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Motor Relearning Program

Marcel Moukarzel, Franck Di Rienzo, Jean-Claude Lahoud, Fadi Hoyek, Christian Collet, Aymeric Guillot, Nady Hoyek
PURPOSE: The aim of this study was to measure physical and functional outcomes during the acute postoperative recovery in patients who underwent total knee arthroplasty. Motor imagery has been shown to decrease pain and promote functional recovery after both neurological and peripheral injuries. Yet, whether motor imagery can be included as an adjunct effective method into physical therapy programs following total knee arthroplasty remains a working hypothesis that we aim to test in a pilot study...
December 24, 2017: Disability and Rehabilitation
Mariusz Drużbicki, Agnieszka Guzik, Grzegorz Przysada, Andrzej Kwolek, Agnieszka Brzozowska-Magoń, Marek Sobolewski
BACKGROUND One of the most significant challenges for patients who survive a stroke is relearning basic motor tasks such as walking. The goal of this study was to evaluate whether training on a treadmill with visual biofeedback improves gait symmetry, as well as spatiotemporal and kinematic gait parameters, in stroke patients. MATERIAL AND METHODS Thirty patients in the chronic phase after a stroke were randomly allocated into groups with a rehabilitation program of treadmill training with or without visual biofeedback...
December 11, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Cathia Rossano, Philippe Terrier
BACKGROUND: After a lesion to the central nervous system, many patients suffer from reduced walking capability. In the first rehabilitation phase, repeated walking exercises facilitate muscular strength and stimulate brain plasticity and motor relearning. However, marked limping, an unsteady gait, and poor management of obstacle clearance may persist, which increases a patient's risk of falling. Gait training with augmented reality has been recommended to improve gait coordination. The objective of this study is to test whether a gait rehabilitation program using augmented reality is superior to a conventional treadmill training program of equivalent intensity...
October 27, 2016: Trials
Seung-Jin Im, Yong-Hyun Kim, Kwon-Hee Kim, Jae-Woong Han, Sung-Jin Yoon, Jin-Hoon Park
PURPOSE: There is a lack of evidence-based recommendations for the physiotherapeutic intervention specifically for locomotor training in patients with cerebellar ataxia. The purpose of this study is to determine the feasibility and effect of a more specific rehabilitation strategy that aims to improve gait quality in patients with cerebellar ataxia. METHODS: Nineteen patients with degenerative cerebellar ataxia were recruited to participate in the study. The patients participated in a 12-week locomotor training program, two times per week for 1...
May 2017: Disability and Rehabilitation
Evelien Nackaerts, Elke Heremans, Griet Vervoort, Bouwien C M Smits-Engelsman, Stephan P Swinnen, Wim Vandenberghe, Bruno Bergmans, Alice Nieuwboer
BACKGROUND: Micrographia occurs in approximately 60% of people with Parkinson's disease (PD). Although handwriting is an important task in daily life, it is not clear whether relearning and consolidation (ie the solid storage in motor memory) of this skill is possible in PD. The objective was to conduct for the first time a controlled study into the effects of intensive motor learning to improve micrographia in PD. METHODS: In this placebo-controlled study, 38 right-handed people with PD were randomized into 2 groups, receiving 1 of 2 equally time-intensive training programs (30 min/day, 5 days/week for 6 weeks)...
August 2016: Movement Disorders: Official Journal of the Movement Disorder Society
Amanda Hidalgo-Peréz, Ángela Fernández-García, Ibai López-de-Uralde-Villanueva, Alfonso Gil-Martínez, Alba Paris-Alemany, Josué Fernández-Carnero, Roy La Touche
BACKGROUND: Motor control therapeutic exercise (MCTE) for the neck is a motor relearning program that emphasizes the coordination and contraction of specific neck flexor, extensor, and shoulder girdle muscles. Because motor imagery (MI) improves sensorimotor function and it improves several motor aspects, such as motor learning, neuromotor control, and acquisition of motor skills, the authors hypothesized that a combination of MCTE and MI would improve the sensorimotor function of the cervical spine more effectively than a MCTE program alone...
