Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients
Abstract Background Approximately half of stroke patients show impaired upper limb and hand function. Task-oriented training focuses on functional tasks, while joint mobilization technique aims to restore the accessory movements of the joints. Objective To investigate the effect of adding joint mobi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-04-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41983-020-00170-7 |
| _version_ | 1818061640369700864 |
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| author | Asmaa Sabbah Sherine El Mously Hanan Helmy Mohamed Elgendy Mona Adel Abd Eltawab Farag Abeer Abo Bakr Elwishy |
| author_facet | Asmaa Sabbah Sherine El Mously Hanan Helmy Mohamed Elgendy Mona Adel Abd Eltawab Farag Abeer Abo Bakr Elwishy |
| author_sort | Asmaa Sabbah |
| collection | DOAJ |
| description | Abstract Background Approximately half of stroke patients show impaired upper limb and hand function. Task-oriented training focuses on functional tasks, while joint mobilization technique aims to restore the accessory movements of the joints. Objective To investigate the effect of adding joint mobilization to task-oriented training to help the patients in reaching a satisfactory level of recovery for their hand function. Patients and methods Thirty chronic stroke patients with paretic hand participated in the study; they were divided equally into study and control groups. The study group received joint mobilization followed by task-oriented training for the affected hand. Meanwhile, the control group received task-oriented training only. Both groups received their treatment in the form of 3 sessions per week for 6 successive weeks. The primary outcome measures were hand function that was assessed by Jebsen-Taylor hand function test (JTT) and active and passive wrist extension range of motion (ROM) that was measured by a standard goniometer. The secondary outcome measure was the grip strength of the hand that was assessed by a JAMAR adjustable hand dynamometer. Results There was a significant improvement in all the outcome measurements in both groups that were more evident in the study group. Conclusion Combining joint mobilization with task-oriented training had a highly significant effect in improving the hand function in chronic stroke patients compared to task-oriented training alone. |
| first_indexed | 2024-12-10T13:51:32Z |
| format | Article |
| id | doaj.art-fb1997cb47ac49a0822b120f72fd319a |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-12-10T13:51:32Z |
| publishDate | 2020-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-fb1997cb47ac49a0822b120f72fd319a2022-12-22T01:46:09ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292020-04-015611610.1186/s41983-020-00170-7Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patientsAsmaa Sabbah0Sherine El Mously1Hanan Helmy Mohamed Elgendy2Mona Adel Abd Eltawab Farag3Abeer Abo Bakr Elwishy4Faculty of Medicine, Cairo UniversityFaculty of Medicine, Fayoum UniversityFaculty of Medicine, Cairo UniversityDepartment of Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Cairo UniversityDepartment of Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Cairo UniversityAbstract Background Approximately half of stroke patients show impaired upper limb and hand function. Task-oriented training focuses on functional tasks, while joint mobilization technique aims to restore the accessory movements of the joints. Objective To investigate the effect of adding joint mobilization to task-oriented training to help the patients in reaching a satisfactory level of recovery for their hand function. Patients and methods Thirty chronic stroke patients with paretic hand participated in the study; they were divided equally into study and control groups. The study group received joint mobilization followed by task-oriented training for the affected hand. Meanwhile, the control group received task-oriented training only. Both groups received their treatment in the form of 3 sessions per week for 6 successive weeks. The primary outcome measures were hand function that was assessed by Jebsen-Taylor hand function test (JTT) and active and passive wrist extension range of motion (ROM) that was measured by a standard goniometer. The secondary outcome measure was the grip strength of the hand that was assessed by a JAMAR adjustable hand dynamometer. Results There was a significant improvement in all the outcome measurements in both groups that were more evident in the study group. Conclusion Combining joint mobilization with task-oriented training had a highly significant effect in improving the hand function in chronic stroke patients compared to task-oriented training alone.http://link.springer.com/article/10.1186/s41983-020-00170-7StrokeSpasticityHand functionJoint mobilizationTask-oriented training |
| spellingShingle | Asmaa Sabbah Sherine El Mously Hanan Helmy Mohamed Elgendy Mona Adel Abd Eltawab Farag Abeer Abo Bakr Elwishy Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Stroke Spasticity Hand function Joint mobilization Task-oriented training |
| title | Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients |
| title_full | Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients |
| title_fullStr | Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients |
| title_full_unstemmed | Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients |
| title_short | Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients |
| title_sort | functional outcome of joint mobilization added to task oriented training on hand function in chronic stroke patients |
| topic | Stroke Spasticity Hand function Joint mobilization Task-oriented training |
| url | http://link.springer.com/article/10.1186/s41983-020-00170-7 |
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