Complex Versus Simple Ankle Movement Training in Stroke Using Telerehabilitation: A Randomized Controlled Trial.
Background. Telerehabilitation allows rehabilitative training to continue remotely after discharge from acute care and can include complex tasks known to create rich conditions for neural change. Objectives. The purposes of this study were: (1) to explore the feasibility of using telerehabilitation...
| Publicado en: | Physical Therapy Vol. 92; no. 2; pp. 197 - 210 |
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| Autores principales: | , , , , , , , , |
| Formato: | diagnostic images equations & formulas pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Oxford University Press / USA
Feb2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104525738&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104525738 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Feb2012 vid: 92 iid: 2 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 104525738 72261636 10.2522/ptj.20110018 NLM22095209 PMC3269771 104525738 ppf: 197 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Complex Versus Simple Ankle Movement Training in Stroke Using Telerehabilitation: A Randomized Controlled Trial. aug: au: Deng, Huiqiong Durfee, William K. Nuckley, David J. Rheude, Brandon S. Severson, Amy E. Skluzacek, Katie M. Spindler, Kristen K. Davey, Cynthia S. Carey, James R. affil: Program in Rehabilitation Science, University of Minnesota, Minneapolis, Minnesota sug: subj: Stroke Rehabilitation Telemedicine Ankle Gait Training Methods Dorsiflexion Human Randomized Controlled Trials Pilot Studies Gait Analysis Motion Analysis Systems Exercise Test Adult Middle Age Aged Female Male Kinematics Magnetic Resonance Imaging Methods Paired T-Tests T-Tests Wilcoxon Signed Rank Test Wilcoxon Rank Sum Test Fisher's Exact Test Data Analysis Software Outcome Assessment Funding Source Clinical Assessment Tools Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background. Telerehabilitation allows rehabilitative training to continue remotely after discharge from acute care and can include complex tasks known to create rich conditions for neural change. Objectives. The purposes of this study were: (1) to explore the feasibility of using telerehabilitation to improve ankle dorsiflexion during the swing phase of gait in people with stroke and (2) to compare complex versus simple movements of the ankle in promoting behavioral change and brain reorganization. Design. This study was a pilot randomized controlled trial. Setting. Training was done in the participant's home. Testing was done in separate research labs involving functional magnetic resonance imaging (fMRI) and multi-camera gait analysis. Patients. Sixteen participants with chronic stroke and impaired ankle dorsiflexion were assigned randomly to receive 4 weeks of telerehabilitation of the paretic ankle. Intervention. Participants received either computerized complex movement training (track group) or simple movement training (move group). Measurements. Behavioral changes were measured with the 10-m walk test and gait analysis using a motion capture system. Brain reorganization was measured with ankle tracking during fMRI. Results. Dorsiflexion during gait was significantly larger in the track group compared with the move group. For fMRI, although the volume, percent volume, and intensity of cortical activation failed to show significant changes, the frequency count of the number of participants showing an increase versus a decrease in these values from pretest to posttest measurements was significantly different between the 2 groups, with the track group decreasing and the move group increasing. Limitations. Limitations of this study were that no follow-up test was conducted and that a small sample size was used. Conclusions. The results suggest that telerehabilitation, emphasizing complex task training with the paretic limb, is feasible and can be effective in promoting further dorsiflexion in people with chronic stroke. pubtype: Academic Journal doctype: diagnostic images equations & formulas pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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