AbstractBackground and Purpose: The purpose of this pilot study was to investigate the impact assisted motor training in a virtual environment on hand function stroke survivors. Participants: Fifteen volunteer survivors (32–88 years old) with chronic upper extremity hemiparesis (1–38 post incident) took part. Method: Participants had 6 weeks reach-to-grasp actual objects. They were randomized one three groups: assistance digit extension provided by novel cable orthosis, pneumatic or no...

Dexterous manipulation of the hand, one features human motor control, is often compromised after stroke, to detriment basic functions. Despite importance independent movement digits activities daily living, relatively few studies have assessed impact specifically targeting individuated movements on hand rehabilitation. The purpose this study was investigate such finger individuation training, by means a novel mechatronic-virtual reality system, fine control stroke.An actuated virtual keypad...

Treatment options for stroke survivors with severe hand impairment are limited. Active task practice can be restricted by difficulty in voluntarily activating finger muscles and interference from involuntary muscle excitation. We developed a portable, actuated glove-orthosis, which could employed to address both issues. hypothesized that combining passive cyclical stretching (reducing motoneuronal hyperexcitability) imposed the device active-assisted, task-oriented training (rehabilitating...

Many mechatronic devices exist to facilitate hand rehabilitation, however few directly address deficits in muscle activation patterns while also enabling functional task practice. We developed an innovative voice and electromyography-driven actuated (VAEDA) glove, which is sufficiently flexible/portable for incorporation into hand-focused therapy post-stroke. The therapeutic benefits of this device were examined a longitudinal intervention study. Twenty-two participants with chronic,...

Impairment of hand function is prevalent among stroke survivors, motivating the search for effective rehabilitation therapy. Recent studies have suggested that upper extremity functional recovery, repetitive training with virtual reality helpful. Repetitive can be facilitated assistance from mechanical devices. Thus, we developed a environment integrates augmented (AR) assistive devices post-stroke rehabilitation. The AR element our utilizes head mounted display and objects reach-and-grasp...

The objective of this study was to explore motor impairment the thumb following stroke. More specifically, we quantitatively examined kinetic deficits thumb. We anticipated that force would be nonuniformly distributed across workspace, due in part varying levels difficulty altering activation pattern meet task. Eighteen stroke survivors with chronic hemiparesis participated trials, along nine age-matched controls. Of stroke-survivor group, subjects had moderate hand impairment, and other...

BackgroundPeople with stroke often find discharge from rehabilitation distressing because they do not feel prepared to participate in life roles as want. A self-management approach can facilitate improvement confidence and ability manage post-stroke community living participation after transitioning into the community.ObjectiveTo evaluate feasibility effectiveness of Improving Participation After Stroke Self-management program – Rehab version (IPASS-R) a day setting.MethodsWe used...

Background and Purpose: The purpose of this study was to investigate the influence prolonged repetitive passive range motion (PROM) stretching fingers on hand function in stroke survivors. Participants: Fifteen chronic survivors with moderate severe impairment took part study. Method: Participants underwent 3 experimental sessions consisting 30 minutes rest, prolonged, or finger flexor muscles by a powered glove orthosis (X-Glove). Outcome measures, comprised selected tasks from Graded Wolf...

The purpose of this study was to investigate altered finger-thumb coupling in individuals with chronic hemiparesis poststroke. First, an external device stretched finger flexor muscles by passively rotating the metacarpophalangeal (MCP) joints. Subjects then performed isometric or thumb force generation. Forces/torques and electromyographic signals were recorded for both muscles. Stroke survivors moderate ( n = 9) severe hand impairment participated, along neurologically intact 9). exhibited...

Research Article| Online March 01 2009 Human Occupation for Public Health Promotion: New Directions Occupational Therapy Practice With Persons Arthritis Trudy Mallinson; Mallinson Mallinson, PhD, OTR/L, NZROT, is Associate Director, Center Rehabilitation Outcomes Research, Institute of Chicago, 345 E. Superior Street, Onterie 960, IL 60611; trudy@northwestern.edu. She also Assistant Professor, Department Physical Medicine and Rehabilitation, Northwestern University Feinberg School Search...

