Fugl-Meyer Scale Research Articles

Clinical Study of Opposing Needling Combined With Eye Acupuncture Therapy for Treatment of Muscle Spasm in Post-stroke Hemiplegia Patients Therapy for Treatment of Muscle Spasm in Post-Stroke Hemiplegia Patients

Objective: To observe the clinical efficacy of opposing needling combined with eye acupuncture therapy on muscle spasm in post-stroke hemiplegia patients.Methods: A total of 69 post-stroke hemiplegia patients with muscle spasm who were hospitalized in the Department of Encephalopathy Rehabilitation, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were selected as the research participants. The randomized controlled clinical trial design method was used, and they were randomly divided into the basic treatment group and the combination treatment group. The basic treatment group did not use acupuncture treatment, but only basic rehabilitation treatment. The combination treatment group was treated with opposing needling combined with eye acupuncture therapy. Both groups were treated once a day, and two days were rested after five days of continuous treatment. Five days were a course of treatment, and a total of three courses were treated. The efficacy of opposing needling combined with eye acupuncture therapy for treatment of muscle spasm in post-stroke hemiplegia patients was evaluated. The clinical neurological deficit score scale (CSS), modified Ashworth spasticity scale (MAS), simplified Fugl-Meyer scale (FMA), Barthel index scale (BI) and total score were compared between the two groups before and after treatment. Results: There was no significant difference in CSS scores between the two groups before treatment (P>0.05). After 19 days of treatment, the CSS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in MAS scores between the two groups before treatment (P>0.05). After 19 days of treatment, the MAS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in FMA scores between the two groups before treatment (P>0.05). After 19 days of treatment, the FMA scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in BI scores between the two groups before treatment (P>0.05). After 19 days of treatment, the BI scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P<0.05). Conclusion: Compared with the single treatment method, opposing needling combined with eye acupuncture in the treatment of muscle spasm in post-stroke hemiplegia patients has significant advantages in clinical neurological function, spastic improvement, motor function and daily living ability, and has obvious clinical significance in the long-term prognosis of patients.

Treatment effects of low-frequency repetitive transcranial magnetic stimulation combined with motor relearning procedure on spasticity and limb motor function in stroke patients.

Limb paralysis, which is a sequela of stroke, limits patients' activities of daily living and lowers their quality of life. The purpose of this study was to investigate the effects of repetitive transcranial magnetic stimulation (rTMS) combined with a motor relearning procedure (MRP) on motor function and limb spasticity in stroke patients. Stroke patients were randomly divided into a combined treatment group (rTMS + MRP) and a control group (MRP) (n = 30 per group). The control group was given MRP in addition to conventional rehabilitation, and the combined treatment group was given 1 Hz rTMS combined with MRP. The treatment efficacy was assessed by the modified Ashworth scale (MAS), Fugl-Meyer motor function scale, and motor evoked potential (MEP) testing. After 4 weeks of treatment, the Brunnstrom score, Fugl-Meyer lower extremity motor function, and Fugl-Meyer balance function were significantly higher in the combination treatment group compared to the control group, while the MAS score was lower in the combination treatment group compared to the control group. The MEP extraction rate was higher in the combined treatment group compared to the control group, while the threshold and central motor conduction time (CMCT) were lower in the combined treatment group compared to the control group. Low-frequency rTMS combined with MRP had better efficacy on spasticity and motor function in stroke patients with hemiparesis than MRP alone.

B.4 Quantitative electroencephalography to predict post-stroke disability: a systematic review and meta-analysis