November 2015: International Journal of Sports Physical Therapy
Yuri Cha, Young Kim, Sujin Hwang, Yijung Chung
BACKGROUND: Motor relearning protocols should involve task-oriented movement, focused attention, and repetition of desired movements. OBJECTIVES: To investigate the effect of intensive gait training with rhythmic auditory stimulation on postural control and gait performance in individuals with chronic hemiparetic stroke. METHODS: Twenty patients with chronic hemiparetic stroke participated in this study. Subjects in the Rhythmic auditory stimulation training group (10 subjects) underwent intensive gait training with rhythmic auditory stimulation for a period of 6 weeks (30 min/day, five days/week), while those in the control group (10 subjects) underwent intensive gait training for the same duration...
2014: NeuroRehabilitation
Yong Yin, Zhen Gu, Lei Pan, Lu Gan, Dongdong Qin, Bo Yang, Jin Guo, Xintian Hu, Tinghua Wang, Zhongtang Feng
The motor relearning program can significantly improve various functional disturbance induced by ischemic cerebrovascular diseases. However, its mechanism of action remains poorly understood. In injured brain tissues, glial fibrillary acidic protein and neurofilament protein changes can reflect the condition of injured neurons and astrocytes, while vascular endothelial growth factor and basic fibroblast growth factor changes can indicate angiogenesis. In the present study, we induced ischemic brain injury in the rhesus macaque by electrocoagulation of the M1 segment of the right middle cerebral artery...
June 5, 2013: Neural Regeneration Research
Jia-Ching Chen, Fu-Zen Shaw
Impaired motor and functional activity following stroke often has negative impacts on the patient, the family and society. The available rehabilitation programs for stroke patients are reviewed. Conventional rehabilitation strategies (Bobath, Brunnstrom, proprioception neuromuscular facilitation, motor relearning and function-based principles) are the mainstream tactics in clinical practices. Numerous advanced strategies for sensory-motor functional enhancement, including electrical stimulation, electromyographic biofeedback, constraint-induced movement therapy, robotics-aided systems, virtual reality, intermittent compression, partial body weight supported treadmill training and thermal stimulation, are being developed and incorporated into conventional rehabilitation programs...
August 16, 2014: World Journal of Clinical Cases
Selina C Wriessnegger, David Steyrl, Karl Koschutnig, Gernot R Müller-Putz
Motor imagery (MI) is a commonly used paradigm for the study of motor learning or cognitive aspects of action control. The rationale for using MI training to promote the relearning of motor function arises from research on the functional correlates that MI shares with the execution of physical movements. While most of the previous studies investigating MI were based on simple movements in the present study a more attractive mental practice was used to investigate cortical activation during MI. We measured cerebral responses with functional magnetic resonance imaging (fMRI) in twenty three healthy volunteers as they imagined playing soccer or tennis before and after a short physical sports exercise...
2014: Frontiers in Human Neuroscience
Anitha Manohar, Robert D Flint, Eric Knudsen, Karen A Moxon
Stereotypical locomotor movements can be made without input from the brain after a complete spinal transection. However, the restoration of functional gait requires descending modulation of spinal circuits to independently control the movement of each limb. To evaluate whether a brain-machine interface (BMI) could be used to regain conscious control over the hindlimb, rats were trained to press a pedal and the encoding of hindlimb movement was assessed using a BMI paradigm. Off-line, information encoded by neurons in the hindlimb sensorimotor cortex was assessed...
2012: PloS One
Shanta Pandian, Kamal Narayan Arya, E W Rajkumar Davidson
BACKGROUND: Motor recovery of the hand usually plateaus in chronic stroke patients. Various conventional and contemporary approaches have been used to rehabilitate the hand post-stroke. However, the evidence for their effectiveness is still limited. OBJECTIVE: To compare the hand therapy protocols based on Brunnstrom approach and motor relearning program in rehabilitation of the hand of chronic stroke patients. METHODOLOGY: HASH(0x52c08f0) DESIGN: Randomized trial...
July 2012: Journal of Bodywork and Movement Therapies
Vincent Crocher, Anis Sahbani, Johanna Robertson, Agnès Roby-Brami, Guillaume Morel
The aim of this paper was to explore how an upper limb exoskeleton can be programmed to impose specific joint coordination patterns during rehabilitation. Based on rationale which emphasizes the importance of the quality of movement coordination in the motor relearning process, a robot controller was developed with the aim of reproducing the individual corrections imposed by a physical therapist on a hemiparetic patient during pointing movements. The approach exploits a description of the joint synergies using principal component analysis (PCA) on joint velocities...
