Home-based hand rehabilitation after chronic stroke: Randomized, controlled single-blind trial comparing the MusicGlove with a conventional exercise program.
Autor: | Zondervan, Daniel K., Friedman, Nizan, Chang, Enoch, Xing Zhao, Augsburger, Renee, Reinkensmeyer, David J., Cramer, Steven C. |
---|---|
Předmět: |
ANALYSIS of variance
CHRONIC diseases COMPARATIVE studies CROSSOVER trials FISHER exact test GLOVES HOME care services INTERVIEWING RESEARCH methodology EVALUATION of medical care MEDICAL rehabilitation MOTIVATION (Psychology) PSYCHOLOGY of movement PATIENTS PROBABILITY theory PSYCHOLOGICAL tests REGRESSION analysis REHABILITATION RESEARCH funding STATISTICAL hypothesis testing STATISTICS T-test (Statistics) UNIVERSITIES & colleges HAND injury treatment PILOT projects DATA analysis ACTIVITIES of daily living PAIN measurement BODY movement RANDOMIZED controlled trials VISUAL analog scale REPEATED measures design BLIND experiment GERIATRIC Depression Scale STROKE rehabilitation STROKE patients DESCRIPTIVE statistics EXERCISE video games NIH Stroke Scale |
Zdroj: | Journal of Rehabilitation Research & Development; 2016, Vol. 53 Issue 4, p457-472, 15p, 1 Color Photograph, 1 Diagram, 2 Charts, 2 Graphs |
Abstrakt: | Individuals with chronic stroke have limited options for hand rehabilitation at home. Here, we sought to determine the feasibility and efficacy of home-based MusicGlove therapy. Seventeen participants with moderate hand impairment in the chronic phase of stroke were randomized to 3 wk of home-based exercise with either the MusicGlove or conventional tabletop exercises. The primary outcome measure was the change in the Box and Blocks test score from baseline to 1 mo posttreatment. Both groups significantly improved their Box and Blocks test score, but no significant difference was found between groups. The MusicGlove group did exhibit significantly greater improvements than the conventional exercise group in Motor Activity Log Quality of Movement and Amount of Use scores 1 mo posttherapy (p = 0.007 and p = 0.04, respectively). Participants significantly increased their use of MusicGlove over time, completing 466 gripping movements per day on average at study end. MusicGlove therapy was not superior to conventional table-top exercises for the primary end point but was nevertheless feasible and led to a significantly greater increase in self-reported functional use and quality of movement of the impaired hand than conventional home exercises. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
Externí odkaz: |