Background: We aim to assess the role of quantitative electroencephalography (QEEG) derived indices to predict post-stroke disability. Methods: We included observational studies (sample-size≥10) of patients with stroke who underwent EEG and a follow-up outcome assessment was available either in form of a modified Rankin scale (mRS) or National Institute of stroke scale (NIHSS) or Fugl-Meyer scale (FMA). QEEG indices analyzed were delta-alpha ratio (DAR), delta-theta-alpha-beta ratio (DTABR), brain symmetry (BSI) and pairwise derived brain symmetry (pdBSI). Results: Twelve studies (11 had only ischemic stroke, and one had both ischemic and hemorrhagic stroke), including 513 participants were included for meta-analysis. Higher DAR was associated with worse mRS (n=300, Pearson’s r 0.26, 95% CI 0.21-0.31). Higher DTABR was associated with worse mRS (n=337, r 0.32, 95% CI 0.26-0.39). Higher DAR was associated with higher NIHSS (n=161, r 0.42, 95% CI0.24-0.6). Higher DTABR was associated with higher NIHSS (n=172, r 0.49, 95% CI 0.31-0.67). pdBSI was inversely associated with FMA (n=20, r-0.50 95% CI -0.86-(-0.14)) and BSI was not associated with FMA (n=21, r -0.3 95% CI -0.81-0.22). Conclusions: QEEG-derived indices have the potential to assess post-stroke disability. Adding QEEG to the clinical and imaging biomarkers may help in better prediction of post-stroke recovery.PROSPERO 2022 CRD42022292281

The efficacy and safety of fluoxetine versus placebo for stroke recovery: a meta-analysis of randomized controlled trials.

Fluoxetine is one of the selective serotonin reuptake inhibitors that can improve motor and function recovery after a stroke. Several randomized controlled trials (RCTs) have investigated the efficacy and safety of fluoxetine compared to placebo in post-stroke recovery. However, the results are still controversial. This meta-analysis aimed to provide an updated analysis of the efficacy and safety of fluoxetine versus placebo in post-stroke recovery. RCTs were searched from electronic databases of PubMed, Embase, Clinical Trials, and the Cochrane Central Register of Controlled Trials from inception until July 2022. Google Scholar and the reference lists of included studies were screened to identify additional studies. Outcomes were analyzed using risk ratios (RR) and mean differences (MD) with 95% confidence intervals (CI). Fourteen RCTs (6584 patients) were included. The fluoxetine group showed a significantly higher Fugl-Meyer motor scale (FMMS) score than the placebo group (MD 15.93, 95%CI 9.76-22.7, P < 0.01). No significant differences were observed in the modified Rankin Scale (mRS) (mRS ≤ 2, RR 1.00, 95%CI 0.88-1.15, P = 0.95), the Barthel index (MD 12.11, 95%CI -0.71 to 24.92, P = 0.06), and the National Institutes of Health Stroke Scale scores (MD -0.19, 95%CI -0.43 to 0.04, P = 0.1) between the two groups. The fluoxetine group showed a lower rate of depression or anxiety than the placebo group (RR 0.67, 95% CI 0.49-0.92, P < 0.05). There were no significant differences between the groups regarding gastrointestinal adverse reactions (P > 0.05), drowsiness (P > 0.05) or insomnia (P > 0.05). Fluoxetine improved FMMS and reduced anxiety and depression. More well-designed and large sample-size RCTs are required to further analyze the efficacy of fluoxetine in post-stroke recovery.

The recovery of upper limb function and postoperative pain in children with lateral humeral condyle fractures were examined retrospectively in relation to the effects of brachial plexus block given in conjunction with general anesthesia