May 2012: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Alessandro Panarese, Roberto Colombo, Irma Sterpi, Fabrizio Pisano, Silvestro Micera
BACKGROUND: Robot-aided neurorehabilitation can provide intensive, repetitious training to improve upper-limb function after stroke. To be more effective, motor therapy ought to be progressive and continuously challenge the patient's ability. Current robotic systems have limited customization capability and require a physiotherapist to assess progress and adapt therapy accordingly. OBJECTIVE: The authors aimed to track motor improvement during robot-assistive training and test a tool to more automatically adjust training...
September 2012: Neurorehabilitation and Neural Repair
Lena Pareto, Britt Johansson, Sally Zeller, Katharina S Sunnerhagen, Martin Rydmark, Jurgen Broeren
We examined the efficacy of a remotely based occupational therapy intervention. A 40-year-old woman who suffered a stroke participated in a telerehabilitation program. The intervention method is based on virtual reality gaming to enhance the training experience and to facilitate the relearning processes. The results indicate that Virtual TeleRehab is an effective method for motivational, economical, and practical reasons by combining game-based rehabilitation in the home with weekly distance meetings.
2011: Studies in Health Technology and Informatics
Ning-Xia Zhang, Gui-Zhen Liu, Qiu-Hong Yao, Wei-Jiang Li, Yong Huang, Ai-Min Wang, Yun-Bo Li, Chuan-Song Gu, Tai-Quan Huang, Jia-Qi Luo, Wei-Wei Liu, Lian-Ying Zhang
OBJECTIVE: To verify the improvement function of warming-reinforcing acupuncture combined with rehabilitation training on the early motor function of hemiparalysis patients caused by ischemic brain stroke. METHODS: Eighty cases were randomly divided into a warming-reinforcing acupuncture combined with rehabilitation training group (group A) and a rehabilitation training group (group B), 40 cases in each group. Both groups were treated with internal routine treatment...
June 2010: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Allan D Abbott, Raija Tyni-Lenné, Rune Hedlund
STUDY DESIGN: Open label randomized controlled trial with 3-, 6-, 12-month, and 2- to 3-year follow-up. OBJECTIVE: To investigate the effectiveness of a psychomotor therapy focusing on cognition, behavior, and motor relearning compared with exercise therapy applied during the first 3 months after lumbar fusion. SUMMARY OF BACKGROUND DATA: Postoperative management after lumbar fusion commonly focuses on analgesic pain control and activities of daily living...
April 15, 2010: Spine
H van der Kooij, G B Prange, T Krabben, G J Renzenbrink, J de Boer, H J Hermens, M A Jannink
After stroke, arm function can be limited by a reduction in the selectivity of movements, due to involuntary coupling of shoulder abduction and elbow flexion, limiting the ability to reach. Gravity compensation of the arm reduces the required active shoulder abduction torques, which results in a larger range of motion instantaneously. Integration of a motivating rehabilitation game in the training program stimulates motor relearning processes during training. During 6 weeks, 8 chronic stroke survivors received 3 sessions of 30 minutes gravity compensated reach training per week using a rehabilitation game, which was evaluated by assessing motor status and a circle drawing task before and after training...
2009: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
William Durfee, James Carey, David Nuckley, Joan Deng
Motor retraining following stroke can occur through intensive, repetitive motion tasks that require concentration to promote new connections in the brain. Conducting intensive, repetitive therapy in the clinic is time consuming for both patient and therapist. A home-based, clinician-directed tracking training system for rehabilitation is presented. Two biofeedback motion training systems have been developed, one for hand and wrist motor relearning and the other for the ankle. The systems include a potentiometer joint sensor, a smart box interface and a laptop host computer...
2009: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Zoe A Michaleff, Chris G Maher, Gwendolen Jull, Jane Latimer, Luke B Connelly, Chung-Wei Christine Lin, Trudy Rebbeck, Michele Sterling
BACKGROUND: Whiplash is the most common injury following a motor vehicle accident. Approximately 60% of people suffer persistent pain and disability six months post injury. Two forms of exercise; specific motor relearning exercises and graded activity, have been found to be effective treatments for this condition. Although the effect sizes for these exercise programs, individually, are modest, pilot data suggest much larger effects on pain and disability are achieved when these two treatments are combined...
2009: BMC Musculoskeletal Disorders
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