Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR
Stroke is a medical condition characterized by the rapid loss of focal brain function. Post-stroke patients attend rehabilitation training to prevent the degeneration of physical function and improve upper limb movements and functional status after stroke. Promising rehabilitation therapies include...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/22/7/2693 |
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| author | Daniela Montoya Patricio Barria Carlos A. Cifuentes Luis F. Aycardi André Morís Rolando Aguilar José M. Azorín Marcela Múnera |
| author_facet | Daniela Montoya Patricio Barria Carlos A. Cifuentes Luis F. Aycardi André Morís Rolando Aguilar José M. Azorín Marcela Múnera |
| author_sort | Daniela Montoya |
| collection | DOAJ |
| description | Stroke is a medical condition characterized by the rapid loss of focal brain function. Post-stroke patients attend rehabilitation training to prevent the degeneration of physical function and improve upper limb movements and functional status after stroke. Promising rehabilitation therapies include functional electrical stimulation (FES), exergaming, and virtual reality (VR). This work presents a biomechanical assessment of 13 post-stroke patients with hemiparesis before and after rehabilitation therapy for two months with these three methods. Patients performed two tests (Maximum Forward Reach and Apley Scratching) where maximum angles, range of motion, angular velocities, and execution times were measured. A Wilcoxon test was performed (<i>p</i> = 0.05) to compare the variables before and after the therapy for paretic and non-paretic limbs. Significant differences were found in range of motion in flexion–extension, adduction–abduction, and internal–external rotation of the shoulder. Increases were found in flexion–extension, 17.98%, and internal–external rotation, 18.12%, after therapy in the Maximum Forward Reach Test. For shoulder adduction–abduction, the increase found was 20.23% in the Apley Scratching Test, supporting the benefits of rehabilitation therapy that combines FES, exergaming, and VR in the literature. |
| first_indexed | 2024-03-09T11:26:06Z |
| format | Article |
| id | doaj.art-f56e9bafb382433fa3e6b7e60bd34079 |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-09T11:26:06Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-f56e9bafb382433fa3e6b7e60bd340792023-12-01T00:03:39ZengMDPI AGSensors1424-82202022-03-01227269310.3390/s22072693Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VRDaniela Montoya0Patricio Barria1Carlos A. Cifuentes2Luis F. Aycardi3André Morís4Rolando Aguilar5José M. Azorín6Marcela Múnera7Biomedical Engineering Department, Colombian School of Engineering Julio Garavito, Bogota 111166, ColombiaClub de Leones Cruz del Sur Rehabilitation Center, Punta Arenas 6210133, ChileSchool of Engineering, Science and Technology, Universidad del Rosario, Bogota 111711, ColombiaBiomedical Engineering Department, Colombian School of Engineering Julio Garavito, Bogota 111166, ColombiaClub de Leones Cruz del Sur Rehabilitation Center, Punta Arenas 6210133, ChileDepartment of Electrical Engineering, University of Magallanes, Punta Arenas 6210427, ChileBrain-Machine Interface Systems Lab, Systems Engineering and Automation Department, Miguel Hernández University of Elche UMH, 03202 Elche, SpainBiomedical Engineering Department, Colombian School of Engineering Julio Garavito, Bogota 111166, ColombiaStroke is a medical condition characterized by the rapid loss of focal brain function. Post-stroke patients attend rehabilitation training to prevent the degeneration of physical function and improve upper limb movements and functional status after stroke. Promising rehabilitation therapies include functional electrical stimulation (FES), exergaming, and virtual reality (VR). This work presents a biomechanical assessment of 13 post-stroke patients with hemiparesis before and after rehabilitation therapy for two months with these three methods. Patients performed two tests (Maximum Forward Reach and Apley Scratching) where maximum angles, range of motion, angular velocities, and execution times were measured. A Wilcoxon test was performed (<i>p</i> = 0.05) to compare the variables before and after the therapy for paretic and non-paretic limbs. Significant differences were found in range of motion in flexion–extension, adduction–abduction, and internal–external rotation of the shoulder. Increases were found in flexion–extension, 17.98%, and internal–external rotation, 18.12%, after therapy in the Maximum Forward Reach Test. For shoulder adduction–abduction, the increase found was 20.23% in the Apley Scratching Test, supporting the benefits of rehabilitation therapy that combines FES, exergaming, and VR in the literature.https://www.mdpi.com/1424-8220/22/7/2693exergamingfunctional electrical stimulation (FES)kinematicsrehabilitationstrokevirtual reality (VR) |
| spellingShingle | Daniela Montoya Patricio Barria Carlos A. Cifuentes Luis F. Aycardi André Morís Rolando Aguilar José M. Azorín Marcela Múnera Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR Sensors exergaming functional electrical stimulation (FES) kinematics rehabilitation stroke virtual reality (VR) |
| title | Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR |
| title_full | Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR |
| title_fullStr | Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR |
| title_full_unstemmed | Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR |
| title_short | Biomechanical Assessment of Post-Stroke Patients’ Upper Limb before and after Rehabilitation Therapy Based on FES and VR |
| title_sort | biomechanical assessment of post stroke patients upper limb before and after rehabilitation therapy based on fes and vr |
| topic | exergaming functional electrical stimulation (FES) kinematics rehabilitation stroke virtual reality (VR) |
| url | https://www.mdpi.com/1424-8220/22/7/2693 |
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