Cargando…

Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring

This preliminary study introduces a novel action observation therapy (AOT) protocol associated with electroencephalographic (EEG) monitoring to be used in the future as a rehabilitation strategy for the upper limb in patients with subacute stroke. To provide initial evidence on the usefulness of thi...

Descripción completa

Detalles Bibliográficos
Autores principales: Boni, Sara, Galluccio, Martina, Baroni, Andrea, Martinuzzi, Carlotta, Milani, Giada, Emanuele, Marco, Straudi, Sofia, Fadiga, Luciano, Pozzo, Thierry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961867/
https://www.ncbi.nlm.nih.gov/pubmed/36835865
http://dx.doi.org/10.3390/jcm12041327
_version_ 1784895861380087808
author Boni, Sara
Galluccio, Martina
Baroni, Andrea
Martinuzzi, Carlotta
Milani, Giada
Emanuele, Marco
Straudi, Sofia
Fadiga, Luciano
Pozzo, Thierry
author_facet Boni, Sara
Galluccio, Martina
Baroni, Andrea
Martinuzzi, Carlotta
Milani, Giada
Emanuele, Marco
Straudi, Sofia
Fadiga, Luciano
Pozzo, Thierry
author_sort Boni, Sara
collection PubMed
description This preliminary study introduces a novel action observation therapy (AOT) protocol associated with electroencephalographic (EEG) monitoring to be used in the future as a rehabilitation strategy for the upper limb in patients with subacute stroke. To provide initial evidence on the usefulness of this method, we compared the outcome of 11 patients who received daily AOT for three weeks with that of patients who undertook two other approaches recently investigated by our group, namely intensive conventional therapy (ICT), and robot-assisted therapy combined with functional electrical stimulation (RAT-FES). The three rehabilitative interventions showed similar arm motor recovery as indexed by Fugl-Meyer’s assessment of the upper extremity (FMA_UE) and box and block test (BBT). The improvement in the FMA_UE was yet more favourable in patients with mild/moderate motor impairments who received AOT, in contrast with patients carrying similar disabilities who received the other two treatments. This suggests that AOT might be more effective in this subgroup of patients, perhaps because the integrity of their mirror neurons system (MNS) was more preserved, as indexed by EEG recording from central electrodes during action observation. In conclusion, AOT may reveal an effective rehabilitative tool in patients with subacute stroke; the EEG evaluation of MNS integrity may help to select patients who could maximally benefit from this intervention.
format Online
Article
Text
id pubmed-9961867
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99618672023-02-26 Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring Boni, Sara Galluccio, Martina Baroni, Andrea Martinuzzi, Carlotta Milani, Giada Emanuele, Marco Straudi, Sofia Fadiga, Luciano Pozzo, Thierry J Clin Med Article This preliminary study introduces a novel action observation therapy (AOT) protocol associated with electroencephalographic (EEG) monitoring to be used in the future as a rehabilitation strategy for the upper limb in patients with subacute stroke. To provide initial evidence on the usefulness of this method, we compared the outcome of 11 patients who received daily AOT for three weeks with that of patients who undertook two other approaches recently investigated by our group, namely intensive conventional therapy (ICT), and robot-assisted therapy combined with functional electrical stimulation (RAT-FES). The three rehabilitative interventions showed similar arm motor recovery as indexed by Fugl-Meyer’s assessment of the upper extremity (FMA_UE) and box and block test (BBT). The improvement in the FMA_UE was yet more favourable in patients with mild/moderate motor impairments who received AOT, in contrast with patients carrying similar disabilities who received the other two treatments. This suggests that AOT might be more effective in this subgroup of patients, perhaps because the integrity of their mirror neurons system (MNS) was more preserved, as indexed by EEG recording from central electrodes during action observation. In conclusion, AOT may reveal an effective rehabilitative tool in patients with subacute stroke; the EEG evaluation of MNS integrity may help to select patients who could maximally benefit from this intervention. MDPI 2023-02-07 /pmc/articles/PMC9961867/ /pubmed/36835865 http://dx.doi.org/10.3390/jcm12041327 Text en © 2023 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
Boni, Sara
Galluccio, Martina
Baroni, Andrea
Martinuzzi, Carlotta
Milani, Giada
Emanuele, Marco
Straudi, Sofia
Fadiga, Luciano
Pozzo, Thierry
Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring
title Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring
title_full Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring
title_fullStr Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring
title_full_unstemmed Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring
title_short Action Observation Therapy for Arm Recovery after Stroke: A Preliminary Investigation on a Novel Protocol with EEG Monitoring
title_sort action observation therapy for arm recovery after stroke: a preliminary investigation on a novel protocol with eeg monitoring
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961867/
https://www.ncbi.nlm.nih.gov/pubmed/36835865
http://dx.doi.org/10.3390/jcm12041327
work_keys_str_mv AT bonisara actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT gallucciomartina actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT baroniandrea actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT martinuzzicarlotta actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT milanigiada actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT emanuelemarco actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT straudisofia actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT fadigaluciano actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring
AT pozzothierry actionobservationtherapyforarmrecoveryafterstrokeapreliminaryinvestigationonanovelprotocolwitheegmonitoring