Implementation of a technology-assisted programme to intensify upper limb rehabilitation in neurologically impaired participants: A prospective study.
Identifieur interne : 001814 ( Main/Exploration ); précédent : 001813; suivant : 001815Implementation of a technology-assisted programme to intensify upper limb rehabilitation in neurologically impaired participants: A prospective study.
Auteurs : Mary P. Galea [Australie] ; Fary Khan ; Bhasker Amatya ; Alaeldin Elmalik ; Marlena Klaic ; Geoff AbbottSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- physiopathologie : Membre supérieur.
- rééducation et réadaptation : Maladies du système nerveux.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Qualité de vie, Résultat thérapeutique, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Upper Extremity.
- rehabilitation : Nervous System Diseases.
- Female, Humans, Male, Middle Aged, Prospective Studies, Quality of Life, Treatment Outcome.
Abstract
OBJECTIVE
To evaluate the implementation of a technology-assisted programme to intensify upper limb rehabilitation after stroke and other neurological conditions in an Australian community cohort.
METHODS
A "Hand Hub" was established in a tertiary hospital. Intervention was delivered via individual or group sessions for a period of up to 6 weeks, in addition to the patients' regular therapy. Patients were assessed before and after the programme using validated measures.
RESULTS
A total of 92 participants completed both assessments (mean age 57 years (standard deviation 17 years), 58% male and 88% with stroke). Post-intervention, participants showed significant improvement in arm function and strength (p < 0.001, effect sizes (r) = 0.5-0.7), streamlined Wolf Motor Function Test score (p < 0.05, r = 0.2-0.4), improved muscle tone on the Modified Ashworth Scale (p < 0.001, r = 0.4), Functional Independence Measure (locomotion, mobility and psychosocial subscales (p < 0.05, r = 0.2-0.3). Quality of life (EQ-5D) and overall health also improved significantly (p < 0.01 for all, r = 0.3-0.6).
CONCLUSION
The "Hand Hub" programme is feasible and showed promising results for upper limb function in persons with neurological disorders. The findings need to be further confirmed in a larger study sample, with a longer follow-up.
DOI: 10.2340/16501977-2087
PubMed: 27068229
Affiliations:
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Galea</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine , (Royal Melbourne Hospital), The University of Melbourne, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. m.galea@unimelb.edu.au, mary.galea@mh.org.au.</nlm:affiliation><country wicri:rule="url">Australie</country><wicri:regionArea>Department of Medicine , (Royal Melbourne Hospital), The University of Melbourne, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. m.galea@unimelb.edu.au</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name></author><author><name sortKey="Klaic, Marlena" sort="Klaic, Marlena" uniqKey="Klaic M" first="Marlena" last="Klaic">Marlena Klaic</name></author><author><name sortKey="Abbott, Geoff" sort="Abbott, Geoff" uniqKey="Abbott G" first="Geoff" last="Abbott">Geoff Abbott</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27068229</idno><idno type="pmid">27068229</idno><idno type="doi">10.2340/16501977-2087</idno><idno type="wicri:Area/Main/Corpus">001839</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001839</idno><idno type="wicri:Area/Main/Curation">001839</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001839</idno><idno type="wicri:Area/Main/Exploration">001839</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Implementation of a technology-assisted programme to intensify upper limb rehabilitation in neurologically impaired participants: A prospective study.</title><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine , (Royal Melbourne Hospital), The University of Melbourne, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. m.galea@unimelb.edu.au, mary.galea@mh.org.au.</nlm:affiliation><country wicri:rule="url">Australie</country><wicri:regionArea>Department of Medicine , (Royal Melbourne Hospital), The University of Melbourne, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. m.galea@unimelb.edu.au</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name></author><author><name sortKey="Klaic, Marlena" sort="Klaic, Marlena" uniqKey="Klaic M" first="Marlena" last="Klaic">Marlena Klaic</name></author><author><name sortKey="Abbott, Geoff" sort="Abbott, Geoff" uniqKey="Abbott G" first="Geoff" last="Abbott">Geoff Abbott</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nervous System Diseases (rehabilitation)</term><term>Prospective Studies (MeSH)</term><term>Quality of Life (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Upper Extremity (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladies du système nerveux (rééducation et réadaptation)</term><term>Membre supérieur (physiopathologie)</term><term>Mâle (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Membre supérieur</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Nervous System Diseases</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladies du système nerveux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Quality of Life</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate the implementation of a technology-assisted programme to intensify upper limb rehabilitation after stroke and other neurological conditions in an Australian community cohort.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A "Hand Hub" was established in a tertiary hospital. Intervention was delivered via individual or group sessions for a period of up to 6 weeks, in addition to the patients' regular therapy. Patients were assessed before and after the programme using validated measures.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 92 participants completed both assessments (mean age 57 years (standard deviation 17 years), 58% male and 88% with stroke). Post-intervention, participants showed significant improvement in arm function and strength (p < 0.001, effect sizes (r) = 0.5-0.7), streamlined Wolf Motor Function Test score (p < 0.05, r = 0.2-0.4), improved muscle tone on the Modified Ashworth Scale (p < 0.001, r = 0.4), Functional Independence Measure (locomotion, mobility and psychosocial subscales (p < 0.05, r = 0.2-0.3). Quality of life (EQ-5D) and overall health also improved significantly (p < 0.01 for all, r = 0.3-0.6).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The "Hand Hub" programme is feasible and showed promising results for upper limb function in persons with neurological disorders. The findings need to be further confirmed in a larger study sample, with a longer follow-up.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">27068229</PMID><DateCompleted><Year>2016</Year><Month>12</Month><Day>29</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>48</Volume><Issue>6</Issue><PubDate><Year>2016</Year><Month>Jun</Month><Day>13</Day></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Implementation of a technology-assisted programme to intensify upper limb rehabilitation in neurologically impaired participants: A prospective study.</ArticleTitle><Pagination><MedlinePgn>522-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-2087</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the implementation of a technology-assisted programme to intensify upper limb rehabilitation after stroke and other neurological conditions in an Australian community cohort.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A "Hand Hub" was established in a tertiary hospital. Intervention was delivered via individual or group sessions for a period of up to 6 weeks, in addition to the patients' regular therapy. Patients were assessed before and after the programme using validated measures.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 92 participants completed both assessments (mean age 57 years (standard deviation 17 years), 58% male and 88% with stroke). Post-intervention, participants showed significant improvement in arm function and strength (p < 0.001, effect sizes (r) = 0.5-0.7), streamlined Wolf Motor Function Test score (p < 0.05, r = 0.2-0.4), improved muscle tone on the Modified Ashworth Scale (p < 0.001, r = 0.4), Functional Independence Measure (locomotion, mobility and psychosocial subscales (p < 0.05, r = 0.2-0.3). Quality of life (EQ-5D) and overall health also improved significantly (p < 0.01 for all, r = 0.3-0.6).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The "Hand Hub" programme is feasible and showed promising results for upper limb function in persons with neurological disorders. 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