Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery

Stroke is one of the leading causes for disability worldwide. Motor function deficits due to stroke affect the patients' mobility, their limitation in daily life activities, their participation in society and their odds of returning to professional activities. All of these factors contribute to...

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Vydáno v:Frontiers in human neuroscience Ročník 10; s. 442
Hlavní autoři: Hatem, Samar M., Saussez, Geoffroy, della Faille, Margaux, Prist, Vincent, Zhang, Xue, Dispa, Delphine, Bleyenheuft, Yannick
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland Frontiers Research Foundation 13.09.2016
Frontiers Media S.A
Témata:
Compensation
Computer applications
Intervention
Medicine
Motor skill
Motor skill learning
Neuroscience
Neurosciences
Pain
Paresis
Quality of life
Rehabilitation
review
Robots
Stroke
Systematic review
Training
Upper Extremity
Belgium
rehabilitation
systematic review
stroke
review
upper extremity
paresis
ISSN:1662-5161, 1662-5161
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Shrnutí:Stroke is one of the leading causes for disability worldwide. Motor function deficits due to stroke affect the patients' mobility, their limitation in daily life activities, their participation in society and their odds of returning to professional activities. All of these factors contribute to a low overall quality of life. Rehabilitation training is the most effective way to reduce motor impairments in stroke patients. This multiple systematic review focuses both on standard treatment methods and on innovating rehabilitation techniques used to promote upper extremity motor function in stroke patients. A total number of 5712 publications on stroke rehabilitation was systematically reviewed for relevance and quality with regards to upper extremity motor outcome. This procedure yielded 270 publications corresponding to the inclusion criteria of the systematic review. Recent technology-based interventions in stroke rehabilitation including non-invasive brain stimulation, robot-assisted training, and virtual reality immersion are addressed. Finally, a decisional tree based on evidence from the literature and characteristics of stroke patients is proposed. At present, the stroke rehabilitation field faces the challenge to tailor evidence-based treatment strategies to the needs of the individual stroke patient. Interventions can be combined in order to achieve the maximal motor function recovery for each patient. Though the efficacy of some interventions may be under debate, motor skill learning, and some new technological approaches give promising outcome prognosis in stroke motor rehabilitation.
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Reviewed by: Veena A. Nair, University of Wisconsin-Madison, USA; Sahil Bajaj, University of Arizona, USA
Edited by: Bernard Dan, Université libre de Bruxelles, Belgium
ISSN:1662-5161
1662-5161
DOI:10.3389/fnhum.2016.00442