Background. Embedding mirror therapy within a virtual reality (VR) system may have superior effect on motor remediation for chronic stroke patients. Objective. The objective is to investigate the differences in effects of using conventional occupational (COT), (MT), and VR-based MT (VR-MT) training sensorimotor function upper limb Methods. This was single-blinded randomized controlled trial. A total 54 participants, including patients, were into COT, MT, or VR-MT group. In addition 20-minute...

Abstract Background The original version of the Tenodesis-Induced-Grip Exoskeleton Robot (TIGER) significantly improved motor and functional performance affected upper extremity chronic stroke patients. assist-as-needed (AAN) technique in robot-involved therapy is widely favored for promoting patient active involvement, thereby fostering recovery. However, TIGER lacked an AAN control strategy, which limited its use different clinical applications. present study aimed to develop analyze...

Mirror therapy (MT) has been proposed as an essential component of upper limb neurorehabilitation, using mirror illusion the unaffected hand movement and superimposing it on affected to improve neuroplasticity for improving motor recovery in stroke patients. In this paper, we developed a virtual reality (VRMT) system, examined performance VRMT system. The system consists motion-tracking device, VR goggle, software. Young, healthy participants, patients with mild-to-severe hemiparesis were...

Background: Few studies have examined the activity of accessory inspiratory muscles as well respiratory function simultaneously in individuals with chronic obstructive pulmonary disease (COPD) while performing activities daily living (ADLs). This cross-sectional study is aimed at understanding differences demands for expenditure and upper limbs during functional performance without COPD. Methods: Thirteen patients mild to moderate COPD 10 healthy adults were enrolled. All participants asked...

Patients with stroke often use ankle-foot orthoses (AFOs) for gait improvement. 3D printing technology has become a popular tool in recent years the production of AFOs due to its strengths on customization and rapid manufacturing. However, porosity printed materials affects kinetic features these orthoses, leading lower-strength than solid ones. The effective elastic modulus material was measured following standard test method obtain precisely finite element simulation. This study...

Objective: To investigate whether progressive early digit mobilization resulted in better outcomes for hand stiffness and related functional results, as well the effects on bone healing process. Design: Prospective, pilot randomized controlled trial. Setting: A university hospital southern Taiwan. Participants: Twenty-two patients with distal radius fracture into two groups: or control. Interventions: The intervention group received 45 minutes per treatment session three sessions week until...

Abstract Background People with type 2 diabetes mellitus (T2DM) tend to be vulnerable geriatric syndromes such as sarcopenia and frailty. Reduced physical activity also accompanies frailty, which is generally typical of patients T2DM. However, a comprehensive assessment fitness in T2DM has seldom been carried out verified. This study thus an attempt determine the associations among sarcopenia, SFT diabetic non-diabetic controls provide more understanding future evaluations older individuals....

To comprehend the sensorimotor control ability in diabetic hands, this study investigated sensation, motor function and precision pinch performances derived from a pinch-holding-up activity (PHUA) test of hands patients healthy subjects. The precision, sensitivity specificity PHUA measurements were also analyzed. We hypothesized that would have impacts on functions hand under functionally quantitative measurements. One hundred fifty-nine with clinically defined diabetes mellitus (DM) 95 age-...

<italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Objective:</i> Injuries to the hands, wrists, and fingers often involve damage tendons. The ability measure tendon movements during rehabilitation process can provide clinicians with important information in quantification of injuries. Conventionally, is considered a single spring-like structure force transmission, its twisted neglected. Recently, believed that fiber (which enables rotation...

Patients with median nerve compression at the carpal tunnel often have poor sensory afferents. Without adequate modulation control, these patients frequently exhibit clumsy performance and excessive force output in affected hand. We analyzed precision grip function after recovery of syndrome (CTS) who underwent release (CTR). Thirteen CTS were evaluated using a custom-designed pinch device conventional tools before CTR to measure sensibility, maximum strength, anticipated adjustments...

