antagonistic activity, and joint stabilization. Surgical planning was tailored to each child's particular needs. Comparison of the preoperative and postoperative 9-level functional use scores showed an average improvement of 2.6 functional levels for all patients. Patients with fair and good voluntary control had significantly greater improvement in functional use scores than those with poor voluntary control. No other statistically significant predictive cofactor was found. In selected patients with upper extremity dysfunction secondary to spastic cerebral palsy, surgical intervention improves function, as measured by the upper extremity functional use scale.
132 citations
TL;DR: The results indicated that some poststroke patients may benefit from RFVE program for the recovery of upper limb motor function.
Abstract: Objectives. To study whether the reinforced feedback in virtual environment (RFVE) is more effective than traditional rehabilitation (TR) for the treatment of upper limb motor function after stroke, regardless of stroke etiology (i.e., ischemic, hemorrhagic). Design. Randomized controlled trial. Participants. Forty-four patients affected by stroke. Intervention. The patients were randomized into two groups: RFVE () and TR (), and stratified according to stroke etiology. The RFVE treatment consisted of multidirectional exercises providing augmented feedback provided by virtual reality, while in the TR treatment the same exercises were provided without augmented feedbacks. Outcome Measures. Fugl-Meyer upper extremity scale (F-M UE), Functional Independence Measure scale (FIM), and kinematics parameters (speed, time, and peak). Results. The F-M UE (), FIM (), time (), and peak (), were significantly higher in the RFVE group after treatment, but not speed (). The patients affected by hemorrhagic stroke significantly improved FIM (), time (), and peak () after treatment, whereas the patients affected by ischemic stroke improved significantly only speed () when treated by RFVE. Conclusion. These results indicated that some poststroke patients may benefit from RFVE program for the recovery of upper limb motor function. This trial is registered with NCT01955291.
105 citations
TL;DR: The present study suggests that Handmaster treatment possesses therapeutic opportunities in chronic stroke patients with spastic paresis of the upper extremity.
Abstract: Objective: To gain experience with ‘Ness Handmaster Orthosis’ treatment in chronic stroke patients, to identify suitable patients, and to study the effects of treatment. Design: Exploratory, uncontrolled trial with measurement of motor functions and muscle tone of the upper extremity prior to, during, upon completion, and six weeks after a treatment period. Setting: A rehabilitation centre in the Netherlands. Subjects: Eighteen chronic stroke patients (more than six months post stroke), who exhibited upper extremity dysfunction due to spastic paresis. Intervention: A 10-week therapy programme of functional electrical stimulation by means of the ‘Ness Handmaster Orthosis’. Results: The results of 15 patients were available for analysis. The differences in motor score and muscle tone before and at the end of treatment were statistically significant (p = 0.008 and 0.021, respectively). The follow-up measurements showed that the effects on motor functions and muscle tone decreased after therapy completion. Stratification of the patients in two subgroups indicated that patients with initial high motor scores benefited most during the intervention period. Conclusion: The present study suggests that Handmaster treatment possesses therapeutic opportunities in chronic stroke patients with spastic paresis of the upper extremity.
75 citations
TL;DR: With appropriate preoperative selection of the cervical spinal cord injured patient intermittent catheterization is successfully maintained in the long term, allowing greater flexibility in choice, and a resultant high level of patient satisfaction and improved quality of life.
50 citations
TL;DR: An update of the known pathological features of PD and HD as they relate to upper extremity function is provided and a clinical management framework specific for degenerative conditions that can serve as a guideline for disease management is recommended.
47 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2021 | 3 |
| 2020 | 5 |
| 2019 | 3 |
| 2018 | 6 |
| 2017 | 2 |
| 2016 | 6 |