ObjectiveTo assess in retrospect the effects of brachial plexus block and general anesthesia on children with lateral humeral condyle fractures in terms of postoperative pain and return of upper limb function.MethodsRandomly allocated to either the control group (n = 51) or the study group (n = 55) were children with lateral humeral condyle fractures who were admitted to our hospital between October 2020 and October 2021, depending on the surgical anesthetic technique used. The research group had internal fixation surgery with brachial plexus block in addition to anesthesia on the basis of the control group, whereas both groups of children underwent the procedure with general anesthesia alone. Postoperative pain degree, upper extremity functional recovery, occurrence of adverse reactions, etc.ResultsThe study group had shorter mean times for surgery, anesthesia, propofol dose, return to consciousness, and extubation than the control group did at every measure of statistical significance. The T2 heart rate (HR) and mean arterial pressure (MAP) were both significantly lower than the pre-anesthesia HR and MAP, and the T1, T2, and T3 HR and MAP were all significantly lower in the study group compared to the control group (P < 0.05). The difference between the SpO2 values at T0 and T3 was not statistically significant (P > 0.05); the VAS scores at 4 h, 12 h, and 48 h after surgery were higher than those at 2 h after surgery, and reached the peak at 4 h after surgery; within 2 h, 4 h, and 12 h of surgery At 48 h, the study group had substantially lower VAS ratings than the control group (P < 0.05). Post-treatment Fugl–Meyer scale scores were considerably higher across the board compared to pre-treatment levels in both groups. When compared to the control group, individuals who participated in the flexion-stretching coordinated exercise and the separation exercise had significantly better ratings. Electrocardiogram, blood pressure, respiratory circulation, and hemodynamic parameters all remained within normal limits during the surgical procedure. The study group had a 9.09% reduced incidence of adverse events compared to the control group. 19.61% (P < 0.05).ConclusionWhen used in conjunction with general anesthesia, brachial plexus block can help children with lateral humeral condyle fractures regulate perioperative signs, maintain their hemodynamic level, lessen postoperative pain and unpleasant reactions, and improve the function of their upper limbs. Functional recovery, with high safety and effectiveness.

Normative Data of Fugl Meyer Assessment on Upper Extremity in Post Stroke Population

Background: Stroke is clinically diagnosed as an acute, localized neurological impairment that is caused by vascular damage (infarction, hemorrhage) to the central nervous system. This main leading cause of demise and dysfunction worldwide resulting in frequent deficit, hemiplegia, which briefly affects upper limb. This multicentered study is the first to provide updated normative reference values for FMA-UE in post stroke adults in wide range of age in Pakistan’s population.&#x0D; Objective: To determine Pakistani normative values of Fugl-Meyer Assessment on upper extremity in post Stroke Population.&#x0D; Methods: Descriptive cross-sectional study on 1260 post-stroke patients was conducted in various public and private physiotherapy centers of country using Fugl-Meyer Assessment (Upper-Extremity) FMA-UE scale after ethical approval. Hemiplegic survivors of both genders aged 45-75 years were taken using convenience sampling technique, informed consent was taken. Statistics was done using SPSS version25.&#x0D; Results: Patients included were 88.3% ischemic and 11.7% hemorrhagic. 44.1% were in acute phase (less than 2 weeks) while 55.9% were in sub-acute (2 weeks to 6 months) phase. Mean score of FMA-UE was 88.63±30.09. The cutoff score/mean value for motor impairment and sensation was recorded as 41.49 ±19.7 and 8.6±3.9 while passive joint motion and pain were calculated 18.93±5.47 and 19.57±5.1 respectively.&#x0D; Conclusion: The scoring, in acute and subacute phases, accentuate the need to follow Pakistani specific modified norms in Asian inhabitants instead of reference values applicable on western population.&#x0D; Keywords: Fugl-Meyer scale, Hemiplegia, Motor control, Post Stroke, Upper extremity.

Avaliação da função motora em hemiplégicos pós-acidente vascular encefálico

ABSTRACT This study aims to compare the performance of the sit-to-stand test and walking speed in individuals with chronic hemiplegia post-stroke and a control group (CG). Moreover, we will investigate whether lower limb resistance, measured based on the sit-to-stand test, is related to walking speed in individuals with chronic hemiplegia and a CG. Finally, we will verify if there are intra-group differences for the tests by dividing the hemiplegia group (HG) according to motor and sensorimotor function assessment classification. A cross-sectional design was used among a group with chronic hemiplegia (n=28) and a healthy CG (n=22). The HG was classified by the Fugl-Meyer scale, and both groups were evaluated using the 1-minute sit-to-stand test. The walking speed was calculated using a 3D kinematics system. Lower limb resistance among HG differed significantly from the CG, as well as walking speed. We found a strong correlation between the tests (ρ=0.773; p&lt;0.001). No differences were found for the sit-to-stand tests and walking speed when dividing the HG into individuals with greater or lesser motor and sensory impairment, using the Fugl-Meyer scale. Therefore, individuals with hemiplegia, regardless of having a more pronounced classification of motor and sensory impairment on the Fugl-Meyer scale, showed lower limb resistance and lower walking speed compared with individuals without hemiplegia post-stroke.

