Improved hand function remains after upper-limb tendon transfer and muscle release in children with hemiplegia

1999 ◽  
Vol 41 (4) ◽  
pp. 284-285 ◽  
Author(s):  
Annika Sköld ◽  
Catarina Ekholm ◽  
Ann-Christin Eliasson
Keyword(s):  
Upper Limb ◽  
Tendon Transfer ◽  
Hand Function

Is Asymmetry of the Pons Associated with Hand Function and Manual Ability after Arterial Ischemic Stroke in Children?

2019 ◽  
Vol 50 (03) ◽  
pp. 138-145
Author(s):  
Nedelina Slavova ◽  
Max Shojai ◽  
Regula Everts ◽  
Roland Wiest ◽  
Maja Steinlin ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Upper Limb ◽  
Hand Function ◽  
Limb Movement ◽  
Typically Developing ◽  
Arterial Ischemic Stroke ◽  
Cross Sectional ◽  
Indirect Measure ◽  
The Asymmetry

Aim This study was designed to investigate how the asymmetry of the brain stem is related to hand function and manual ability after arterial ischemic stroke (AIS) diagnosed during childhood. Method Patients diagnosed with AIS during childhood (> 5 years old, diagnosis > 2 years before recruitment) and typically developing peers were recruited by the Swiss Neuropediatric Stroke Registry. Brainstem cross-sectional areas of each side at the level of the pons were measured. Pinch and grip strength were measured with a dynamometer, quality of upper limb movement by the Melbourne Assessment 2 and manual ability by the ABILHAND-kids. An asymmetry index was calculated for all measures (except the ABILHAND-kids). Differences between groups and correlations were calculated using nonparametric statistics. Results Fourteen AIS survivors without hemiparesis, 10 AIS survivors with hemiparesis, and 47 typically developing peers were assessed. Patients with hemiparesis showed the highest brainstem asymmetry. There was a significant positive correlation between brainstem asymmetry, the asymmetry of strength and quality of upper limb movement, and a significant negative correlation between brainstem asymmetry and manual ability. Interpretation In pediatric AIS survivors, brainstem asymmetry can serve as an indirect measure of corticospinal tract integrity. It is significantly correlated with strength, quality of movement, and manual ability.

Arm function after stroke - can we make a difference?

1999 ◽  
Vol 55 (2) ◽  
pp. 4-7 ◽  
Author(s):  
L. Fearnhead ◽  
C. J. Eales ◽  
V. U. Fritz
Keyword(s):  
Motor Control ◽  
Upper Limb ◽  
Functional Disability ◽  
Hand Function ◽  
Review Of The Literature ◽  
Limb Function ◽  
Upper Limb Rehabilitation ◽  
Upper Limb Function ◽  
Recent Developments ◽  
Limb Rehabilitation

Impairment of upper limb function is a significant cause of functional disability after stroke. Based on a review of the literature this paper defines upper limb function and highlights some of the relevant recent developments in neuropathology. The effects of changes in sensation, muscle recruitment and tone are described. Reliable and valid outcome measures of upper limb impairment and disability are listed. The principles of rehabilitation are described in terms of timing of rehabilitation, sensory reeducation, motor control and functional use. Questions are raised regarding the need for counselling for the loss of fine discriminative hand function and for research into this behavioural aspect of upper limb rehabilitation.

Congenital brachial plexus palsy

2011 ◽  
Author(s):  
Marco Sinisi
Keyword(s):  
Brachial Plexus ◽  
Upper Limb ◽  
Hand Function ◽  
Shoulder Function ◽  
Mechanism Of Injury ◽  
Brachial Plexus Palsy ◽  
Surgical Exploration

♦ The congenital brachial plexus palsy is significantly different from the adult injury♦ The mechanism of injury is invariably traction♦ Classifying the lesion at 1–2 weeks of age aids with prognosis and management♦ Surgical exploration and repair is indicated early in selected cases♦ Good shoulder function is essential for a useful upper limb♦ Recovery of hand function is slow and may continue until age 5 years.

scholarly journals To stimulate or not to stimulate? A rapid systematic review of repetitive sensory stimulation for the upper-limb following stroke

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Rachel C. Stockley ◽  
Kerry Hanna ◽  
Louise Connell
Keyword(s):  
Systematic Review ◽  
Upper Limb ◽  
Meta Analysis ◽  
Hand Function ◽  
Research Priorities ◽  
Sensory Stimulation ◽  
Treatment Session ◽  
Current Evidence ◽  
Serious Adverse Events ◽  
Repetitive Sensory Stimulation

Abstract Background Repetitive sensory stimulation (RSS) is a therapeutic approach which involves repeated electrical stimulation of the skin’s surface to improve function. This rapid systematic review aimed to describe the current evidence for repetitive sensory stimulation (RSS) in rehabilitation of the upper-limb for people who have had a stroke. Main text Methods: Relevant studies were identified in a systematic search of electronic databases and hand-searching in February 2020. The findings of included studies were synthesized to describe: the safety of RSS, in whom and when after stroke it has been used, the doses used and its effectiveness. Results Eight studies were included. No serious adverse events were reported. The majority of studies used RSS in participants with mild or moderate impairments and in the chronic stage after stroke. Four studies used RSS in a single treatment session, reporting significant improvements in strength and hand function. Findings from longitudinal studies showed few significant differences between control and experimental groups. Meta-analysis was not possible due to the heterogeneity of included studies. Conclusions This review suggests that there is insufficient evidence to support the use of RSS for the upper-limb after stroke in clinical practice. However, this review highlights several clear research priorities including establishing the mechanism and in whom RSS may work, its safety and optimal treatment parameters to improve function of the upper-limb after stroke.

Improvement in Activities of Daily Living Using the Freehand: A System Designed for People with Tetraplegia

2003 ◽  
Vol 66 (3) ◽  
pp. 113-117 ◽  
Author(s):  
Julie Esnouf ◽  
Paul Taylor ◽  
John Hobby
Keyword(s):  
Activities Of Daily Living ◽  
Functional Ability ◽  
Daily Living ◽  
Tendon Transfer ◽  
Hand Function ◽  
International Classification ◽  
Home Work ◽  
Set Up ◽  
Implanted Device ◽  
At Home

The Freehand system is an implanted device for people with C5/6 tetraplegia, international classification 0, 1 and 2. The implant is designed to improve hand function, particularly in those who lack voluntary muscles suitable for tendon transfer. This study investigated how the Freehand system was being used at home, work and leisure. Twelve participants, who were assessed, implanted and trained with the Freehand system, were reviewed against their preoperative goals. Prior to surgery, eight activities of daily living goals that the participant would like to perform with the Freehand system were selected by him or her. Each task was assessed in three sections: the set-up of the task, the performance and the take-down. The amount of assistance for each section was recorded. This was repeated after training had been completed and daily use established. Each participant was also asked to state a preference on how the tasks would be completed, whether with the system or by the method prior to surgery. The results of this study show an improvement in the participants' functional ability in their selected goals when using the Freehand system. The preference for using the Freehand system to complete tasks applied to 84% of the total 96 tasks chosen by the 12 participants in this study.

scholarly journals Implanted Passive Engineering Mechanism Improves Hand Function after Tendon Transfer Surgery: A Cadaver-Based Study

Hand ◽  
2014 ◽  
Vol 10 (1) ◽  
pp. 116-122 ◽  
Author(s):  
Katherine L. Mardula ◽  
Ravi Balasubramanian ◽  
Christopher H. Allan
Keyword(s):  
Tendon Transfer ◽  
Hand Function
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