Abstract Background Hemianaesthesia patients usually exhibit awkward and inefficient finger movements of the affected hands. Conventionally, most interventions emphasize improvement motor deficits, but rarely address sensory capability sensorimotor control following stroke. Thus it is critical for stroke with problems to incorporate appropriate strategies dealing impairment, into traditional hand function rehabilitation programs. In this study, we used a custom-designed computerized...

Abstract Background To understand the impacts of disease chronicity and hyperglycaemia on sensorimotor control hands diabetic patients, this study investigated differences in hand sensation, strength motor by applying pinch‐holding‐up activity test for patients with diabetes mellitus (DM) different levels glycaemic chronicity. Methods One hundred fifty‐nine clinically defined DM were included. Semmes–Weinstein monofilament, static two‐point discrimination moving discrimination, maximal pinch...

Background/Aim Task‐specific repetitive training, a usual care in occupational therapy practice, and robotic‐aided rehabilitation with bilateral practice are used to improve upper limb motor task performance. The difference effects of two strategies requires exploration. This study compared the impact robotic‐assisted (RTBP) task‐specific training facilitated by therapists on performance for stroke survivors. Methods Forty‐three community‐dwelling survivors (20 males; 23 females; 53.3 ± 13.1...

A multivariate statistical analysis was utilized to study the influence of four preoperative (age, mechanism injury, level and type amputation) one postoperative (rehabilitation) variables on functional recovery replanted or revascularized finger. Statistically significant differences are summarized as follows. The young age group have a better due sensory than old group. crush injury recovery, with scores in motion patient satisfaction, avulsion middle phalangeal score sensation proximal...

Abstract Sensory recovery following digital replantation plays an important role in the restoration of hand function. Twelve patients with twenty‐four replanted or revascularized digits were randomly selected to enter a program sensory reeducation, and another 15 22 as controls who did not receive reeducation. A moving two‐point discrimination Semmes‐Weinstein pressure threshold test evaluated for monitoring recovery. The period reeducation was 18.83 weeks on average, mean follow‐up time...

Abstract A precise magnitude and timing control of pinch performance is based on accurate feed‐forward feedback mechanisms. Ratio peak force maximum load during a functional sensitive parameter to reflect the ability scale output according actual loads. apparatus was constructed detect momentary modulation 20 subjects with normal hand sensation. The results indicated high intra‐class correlation coefficient small variation detected ratio among three repeated tests, which represented that...

Abstract Background The presence of subtle losses in hand dexterity after stroke affects the regaining independence with regard to activities daily living. Therefore, awareness ipsilesional upper extremity (UE) function may be importance when developing a comprehensive rehabilitation program. However, current tests seem unable identify asymptomatic UE impairments. Objectives To assess motor coordination as well sensory perception an using biomechanical analysis performance‐oriented tasks and...

To investigate whether sensorimotor control of the hand could be an outcome indicator after carpal tunnel release (CTR), this work examined changes in results patients' manual tactile test (MTT), pinch-holding-up activity (PHUA), two-point discrimination (2PD) and Semmes-Weinstein monofilament (SWM) tests. Participants included 30 predominantly sensory neuropathy CTS patients, as confirmed by a nerve conduction study. The MTT, precision pinch performance PHUA traditional sensibility (2PD...

Purpose This study investigates the effects of kinematic disturbances in rheumatoid thumb on patient's hand functions via objective and patient-perceived measurements. Method Twenty-one patients with arthritis (RA) 21 healthy age- gender-matched individuals were recruited to receive evaluations, including Purdue Pegboard Test, Jamar dynamometer, pinch-meter, Permanent Impairment Scale self-administrated measurements, Health Assessment Questionnaire (HAQ) Manual Ability Measure-36 (MAM-36)....

Tendon injuries lead to tendon stiffness, which impairs skeletal muscle movement. Most studies have focused on patellar or Achilles tendons by using ultrasound elastography. Only a few measured the stiffness of hand because their thickness is only 1-2 mm, rendering clinical elastography unsuitable for mapping stiffness. In this study, high-frequency shear (HFUSE) system was proposed map wave velocity (SWV) flexor tendons. A handheld vibration that coaxially mounted with an external vibrator...