Clinical Study of Opposing Needling Combined With Eye Acupuncture Therapy for Treatment of Muscle Spasm in Post-stroke Hemiplegia Patients

Objective: To observe the clinical efficacy of opposing needling combined with eye acupuncture therapy on muscle spasm in post-stroke hemiplegia patients. Methods: A total of 69 post-stroke hemiplegia patients with muscle spasm who were hospitalized in the Department of Encephalopathy Rehabilitation, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were selected as the research participants. The randomized controlled clinical trial design method was used, and they were randomly divided into the basic treatment group and the combination treatment group. The basic treatment group did not use acupuncture treatment, but only basic rehabilitation treatment. The combination treatment group was treated with opposing needling combined with eye acupuncture therapy. Both groups were treated once a day, and two days were rested after five days of continuous treatment. Five days were a course of treatment, and a total of three courses were treated. The efficacy of opposing needling combined with eye acupuncture therapy for treatment of muscle spasm in post-stroke hemiplegia patients was evaluated. The clinical neurological deficit score scale (CSS), modified Ashworth spasticity scale (MAS), simplified Fugl-Meyer scale (FMA), Barthel index scale (BI) and total score were compared between the two groups before and after treatment. Results: There was no significant difference in CSS scores between the two groups before treatment (P&gt;0.05). After 19 days of treatment, the CSS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P&lt;0.05). There was no significant difference in MAS scores between the two groups before treatment (P&gt;0.05). After 19 days of treatment, the MAS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P&lt;0.05). There was no significant difference in FMA scores between the two groups before treatment (P&gt;0.05). After 19 days of treatment, the FMA scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P&lt;0.05). There was no significant difference in BI scores between the two groups before treatment (P&gt;0.05). After 19 days of treatment, the BI scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P&lt;0.05). Conclusion: Compared with the single treatment method, opposing needling combined with eye acupuncture in the treatment of muscle spasm in post-stroke hemiplegia patients has significant advantages in clinical neurological function, spastic improvement, motor function and daily living ability, and has obvious clinical significance in the long-term prognosis of patients.

Correlation of Fatigue with Cognition and Motor Performance among Stroke Patients

Introduction: Post-Stroke Fatigue (PSF) is the most common debilitating and persistent symptom after a stroke.The impact of fatigue increases during the first year of post-stroke. When most of the recovery has taken place,fatigue could remain an important problem with disabling consequences for everyday life. Understanding theeffect of PSF on cognition and mobility outcomes will help to better manage existing fatigue symptoms in strokepatients and develop strategies to optimize mobility and cognitive performance in patients with the chronic stageof stroke. With this background in mind, the present study aims at establishing a relationship between post-strokefatigue and cognitive and motor performance among persons with stroke.Aim: To correlate fatigue with cognition and motor performance in stroke patientsMaterials and Method: This is the pilot study where 15 post-stroke patients fulfilling the inclusion and exclusioncriteria were included by using the purposive sampling technique. Fatigue was assessed using Fatigue Scale forMotor and Cognitive Function. Motor Function was assessed by using Fugl Meyer Scale for upper and lowerextremity, Chedokes Arm and Hand Inventory, Lower Extremity Functional Scale, and Berg Balance Scale.Cognition was assessed by using the Montreal Cognitive Assessment Scale. Using the scores of these scales, fatiguewas correlated with motor and cognitive functions using Karl Pearson’s correlation test.Result: The study found a moderately significant correlation between Fatigue and Cognition (r=-0.605 p&lt;0.05) anda highly significant correlation between fatigue and motor performance (r=-0.804 p&lt;0.001).Conclusion: This study provides evidence that post-stroke fatigue has significant relationships with both motorperformance and cognitive performance. It is important to consider the influence of fatigue when planning anddelivering interventions for individuals with stroke.

