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Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR

Stroke is a medical condition characterized by the rapid loss of focal brain function. Post-stroke patients attend rehabilitation training to prevent the degeneration of physical function and improve upper limb movements and functional status after stroke. Promising rehabilitation therapies include...

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Autores principales: Montoya, Daniela, Barria, Patricio, Cifuentes, Carlos A., Aycardi, Luis F., Morís, André, Aguilar, Rolando, Azorín, José M., Múnera, Marcela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9002589/
https://www.ncbi.nlm.nih.gov/pubmed/35408306
http://dx.doi.org/10.3390/s22072693
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author Montoya, Daniela
Barria, Patricio
Cifuentes, Carlos A.
Aycardi, Luis F.
Morís, André
Aguilar, Rolando
Azorín, José M.
Múnera, Marcela
author_facet Montoya, Daniela
Barria, Patricio
Cifuentes, Carlos A.
Aycardi, Luis F.
Morís, André
Aguilar, Rolando
Azorín, José M.
Múnera, Marcela
author_sort Montoya, Daniela
collection PubMed
description Stroke is a medical condition characterized by the rapid loss of focal brain function. Post-stroke patients attend rehabilitation training to prevent the degeneration of physical function and improve upper limb movements and functional status after stroke. Promising rehabilitation therapies include functional electrical stimulation (FES), exergaming, and virtual reality (VR). This work presents a biomechanical assessment of 13 post-stroke patients with hemiparesis before and after rehabilitation therapy for two months with these three methods. Patients performed two tests (Maximum Forward Reach and Apley Scratching) where maximum angles, range of motion, angular velocities, and execution times were measured. A Wilcoxon test was performed (p = 0.05) to compare the variables before and after the therapy for paretic and non-paretic limbs. Significant differences were found in range of motion in flexion–extension, adduction–abduction, and internal–external rotation of the shoulder. Increases were found in flexion–extension, 17.98%, and internal–external rotation, 18.12%, after therapy in the Maximum Forward Reach Test. For shoulder adduction–abduction, the increase found was 20.23% in the Apley Scratching Test, supporting the benefits of rehabilitation therapy that combines FES, exergaming, and VR in the literature.
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spelling pubmed-90025892022-04-13 Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR Montoya, Daniela Barria, Patricio Cifuentes, Carlos A. Aycardi, Luis F. Morís, André Aguilar, Rolando Azorín, José M. Múnera, Marcela Sensors (Basel) Article Stroke is a medical condition characterized by the rapid loss of focal brain function. Post-stroke patients attend rehabilitation training to prevent the degeneration of physical function and improve upper limb movements and functional status after stroke. Promising rehabilitation therapies include functional electrical stimulation (FES), exergaming, and virtual reality (VR). This work presents a biomechanical assessment of 13 post-stroke patients with hemiparesis before and after rehabilitation therapy for two months with these three methods. Patients performed two tests (Maximum Forward Reach and Apley Scratching) where maximum angles, range of motion, angular velocities, and execution times were measured. A Wilcoxon test was performed (p = 0.05) to compare the variables before and after the therapy for paretic and non-paretic limbs. Significant differences were found in range of motion in flexion–extension, adduction–abduction, and internal–external rotation of the shoulder. Increases were found in flexion–extension, 17.98%, and internal–external rotation, 18.12%, after therapy in the Maximum Forward Reach Test. For shoulder adduction–abduction, the increase found was 20.23% in the Apley Scratching Test, supporting the benefits of rehabilitation therapy that combines FES, exergaming, and VR in the literature. MDPI 2022-03-31 /pmc/articles/PMC9002589/ /pubmed/35408306 http://dx.doi.org/10.3390/s22072693 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Montoya, Daniela
Barria, Patricio
Cifuentes, Carlos A.
Aycardi, Luis F.
Morís, André
Aguilar, Rolando
Azorín, José M.
Múnera, Marcela
Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR
title Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR
title_full Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR
title_fullStr Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR
title_full_unstemmed Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR
title_short Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR
title_sort biomechanical assessment of post-stroke patients’ upper limb before and after rehabilitation therapy based on fes and vr
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9002589/
https://www.ncbi.nlm.nih.gov/pubmed/35408306
http://dx.doi.org/10.3390/s22072693
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