Response to Intensive Upper Extremity Therapy by Individuals with Ataxia from Stroke

@article{Richards2008ResponseTI,
  title={Response to Intensive Upper Extremity Therapy by Individuals with Ataxia from Stroke},
  author={Lorie G. Richards and Claudia R. Senesac and Theresa E. McGuirk and Michelle L. Woodbury and Dena R. Howland and Sandra B. Davis and Tara Patterson},
  journal={Topics in Stroke Rehabilitation},
  year={2008},
  volume={15},
  pages={262 - 271}
}
Abstract Objective: This study investigated whether or not individuals with ataxia from stroke improve their upper extremity motor function with intense motor practice. Method: Three individuals with ataxia from chronic stroke completed modified constraint-induced movement therapy (CIMT) protocols. Stroke Participants 1 and 2 completed 60 hours and Stroke Participant 3 completed 30 hours of graded task practice while being asked to wear a mitt on the nonparetic arm for 90% of waking hours… 
Reliability of Upper Extremity Kinematics While Performing Different Tasks in Individuals With Stroke
TLDR
The results showed moderate to high intraclass correlation and low standard error of measurement values for most variables, demonstrating that kinematic analysis may be a feasible and useful tool to quantify upper extremity movement after stroke.
Physical Therapy for Cerebellar Ataxia
TLDR
A narrative review of the previous reports on physical therapy for mainly cerebellar ataxia offering various opinions indicates that physical therapy is time restricted; therefore, its long-term effect and the effect of new optional neurophysiological methods should be studied.
Quantifying the quality of hand movement in stroke patients through three-dimensional curvature
TLDR
Measurement based on curvature was able to quantify movement irregularities and matched well with the examiner's observations, and suggest that the quality of paretic movements is well characterized using spatial smoothness represented by curvature.
A “matched” sensory reference can guide goal-directed movements of the affected hand in central post-stroke sensory ataxia
TLDR
The features of CPSA were evaluated, indicating that the somatosensory reference method could be useful for rehabilitation in sensory ataxia, and the normalized jerk index of the affected hand was disturbed compared with the intact hand.
Neurophysiological effects of constraint-induced movement therapy and motor function: A systematic review
TLDR
A systematic review of CIMT trials using neurophysiology outcomes, and a meta-analysis of the relationship between the neurophysiological outcomes and motor function are carried out.
A case of very rapid progressive ataxia in rehabilitation setting
TLDR
The patient showed very rapid and severe decline of motor and functional tests during the first month of hospitalization and complete dependence in <2 months, despite rehabilitation, suggesting that sporadic CJD must be hypothesized when ataxia worsens rapidly and severely despite rehabilitation.
Movement quality of conventional prostheses and the DEKA Arm during everyday tasks
TLDR
The effects of one month of training with the DEKA Arm on movement quality varied with participants’ skill and experience with conventional prostheses, and movement quality with theDEKA Arm may depend on the user’s previous experience withventional prostheses.
General Management of Cerebellar Disorders: An Overview
  • D. Timmann
  • Psychology, Biology
    Handbook of the Cerebellum and Cerebellar Disorders
  • 2021
TLDR
This chapter reviews the state of the art in medical intervention and rehabilitation, focusing on presenting new results on motor rehabilitation in cerebellar disease, and current studies in the area of motor learning – in combination with modern imaging techniques – in cere Bellar disease are described.
Review: Functional Neuroimaging Studies of Early Upper Limb Recovery After Stroke: A Systematic Review of the Literature
TLDR
The challenges in future research will be, controlling for confounding factors, finding outcomes that specifically measure dexterity of the paretic limb, to establish the longitudinal construct validity of fMRI and PET with regard to upper limb recovery after stroke.
Neurological Principles and Rehabilitation of Action Disorders : Neurorehabilitation and Neural Repair
This third chapter discusses the evidence for the rehabilitation of the most common movement disorders of the upper extremity. The authors also present a framework, building on the computation,
...
...

References

SHOWING 1-10 OF 32 REFERENCES
Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial.
TLDR
Among patients who had a stroke within the previous 3 to 9 months, CIMT produced statistically significant and clinically relevant improvements in arm motor function that persisted for at least 1 year.
A Placebo-Controlled Trial of Constraint-Induced Movement Therapy for Upper Extremity After Stroke
TLDR
The results support the efficacy of CI therapy for rehabilitating upper extremity motor function in patients with chronic stroke.
Compensatory strategies for reaching in stroke.
TLDR
It is discussed the possibility that there is a critical level of recovery at which patients switch from a strategy employing new degrees of freedom to one in which motor recovery is produced by improving the management of degrees offreedom characteristic of healthy performance.
Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: an exploratory study.
TLDR
The 3-hour CIMT training schedule significantly improved motor function in chronic hemiparesis, but it was less effective than the 6-hour training schedule.
Task-dependent weakness at the elbow in patients with hemiparesis.
Compensation in recovery of upper extremity function after stroke: the Copenhagen Stroke Study.
Deficits in the coordination of multijoint arm movements in patients with hemiparesis: evidence for disturbed control of limb dynamics
TLDR
It is argued that the spatial abnormalities are consistent with an impaired feedforward control of the passive interaction torques which arise during multijoint movements and are hypothesized to reflect a degradation of the internal representation of limb dynamics that occurs either as a primary consequence of brain injury or secondary to disuse.
Abnormal joint torque patterns in the paretic upper limb of subjects with hemiparesis
TLDR
This study presents the results of a novel paradigm for characterizing abnormal coordination in subjects with hemiparesis, and potential neural and biomechanical mechanisms underlying these abnormal torque patterns are discussed along with implications for the functional use of the paretic limb.
...
...