Effectiveness of rehabilitation with virtual reality and biofeedback in recovery of hand function after stroke

To evaluate the effectiveness and safety of the rehabilitation glove (RG) with virtual reality (VR) and biofeedback (BFB) on recovery of the hand function in patients during the late recovery period after first hemispheric ischemic stroke (IS). The study was randomized and controlled. One hundred and six patients (age 58.8±4.3 years, time after stroke onset - 8.7±2.1 months) were included in the final analysis. The intervention group (n=56) received rehabilitation with RG and VR. The control group (n=50) received individualized physical therapy. The primary end points were a change in the Fugl-Meyer scale score (FMA-UE), in the Action Research Arm Test (ARAT), and in the nine holes peg test (NHPT). Secondary end points included changes in MRCS, MAS, MoCA, HADS, modified Barthel index (MBI) and quality of life (EQ-5D-5L). Improvement of the motor function in the intervention group on FMA-UE scale (an increase of ≥7 points in sections A-D) was observed in 46.4% of patients, on ARAT (an increase of ≥5 points) in 53.6% of patients. There was a significant decrease in time from 36.8±6.3 sec. to 22.0±3.9 sec. on NHPT. A negative correlation was observed between the average ARAT score and anxiety (r=-0.7; p<0.05) and depression (r=-0.67; p<0.05). There was also a significant increase in EQ-5D-5L (VAS) by the end of rehabilitation in both groups with better scores in the intervention group (p=0.03). Rehabilitation based on VR, RG, and BFB is effective in the rehabilitation of dexterous hand function in patients with first hemispheric IS.

Finger rehabilitation training and evaluation system based on EEG signals, machine learning and Fugl-Meyer scale

For patients with digital hemiplegia caused by stroke, equipment such as mechanical exoskeleton devices are currently used to help recovery, but they are limited to many shortcomings of this method. This paper proposes to collect electroencephalogram(EEG) information through brain-computer interface (BCI) equipment. Combined with the research status of BCI system at home and abroad, we established the research idea of BCI system based on motor imagery by preprocessing the obtained information. According to the biological characteristics of human fingers and the needs of finger rehabilitation, a finger rehabilitation system was designed to assist hemiplegic patients in rehabilitation training. In the experiment, the EEG signals of several subjects in the two states of imagining finger movement and rest were collected through the EEG cap, and an appropriate feature extraction method was selected. Machine learning like logistic regression, random forest and deep learning were used for various classifications. The EEG feature vectors extracted by different subjects were classified and cross-validated. At the same time, the popular Fugl-Meyer scale was selected to quantitatively assess the patient’s limb function. The experimental results show that the comprehensive classification effect of deep learning is the best. The system performed well for the patient’s recovery process.

Acceptability and Tolerance of Virtual Reality for Upper Extremity Rehabilitation after Stroke in Inpatient Rehabilitation.

<h3>Research Objectives</h3> To evaluate acceptability of 3-dimensional virtual reality (3dVR) technology for upper extremity weakness after stroke. <h3>Design</h3> Prospective, single center, pilot study. <h3>Setting</h3> Freestanding rehabilitation hospital. <h3>Participants</h3> Participants referred by occupational therapists. Inclusion criteria:18 years or older; ischemic or hemorrhagic stroke within 3 months; Fugl-Meyer of ≥14; follow commands; maintain upright sitting; and BIMS score of ≥7. Exclusion criteria included non-stroke related upper extremity weakness; history of seizures/epilepsy; history of orthopedic shoulder injury; Modified Ashworth scale >2 upper extremities; active cyber sickness symptoms; vestibular issues; contact isolation; legal blindness; and pregnancy. <h3>Interventions</h3> Clinical staff trained with 3dVR system implemented task specific protocol as part of standard care. Enrolled subjects received 6 thirty minutes 3dVR sessions adjunctive to standard therapy. 3dVR sessions were customized with modifications to ensure appropriate challenge. Post treatment, participants responded to questions regarding safety. After six sessions, participants reassessed with clinical outcome measures. <h3>Main Outcome Measures</h3> Acceptability assessed with 7-point Likert questionnaire; safety with Simulator Sickness Symptomology questionnaire; clinical outcomes using Care Tool, UE Fugl-Meyer, and Patient Specific Functional Scale (PSFS). <h3>Results</h3> : Eleven participants enrolled with six completing the protocol. Five subjects were discharged prior to completion of protocol, their partial data has been synthesized. Age range 53-82 years [Mean=65.6; SD±11.27], with sex distribution 36.36% male/ 63.64% female. Average onset time of stroke to enrollment 7.82 days. Participants who completed the protocol, average Fugl-Meyer change score was 11.67; PSFS increased by 3.81; Care Tool change 15.99. Single participant experienced dizziness with intervention, however overall patients tolerated 3dVR. <h3>Conclusions</h3> The pilot data revealed relatively good tolerance for 3dVR therapy with majority experiencing no adverse effects. Preliminary data shows promise; however, further research is needed with a larger sample size to confirm pilot data. <h3>Author(s) Disclosures</h3> The authors of this pilot study have no disclosures to declare.

