+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A non-task-oriented approach based on high-dose playful movement exploration for rehabilitation of the upper limb early after stroke: A proposal



A non-task-oriented approach based on high-dose playful movement exploration for rehabilitation of the upper limb early after stroke: A proposal



Neurorehabilitation 43(1): 31-40



Stroke is one of the leading causes of disability in the world, with the upper limb being affected up to 80% of the time. Current rehabilitative therapies for the upper limb, primarily centered on task-oriented training, are ineffective at boosting recovery from motor impairment beyond what is expected from spontaneous biological recovery and instead promote compensatory strategies in order to perform specific activities of daily living. To give a critical overview of animal and clinical literature that support the idea that a non-task-oriented approach may be more fruitful for recovery from motor impairment, and to propose a novel therapeutic paradigm designed to bolster spontaneous biological recovery early after stroke. A focus on movement quality, rather than task completion, practiced at high intensity and dosage in an enriching environment may be the training approach that best exploits the sensitive period early after stroke in order to amplify the generalized gains seen with spontaneous biological recovery.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047873572

Download citation: RISBibTeXText

PMID: 30056438

DOI: 10.3233/nre-172411


Related references

Robot assisted upper limb therapy combined with upper limb rehabilitation was at least as effective on a range of outcomes, and cost less to deliver, as an equal dose of upper limb rehabilitation alone for people with stroke. Australian Occupational Therapy Journal 62(1): 74-76, 2015

Efficacy of Occupational Therapy Task-oriented Approach in Upper Extremity Post-stroke Rehabilitation. Occupational Therapy International 23(4): 444-456, 2016

Bilateral upper-limb rehabilitation after stroke using a movement-based game controller. Journal of Rehabilitation Research and Development 48(8): 1005-1013, 2012

Proprioceptive Based Training for stroke recovery. Proposal of new treatment modality for rehabilitation of upper limb in neurological diseases. Archives of PhysioTherapy 5: 6, 2015

Responses of the less affected arm to bilateral upper limb task training in early rehabilitation after stroke: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation 93(7): 1129-1137, 2012

Comparison Between Movement-Based and Task-Based Mirror Therapies on Improving Upper Limb Functions in Patients With Stroke: A Pilot Randomized Controlled Trial. Frontiers in Neurology 10: 288, 2019

Standardizing the approach to evidence-based upper limb rehabilitation after stroke. Topics in Stroke Rehabilitation 20(5): 432-440, 2013

The effect of task-oriented electromyography-triggered electrical stimulation of the paretic wrist extensors on upper limb motor function early after stroke: a pilot randomized controlled trial. International Journal of Rehabilitation Research. Internationale Zeitschrift für Rehabilitationsforschung. Revue Internationale de Recherches de Readaptation 2018, 2018

Bilateral priming before wii-based movement therapy enhances upper limb rehabilitation and its retention after stroke: a case-controlled study. Neurorehabilitation and Neural Repair 28(9): 828-838, 2015

An exploration of physiotherapists' experiences of robotic therapy in upper limb rehabilitation within a stroke rehabilitation centre. Disability and Rehabilitation. Assistive Technology 13(3): 245-252, 2017

Targeted upper-limb Wii-based Movement Therapy also improves lower-limb muscle activation and functional movement in chronic stroke. Disability and Rehabilitation 39(19): 1939-1949, 2016

Experimental Study on Upper-Limb Rehabilitation Training of Stroke Patients Based on Adaptive Task Level: A Preliminary Study. Biomed Research International 2019: 2742595, 2019

Functional differences in upper limb movement after early and chronic stroke based on kinematic motion indicators. Biomedical Papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia 2018, 2018

Enabling Stroke Rehabilitation in Home and Community Settings: A Wearable Sensor-Based Approach for Upper-Limb Motor Training. IEEE Journal of Translational Engineering in Health and Medicine 6: 2100411, 2018

Effect of position feedback during task-oriented upper-limb training after stroke: five-case pilot study. Journal of Rehabilitation Research and Development 48(9): 1109-1118, 2012