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The vibratory stimulus as a neurorehabilitation tool for stroke patients: proof of concept and tolerability test.

Identifieur interne : 000257 ( PubMed/Checkpoint ); précédent : 000256; suivant : 000258

The vibratory stimulus as a neurorehabilitation tool for stroke patients: proof of concept and tolerability test.

Auteurs : Virgílio F. Bento [Portugal] ; Vítor Tedim Cruz ; David D. Ribeiro ; João P. Cunha

Source :

RBID : pubmed:22672942

Descripteurs français

English descriptors

Abstract

Current scientific knowledge reinforces that successful reorganization of surviving nervous tissue supports cognitive and motor recovery after stroke. The development of new neurorehabilitation tools to modulate this physiologic process is needed. In this context, vibratory stimuli are a noninvasive form of proprioceptive stimulation of the nervous system and are freely available and easy to use at a low cost.

DOI: 10.3233/NRE-2012-0757
PubMed: 22672942


Affiliations:


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pubmed:22672942

Le document en format XML

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<title xml:lang="en">The vibratory stimulus as a neurorehabilitation tool for stroke patients: proof of concept and tolerability test.</title>
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<name sortKey="Bento, Virgilio F" sort="Bento, Virgilio F" uniqKey="Bento V" first="Virgílio F" last="Bento">Virgílio F. Bento</name>
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<nlm:affiliation>Institute of Electronics and Telematics Engineering of Aveiro, University of Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.</nlm:affiliation>
<country xml:lang="fr">Portugal</country>
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<name sortKey="Cruz, Vitor Tedim" sort="Cruz, Vitor Tedim" uniqKey="Cruz V" first="Vítor Tedim" last="Cruz">Vítor Tedim Cruz</name>
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<name sortKey="Ribeiro, David D" sort="Ribeiro, David D" uniqKey="Ribeiro D" first="David D" last="Ribeiro">David D. Ribeiro</name>
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<name sortKey="Cunha, Joao P" sort="Cunha, Joao P" uniqKey="Cunha J" first="João P" last="Cunha">João P. Cunha</name>
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<title xml:lang="en">The vibratory stimulus as a neurorehabilitation tool for stroke patients: proof of concept and tolerability test.</title>
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<title level="j">NeuroRehabilitation</title>
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<term>Adult</term>
<term>Aged</term>
<term>Ankle Joint (innervation)</term>
<term>Cerebral Arteries (physiopathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Spasticity (etiology)</term>
<term>Muscle Spasticity (rehabilitation)</term>
<term>Severity of Illness Index</term>
<term>Stroke (complications)</term>
<term>Stroke (rehabilitation)</term>
<term>Treatment Outcome</term>
<term>Vibration (therapeutic use)</term>
<term>Wrist Joint (innervation)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Accident vasculaire cérébral ()</term>
<term>Accident vasculaire cérébral (rééducation et réadaptation)</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Articulation du poignet (innervation)</term>
<term>Articulation talocrurale (innervation)</term>
<term>Artères cérébrales (physiopathologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
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<term>Résultat thérapeutique</term>
<term>Spasticité musculaire (rééducation et réadaptation)</term>
<term>Spasticité musculaire (étiologie)</term>
<term>Sujet âgé</term>
<term>Vibration (usage thérapeutique)</term>
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<term>Stroke</term>
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<term>Muscle Spasticity</term>
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<term>Muscle Spasticity</term>
<term>Stroke</term>
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<term>Accident vasculaire cérébral</term>
<term>Spasticité musculaire</term>
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<term>Vibration</term>
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<term>Vibration</term>
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<term>Articulation du poignet</term>
<term>Articulation talocrurale</term>
<term>Spasticité musculaire</term>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
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<term>Indice de gravité médicale</term>
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<div type="abstract" xml:lang="en">Current scientific knowledge reinforces that successful reorganization of surviving nervous tissue supports cognitive and motor recovery after stroke. The development of new neurorehabilitation tools to modulate this physiologic process is needed. In this context, vibratory stimuli are a noninvasive form of proprioceptive stimulation of the nervous system and are freely available and easy to use at a low cost.</div>
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<Day>07</Day>
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<Month>10</Month>
<Day>22</Day>
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<Volume>30</Volume>
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<Title>NeuroRehabilitation</Title>
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<ArticleTitle>The vibratory stimulus as a neurorehabilitation tool for stroke patients: proof of concept and tolerability test.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Current scientific knowledge reinforces that successful reorganization of surviving nervous tissue supports cognitive and motor recovery after stroke. The development of new neurorehabilitation tools to modulate this physiologic process is needed. In this context, vibratory stimuli are a noninvasive form of proprioceptive stimulation of the nervous system and are freely available and easy to use at a low cost.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To access the feasibility and tolerability of targeted vibratory stimuli delivered through a wearable device in an early post-stroke setting.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Five stroke patients were recruited from a stroke unit setting having a first ever medial cerebral artery ischemic stroke with motor deficit. The stimulation device developed delivered external vibratory stimuli to major joints at preprogrammed arrays of intensity, duration and interval of actuation. The tolerability test was set for five-hour duration and during that period data on vital parameters, cognitive, motor and sensitive performance as well as anxiety scores were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The device remained in place throughout and none of the patients or relatives asked to interrupt the tolerability test. There were no major complications during the trial or the ensuing days. Attention to the affected side during stimulation was increased in four patients, and two were reported as clearly more awake during the test.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">This is the first tolerability test focused on the use of targeted vibratory stimulus as a neurorehabilitation tool in stroke patients. There were no hazards to report and most interestingly the majority of patients showed increased awareness to the affected side of the body. These findings will be further analyzed under functional MRI control and on long-term ambulatory use trials.</AbstractText>
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