Psychometric Properties of the Action Research Arm Test (ARAT) Scale in Post-Stroke Patients-Spanish Population.

The validation of measuring instruments in the field of health is a requirement before they can be used safely and reliably. The action research arm test (ARAT) tool is an instrument validated in numerous countries and languages and for different populations, and its use is widespread. The objective of this research was to determine the psychometric properties of ARAT for a sample composed of post-stroke patients. To achieve this, a psychometric analysis was performed, where internal consistency tests were carried out using Cronbach's alpha, correlations between items and item-total and half-level tests to verify their reliability. Regarding validity, criteria validity tests were performed, taking the motor function dimension of the Fugl-Meyer scale as gold standard, and convergent validity tests were performed by correlation with the FIM-FAM, ECVI-38 and Lawton and Brody scales. The results showed very good internal consistency as well as good criterion and convergent validity. In conclusion, the ARAT can be considered a valid and reliable instrument for the evaluation of upper limb function in post-stroke patients.

A novel immersive virtual reality environment for the motor rehabilitation of stroke patients: A feasibility study.

We designed and implemented an immersive virtual reality (VR) environment for upper limb rehabilitation, which possesses several notable features. First, by exploiting modern computer graphics its can present a variety of scenarios that make the rehabilitation routines challenging yet enjoyable for patients, thus enhancing their adherence to the therapy. Second, immersion in a virtual 3D space allows the patients to execute tasks that are closely related to everyday gestures, thus enhancing the transfer of the acquired motor skills to real-life routines. Third, in addition to the VR environment, we also developed a client app running on a PC that allows to monitor in real-time and remotely the patients’ routines thus paving the way for telerehabilitation scenarios. Here, we report the results of a feasibility study in a cohort of 16 stroke patients. All our patients showed a high degree of comfort in our immersive VR system and they reported very high scores of ownership and agency in embodiment and satisfaction questionnaires. Furthermore, and notably, we found that behavioral performances in our VR tasks correlated with the patients’ clinical scores (Fugl-Meyer scale) and they could thus be used to assess improvements during the rehabilitation program. While further studies are needed, our results clearly support the feasibility and effectiveness of VR-based motor rehabilitation processes.

An emergency nursing and monitoring procedure on cognitive impairment and neurological function recovery in patients with acute cerebral infarction.

The optimization and standardization of emergency nursing and monitoring procedures are of great significance for thrombolytic treatment of acute cerebral infarction. Studies on the emergency nursing and monitoring procedure on cognitive impairment and neurological function in patients with acute cerebral infarction are still limited. The study was a randomized controlled trial and 134 patients with acute cerebral infarction were recruited. They were randomly arranged into the control group (n = 67) receiving normal nursing procedure and the intervention group (n = 67) receiving emergency nursing and monitoring procedure after pre-intervention assessment. The cognitive impairment, neurological function and levels of inflammatory biomarkers and neuron-specific enolase of the participants were evaluated and analyzed. Emergency nursing and monitoring procedure improved Mini-mental State Examination and Montreal Cognitive Assessment scores of patients with cerebral infraction compared with the control group. It also improved the scores of National Institutes of Health Stroke Scale, activities of daily living scale, Fugl-Meyer scale in the participants. Emergency nursing and monitoring procedure led to significantly decreased neuron-specific enolase and inflammatory cytokines in the serum of the participants. Emergency nursing and monitoring procedure are beneficial for cognitive impairment and neurological function recovery in patients with acute cerebral infarction.