Objective: Despite recent studies showing the benefit of physical activity for people with arthritis, vast majority persons arthritis are not sufficiently physically active. The purpose this report is to describe a tailored health promotion intervention aimed at increasing among arthritis. designed be useful systems and insurers interested in chronic disease management program that could disseminated large populations patients. Methods: carried out by clinician who designated as client’s...

Trends in policy, practice, and research point to the need for a community-engaged Scholarship of Practice (SOP) model that can be used inform development occupational therapy practitioners, educators, researchers. This article describes SOP model, evidence justifying such strategies effectively create educators career scientists within therapy. We highlight several examples community-based participatory further this turn, translate knowledge back communities action systems change affect...

Successful grasp requires that grip forces be properly directed between the fingertips and held object. Changes in digit posture significantly affect mapping muscle force fingertip force. Joint torques must subsequently altered to maintain desired direction at fingertips. Our current understanding of roles hand muscles production remains incomplete, as past studies focused on a limited set postures or directions. To thoroughly examine how adapt changing external (force direction) internal...

Objective: This article explores entrepreneurial leadership behavior from the vantage point of mid- and senior-level administrators who lead international education initiatives at U.S. community colleges. Administrators’ choices are examined to understand how they develop use strategies for targeted problem solving within their institutional context. Research questions posed in this study include: (1) How, if all, do college leaders (CC-IELs) self-identify as entrepreneurs? (2) What...

The article investigated whether joint postures affect index finger muscle activation patterns. Ten subjects attempted to produce submaximal isometric forces in six orthogonal directions (palmar, dorsal, abduction, adduction, distal and proximal) at each of 9 different postures. Activation patterns were recorded from intramuscular electrodes inserted into 6 the muscles. Post hoc statistical analysis revealed that angles significantly affected levels for force directions. was especially...

The COVID-19 pandemic disrupted community college international education programs, prompting some to pivot virtual (VIE). This mixed-methods study explored how colleges navigated the transition VIE through a framework of second-order transformational change. presents results fall 2020 survey and interviews about effect pandemic. Findings point both successes challenges in colleges' VIE. Community educators experienced unexpected positive consequences pandemic, such as ability repurpose...

Background and Purpose: The purpose of this pilot study was to investigate the impact assisted motor training in a virtual environment on hand function stroke survivors. Participants: Fifteen volunteer survivors (32–88 years old) with chronic upper extremity hemiparesis (1–38 post incident) took part. Method: Participants had 6 weeks reach-to-grasp actual objects. They were randomized one three groups: assistance digit extension provided by novel cable orthosis, pneumatic or no provided....

Background and Purpose: The purpose of this study was to investigate whether active range finger motion could be increased through the introduction passive, external extension joint torques in stroke survivors. Participants: Five chronic survivors with severe hand impairment resulting from hemiparesis took part study. Method: Participants completed 2 experimental sessions which movement function were assessed. In one session, they wore a custom orthotic glove (X-Glove) that passively...

Skills to manage the chronic effect of stroke are often not sufficiently addressed in early rehabilitation.The study evaluated feasibility conducting a trial testing efficacy telehealth self-management support recovery.Process, resources, and scientific was assessed for randomized controlled comparing motivational interviewing group-based program treatment-as-usual with first-time patients. Data were analyzed using descriptive statistics, sizes, thematic analysis.Fifteen patients enrolled,...

We investigated whether robot-based training with a four degrees-of-freedom actuated device, the ARM guide, would result in significant gains arm movement ability of stroke survivors. Specifically, we sought to determine if specific trained tasks limited area workspace transfer performance different and untrained regions workspace. Subjects chronic hemiparesis participated an eight week protocol were randomized into one three groups: guided force robotic device (N=7), free reaching...