Combining Active Intensive Exercise with Augmented Feedback

Back of right upper extremity.

Image via Wikipedia

In the January edition of Archives of Physical Medicine and Rehabilitation Prof Fung and his group from the Physiotherapy Faculty at the Hong Kong Polytechnic University discuss the Effects of sensory cueing on voluntary arm use for patients with chronic stroke: a preliminary study .
The group studied 16 community residents with chronic unilateral stroke and mild to moderate upper-extremity impairment. The patients engaged in repetitive upper-extremity task practice for 2 weeks while wearing an ambulatory sensory cueing device on their affected hand for 3 hours a day.
The group found that the patients arm function measured with Action Research Arm Test (ARAT), the Box and Block Test, the Fugl-Meyer Assessment (FMA) improved. However the group did not do a controlled clinical trial with the control group receiving usual care compared to the trial group receiving UC and sensory cueing. They therefore did not differentiate the rehabilitation effect of intensive active practice to the “additional” effect of sensory cueing.
The HandTutor system uses the proven concept of active intensive exercise practice and combines this with augmented feedback to motivate and stimulate patients to continue task practice.


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