Safety and Efficacy of Single Condylar Knee Prosthesis When Treating Knee Single Compartment Osteoarthritis: A Prospective, Case-Randomized Controlled Study.

Objective The aim of this study is to explore the safety and efficacy of single condylar knee prosthesis when treating knee single compartment osteoarthritis by measuring the decrease of hemoglobin, total postoperative blood loss, maximum reduction of HCT, and knee joint activity. Methods A total of 80 patients with knee joint single compartment osteoarthritis treated in our hospital from January 2020 to December 2021 were studied. They were randomly assigned to a study group (n = 40) and a control group (n = 40). The study group was treated with total knee prosthesis, while the control group was treated with simple knee prosthesis. The decrease rate of hemoglobin, the amount of bleeding, and the maximum decrease of hematocrit were compared after treatment. The range of motion of knee joint was evaluated by the Fugl-Meyer motor function scale (FM-B) and Berg balance scale (BBS). Results The decrease of hemoglobin in the study group at 24 hours, 36 hours, and 48 hours after treatment was remarkably lower (P < 0.05). The total blood loss and the maximum reduction of hematocrit(HCT) in the study group were lower (P < 0.05). The range of motion (ROM) of the knee joint in the study group at 6 and 12 months after treatment was remarkably higher than that before treatment and remarkably higher compared to the control group (P < 0.05). The FM-B scale and BBS scale of the studied cohort at 6 and 12 months after treatment were remarkably higher than those before treatment and were remarkably higher compared to the control's (P < 0.05). Conclusion The unicondylar knee prosthesis is safer and more effective in the treatment of noncompartmental osteoarthritis of the knee, facilitating less trauma and perioperative blood loss and enhancing the patient's motion and balance.

EFFECT OF HOME-BASED TASK ORIENTED APPROACH TO RECOVERY OF UPPER-EXTREMITY MOTOR FUNCTION AND FUNCTIONAL INDEPENDENCE IN HEMIPLEGIC PATIENTS - A QUASI EXPERIMENTAL PILOT STUDY

Objective: To improve upper extremity motor function and functional independence in stroke patient by using Task Oriented Approach in home based setting. The study used a quasi experimental pilot study design with a total number of 10 participant (n=10) were selected fromMethods: Goa, Upper extremity motor function was measured by Fugl-Meyer scale and functional status was measured by Functional Independence Measure. They undergone the task oriented intervention in home based setting for thrice a week for a 3 months. The results of the studyResults: revealed there is signicant difference in experimental group. The ndings showed signicant difference in the post tests of Fugl- meyer assessment upper extremity (FMA-UE) and FIM Pre and Post- test score with improvement in functional task after Home based Occupational Therapy task oriented Intervention with p-value , &lt;0.00001( FMA-UE t =13.4264, FIM t = 38.06). This study suggests that usingConclusion: Home-based Occupational Therapy Task Oriented Approach is benecial in achieving upper-extremity function and functional independence in hemiplegic patient.

Effects of task-oriented training on dexterous movements of hands in post stroke patients

