Iranian Rehabilitation Journal
مجله انگلیسی زبان توانبخشی
Iranian Rehabilitation Journal
Medical Sciences
http://irj.uswr.ac.ir
18
agent2
17353602
17353610
10.29252/nrip.irj
en
jalali
1400
10
1
gregorian
2022
1
1
20
Special-Issue on Occupational Therapy
online
1
fulltext
en
Effects of Upper Extremity Coordination Exercises Based on Fatigue Prediction on Upper Extremity Sensory-motor Functions in Chronic Stroke Survivors
کاردرمانی
Occupational therapy
پژوهشي
Original Research Articles
<strong>Objectives: </strong>This study aimed to investigate the effect of upper extremity coordination exercises based on fatigue prediction on fine and gross manual dexterity, upper limb motor function, shoulder and elbow proprioception, occupational performance, and activities of daily living in chronic stroke survivors.<br>
<strong>Methods:</strong> In this pilot double-blind randomized clinical trial, 24 chronic strokes were enrolled using the non-probability sampling method. Participants were randomly allocated to the control (received routine occupational therapy) and intervention (received upper extremity coordination exercises based on fatigue prediction using the Kinect) groups. Before and after the interventions (six weeks, three sessions/week, 45 min/session), as well as six weeks after completion of interventions, participants were assessed using the following tools: Box-Block Test, Purdue-Pegboard Test, Wolf-Motor Function Test, Action Research Arm Test, Manual Ability Measure-16, Grip Dynamometer, Shoulder Position Sense Test (SPST), Elbow Position Sense Test (EPST), Canadian Occupational Performance Measure, Shah-Barthel Index (SH-BI), and Multi-dimensional Fatigue Inventory. This project was carried out in the rehabilitation department of Shafa-Yahyaeian Hospital from May 2019 to June 2020.<br>
<strong>Results:</strong> The results showed a significant improvement in all assessments of both control and intervention groups (P≤0.05), except for SH-BI. Further, the improvement of EPST and SPST scores in the intervention group was significantly greater than the control group (P≤0.05). Also, a significant decrease in fatigue severity was observed in both control and intervention groups (P≤0.05). <br>
<strong>Conclusion: </strong>These results suggest that upper extremity coordination exercises based on fatigue prediction in combination with routine occupational therapy could lead to improvement of upper extremity sensory-motor functions and power grip and caused a decrease in fatigue severity in chronic stroke.
Stroke, Upper extremity, Fatigue, Activity of daily living, Motor function
17
28
http://irj.uswr.ac.ir/browse.php?a_code=A-10-626-8&slc_lang=en&sid=1
Samira
Fathi
samira.fathi812@gmail.com
1800319475328460026022
1800319475328460026022
No
Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Ghorban
Taghizadeh
gh_taghizade@yahoo.com
1800319475328460026023
1800319475328460026023
No
Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Akram
Azad
azad.a@iums.ac.ir
1800319475328460026024
1800319475328460026024
Yes
Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Saeed
Behzadipour
behzadipour@sharif.it
1800319475328460026025
1800319475328460026025
No
Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran.
Danial
Shams Hafshejani
d.shams.ot.iums@gmail.com
1800319475328460026026
1800319475328460026026
No
Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Alireza
Zare
Alireza.zare@mech.sharif.edu
1800319475328460026027
1800319475328460026027
No
Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran.
Zahra
Ghorbanpour
zghorbanpor@yahoo.com
1800319475328460026028
1800319475328460026028
No
Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.