The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational study
Introduction: Impairment of the functions of the upper limb and hand is a major problem in stroke patients. The aim of the study was to evaluate various therapies in terms of their influence on changes in the activity of the affected, dominant, and non-dominant upper limb in patients after ischemic...
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| Format: | Article |
| Language: | English |
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Akademia Wychowania Fizycznego i Sportu w Gdansku
2023-09-01
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| Series: | Baltic Journal of Health and Physical Activity |
| Subjects: | |
| Online Access: | https://www.balticsportscience.com/journal/vol15/iss3/5/ |
| _version_ | 1797657255659700224 |
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| author | Anna Olczak Marcin Dornowski |
| author_facet | Anna Olczak Marcin Dornowski |
| author_sort | Anna Olczak |
| collection | DOAJ |
| description | Introduction: Impairment of the functions of the upper limb and hand is a major problem in stroke patients. The aim of the study was to evaluate various therapies in terms of their influence on changes in the activity of the affected, dominant, and non-dominant upper limb in patients after ischemic stroke. Material/Methods: This is a randomized, double-blinded study. The research was carried out in a rehabilitation clinic on a group of 60 stroke patients who were randomly assigned to groups differing in the rehabilitation program. The study group had physiotherapy based on the NDT Bobath concept and the control group used classic exercises. The importance of the trunk for the upper limb coordination was assessed on the Armeo®Spring device using three evaluation programs: “vertical fishing”; “horizontal fishing”; “reaction time” and two proprietary tests: “wall” and “abacus”. Results: Post-treatment analysis showed significantly better results in the study group (dominant limb). There was an improvement in the grip ability – the abacus test (p = 0.023), an increase in the mobility of the shoulder joint in the sagittal plane – the wall test (p = 0.002), and an increase in the speed of movements in the transverse plane – vertical fishing – time (p = 0.001). The functional improvement of the dominant limb is also evidenced by a significant difference in the reaction time – task performance test [%] (p = 0.048). Conclusions: Physiotherapy, in accordance with the NDT Bobath concept, aimed at improving trunk stability has a significant impact on increasing the mobility, speed of movement, and reaction time in the shoulder joint, and improves the handgrip ability of the affected non-dominant upper limb. |
| first_indexed | 2024-03-11T17:41:53Z |
| format | Article |
| id | doaj.art-5d61e75b1c8242209fd28663315f52ef |
| institution | Directory Open Access Journal |
| issn | 2080-9999 |
| language | English |
| last_indexed | 2024-03-11T17:41:53Z |
| publishDate | 2023-09-01 |
| publisher | Akademia Wychowania Fizycznego i Sportu w Gdansku |
| record_format | Article |
| series | Baltic Journal of Health and Physical Activity |
| spelling | doaj.art-5d61e75b1c8242209fd28663315f52ef2023-10-18T09:28:29ZengAkademia Wychowania Fizycznego i Sportu w GdanskuBaltic Journal of Health and Physical Activity2080-99992023-09-01153Article5Article510.29359/BJHPA.15.3.05The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational studyAnna Olczak0https://orcid.org/0000-0002-5341-5782Marcin Dornowski1https://orcid.org/0000-0002-0464-1708Military Institute of Medicine - National Research Institute, WarsawGdansk University of Physical Education and Sport, Gdansk, PolandIntroduction: Impairment of the functions of the upper limb and hand is a major problem in stroke patients. The aim of the study was to evaluate various therapies in terms of their influence on changes in the activity of the affected, dominant, and non-dominant upper limb in patients after ischemic stroke. Material/Methods: This is a randomized, double-blinded study. The research was carried out in a rehabilitation clinic on a group of 60 stroke patients who were randomly assigned to groups differing in the rehabilitation program. The study group had physiotherapy based on the NDT Bobath concept and the control group used classic exercises. The importance of the trunk for the upper limb coordination was assessed on the Armeo®Spring device using three evaluation programs: “vertical fishing”; “horizontal fishing”; “reaction time” and two proprietary tests: “wall” and “abacus”. Results: Post-treatment analysis showed significantly better results in the study group (dominant limb). There was an improvement in the grip ability – the abacus test (p = 0.023), an increase in the mobility of the shoulder joint in the sagittal plane – the wall test (p = 0.002), and an increase in the speed of movements in the transverse plane – vertical fishing – time (p = 0.001). The functional improvement of the dominant limb is also evidenced by a significant difference in the reaction time – task performance test [%] (p = 0.048). Conclusions: Physiotherapy, in accordance with the NDT Bobath concept, aimed at improving trunk stability has a significant impact on increasing the mobility, speed of movement, and reaction time in the shoulder joint, and improves the handgrip ability of the affected non-dominant upper limb.https://www.balticsportscience.com/journal/vol15/iss3/5/strokedominant upper limbnon–dominant upper limbmotor coordinationtrunk stabilization exercisesndt bobath concept |
| spellingShingle | Anna Olczak Marcin Dornowski The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational study Baltic Journal of Health and Physical Activity stroke dominant upper limb non–dominant upper limb motor coordination trunk stabilization exercises ndt bobath concept |
| title | The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational study |
| title_full | The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational study |
| title_fullStr | The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational study |
| title_full_unstemmed | The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational study |
| title_short | The level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects' body - A randomized observational study |
| title_sort | level of functionality of the affected upper limb in stroke patients depends on the type of therapy used and the lateralization of the subjects body a randomized observational study |
| topic | stroke dominant upper limb non–dominant upper limb motor coordination trunk stabilization exercises ndt bobath concept |
| url | https://www.balticsportscience.com/journal/vol15/iss3/5/ |
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