Objective: The objective of the study was to determine the effect of task-oriented training on the dexterous movements of hands in Hemiplegic post-stroke patients.Methods: This study has been registered on site ClinicalTrial.gov with clinical trial number NCT05201196. The study was Randomized controlled trial, 18 patients were recruited that meet the inclusion criteria, randomly allocated to task-oriented training Group A (n = 9) and Conventional Therapy Group B (n = 9). Both exercise trainings were applied for 45 min/session, 5 times/week for 6 weeks. Fugl-Meyer Assessment Scale Motor, sensory and coordination portion, Wolf Motor Function Scale and Barthel Index were used as outcome measures, assessed patients at Baseline, after 3 weeks and 6 weeks after training. Data were analyzed by SPSS version 23.Results: The results suggested the mean Age was 60.78 ± 9.08 and 61.33 ± 6.78 for Group A and Group B, respectively. Average BMI was 23.66 ± 2.66 for Task-oriented group and 21.36 ± 2.46 for Conventional group. Fugl-Meyer scale shows significant P-value 0.03 post treatment compare to pre-treatment which was .283, Wolf Motor Function test and Barthel Index also showed significant P-values as 0.023 and 0.007, respectively, indicating that Task-oriented training shows more significant improvements than conventional group.Conclusion: Task-based training produced statistically significant as well as clinically meaningful enhancement in the dexterous hand movements of acute and subacute stroke patients than conventional therapy and ultimately improves the functional independence in their daily activities such as feeding, bathing and hygiene.

Moxibustion plus Acupuncture for the Treatment of Poststroke Shoulder Pain: A Randomized Controlled Pilot Study

Background: In China, 45% of stroke patients suffer from poststroke shoulder pain, which brings about many obstacles to further rehabilitation. To date, there have been a few studies evaluating the effects of acupuncture or massage in treating poststroke shoulder pain, and good effects have been shown. However, better clinical treatments are still needed. Objective: To explore a more effective treatment for poststroke shoulder pain, the clinical effects of moxibustion plus acupuncture were assessed. Methods: Sixty patients were randomly divided into the control and intervention groups. The control group received a standard stroke treatment protocol including acupuncture, and the intervention group was given moxibustion combined with acupuncture. The visual analogue scale (VAS), National Institutes of Health Stroke Scale (NIHSS), Fugl-Meyer motor assessment, Barthel Index, and 17-item Hamilton Rating Scale for Depression (HAMD-17) were applied, and differences were analyzed. Results: After 4 weeks of treatment, compared with the control group, the intervention group demonstrated significant improvement in Fugl-Meyer motor assessment and HAMD-17 (both p < 0.01) as well as in the VAS, NIHSS, and Barthel Index (all p < 0.05). Conclusion: Moxibustion plus acupuncture treatment can alleviate poststroke shoulder pain, improve upper limb motor function and the ability to perform activities of daily living, and relieve patients’ depression.

Analysis of dependencies between Fugl-Meyer Assessment Scale test and Berg Balance Scale test as an assessment of the increased muscle tone in chronic-phase patients after a ischemic stroke

Introduction: The basic functional assessment, on the basis of which rehabilitation programming is carried out in a patient after a stroke, consists in examining the efficiency of the upper and lower limbs, balance and i.a. muscle tension. Therefore, it is important to identify and understand the relationships between these basic data in order to make conclusions easier and to set good goals in rehabilitation. Objective: The aim of the study was to investigate the relation between the assessment of the motor efficiency of the lower limb, measured Fugl-Meyer Assessment Scale (FMA) and the balance, measured Berg Balance Scale (BBS) and between the FMA and the assessment of muscle tone, measured modified Ashworth scale in chronic-phase patients after an ischemic stroke before and after a 6-week rehabilitation process. Material and methods: The study group consisted of 37 patients after stroke (post-stroke duration &gt; 1 year). All patients were subjected to a double functional assessment. Main measures: motor function in the lower limb, balance and spasticity in the lower limb. Spearman correlation coefficients was used to identify and analyze the relationship between the FMA and BBS as an assessment of the increased muscle tone. Results: There was a highly significant p &lt;0.0001 positive correlation between the FMA and BBS tests: first period r = 0.6120, second period r = 0.6604. There was a highly significant (p &lt;0.0001) negative correlation between the assessment of FMA test and the muscle tone: first period r = -0.6814, second period r = -0.6532. Conclusions: People in chronic phase after an ischemic stroke have a high positive correlation between the motor efficiency of the lower limb and balance. This study shows also a high, negative correlation between the motor efficiency of the lower limb, and the muscle tone of this limb. Both before and after rehabilitation process.