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Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial

Stroke rehabilitation is far from meeting patient needs in terms of timing, intensity and quality. This study evaluates the efficacy and safety of an innovative technological tool, combining 3D motion analysis with targeted vibratory feedback, on upper-limb task performance early poststroke (<4 w...

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Autores principales: Cruz, Vítor Tedim, Bento, Virgílio, Ruano, Luís, Ribeiro, David Dieteren, Fontão, Luís, Mateus, Cátia, Barreto, Rui, Colunas, Márcio, Alves, Ana, Cruz, Bárbara, Branco, Catarina, Rocha, Nelson P., Coutinho, Paula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4092335/
https://www.ncbi.nlm.nih.gov/pubmed/25011667
http://dx.doi.org/10.1038/srep05670
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author Cruz, Vítor Tedim
Bento, Virgílio
Ruano, Luís
Ribeiro, David Dieteren
Fontão, Luís
Mateus, Cátia
Barreto, Rui
Colunas, Márcio
Alves, Ana
Cruz, Bárbara
Branco, Catarina
Rocha, Nelson P.
Coutinho, Paula
author_facet Cruz, Vítor Tedim
Bento, Virgílio
Ruano, Luís
Ribeiro, David Dieteren
Fontão, Luís
Mateus, Cátia
Barreto, Rui
Colunas, Márcio
Alves, Ana
Cruz, Bárbara
Branco, Catarina
Rocha, Nelson P.
Coutinho, Paula
author_sort Cruz, Vítor Tedim
collection PubMed
description Stroke rehabilitation is far from meeting patient needs in terms of timing, intensity and quality. This study evaluates the efficacy and safety of an innovative technological tool, combining 3D motion analysis with targeted vibratory feedback, on upper-limb task performance early poststroke (<4 weeks). The study design was a two-sequence, two-period, randomized, crossover trial (NCT01967290) in 44 patients with upper-limb motor deficit (non-plegic) after medial cerebral artery ischemia. Participants were randomly assigned to receive either the experimental session (repetitive motor task under vibratory feedback and 3D motor characterization) or the active comparator (3D motor characterization only). The primary outcome was the number of correct movements per minute on a hand-to-mouth task measured independently. Vibratory feedback was able to modulate motor training, increasing the number of correct movements by an average of 7.2/min (95%CI [4.9;9.4]; P < 0.001) and reducing the probability of performing an error from 1:3 to 1:9. This strategy may improve the efficacy of training on motor re-learning processes after stroke, and its clinical relevance deserves further study in longer duration trials.
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spelling pubmed-40923352014-07-11 Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial Cruz, Vítor Tedim Bento, Virgílio Ruano, Luís Ribeiro, David Dieteren Fontão, Luís Mateus, Cátia Barreto, Rui Colunas, Márcio Alves, Ana Cruz, Bárbara Branco, Catarina Rocha, Nelson P. Coutinho, Paula Sci Rep Article Stroke rehabilitation is far from meeting patient needs in terms of timing, intensity and quality. This study evaluates the efficacy and safety of an innovative technological tool, combining 3D motion analysis with targeted vibratory feedback, on upper-limb task performance early poststroke (<4 weeks). The study design was a two-sequence, two-period, randomized, crossover trial (NCT01967290) in 44 patients with upper-limb motor deficit (non-plegic) after medial cerebral artery ischemia. Participants were randomly assigned to receive either the experimental session (repetitive motor task under vibratory feedback and 3D motor characterization) or the active comparator (3D motor characterization only). The primary outcome was the number of correct movements per minute on a hand-to-mouth task measured independently. Vibratory feedback was able to modulate motor training, increasing the number of correct movements by an average of 7.2/min (95%CI [4.9;9.4]; P < 0.001) and reducing the probability of performing an error from 1:3 to 1:9. This strategy may improve the efficacy of training on motor re-learning processes after stroke, and its clinical relevance deserves further study in longer duration trials. Nature Publishing Group 2014-07-11 /pmc/articles/PMC4092335/ /pubmed/25011667 http://dx.doi.org/10.1038/srep05670 Text en Copyright © 2014, Macmillan Publishers Limited. All rights reserved http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder in order to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Article
Cruz, Vítor Tedim
Bento, Virgílio
Ruano, Luís
Ribeiro, David Dieteren
Fontão, Luís
Mateus, Cátia
Barreto, Rui
Colunas, Márcio
Alves, Ana
Cruz, Bárbara
Branco, Catarina
Rocha, Nelson P.
Coutinho, Paula
Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial
title Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial
title_full Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial
title_fullStr Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial
title_full_unstemmed Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial
title_short Motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial
title_sort motor task performance under vibratory feedback early poststroke: single center, randomized, cross-over, controled clinical trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4092335/
https://www.ncbi.nlm.nih.gov/pubmed/25011667
http://dx.doi.org/10.1038/srep05670
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