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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9002589 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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