Hand and ArmTutor as much “Use It and Improve It or Lose as Constraint-Induced Movement Therapy (CIMT)

‘Use It and Improve It or Lose It’ is an axiom Substantiated by a paper on ”Arm Function After Stroke”
On November 22, 2011 the following  coauthors  Yukikazu Hidaka, Cheol E. Han, Brain and Cognitive Sciences, Seoul National University; and Steven L. Wolf, Department of Rehabilitation Medicine, Emory University, principal investigator  wrote the following:
“Use it and improve it or lose it”
This statement sums up manual therapy, motor therapy and physical and occupational therapy that relates to the neuromuscular system that promotes  movement. However the interactions between arm function and functional arm use in post stroke patients is still poorly understood.
The research team developed a model for stroke recovery using the data from EXCITE clinical trial that looked at  constraint-induced movement therapy (CIMT)— this is occupational and physiotherapy that improves stroke patients’ arm function by restraining the use, by means of a mitten, of the non-affected arm which increases the use of the affected arm.
One of the foremost tools used for hand and arm therapy and physical rehabilitation following stroke is the Tutor system namely HandTutor/ArmTutor/ LegTutor and 3DTutor. The Tutor system is used in addition to constraint-induced movement therapy (CIMT) and traditional physical and occupational therapy.
Modifying  constraint induced movement therapy is needed as up to approximately 35% of the population suffers from chronic stroke. This is because the patient does not have the motor sensory and cognitive movement ability to do the functional tasks. In other words if you can not grasp a cup how can you be expected to work on repetitive grasp tasks. This repetitive functional task exercise is the basis of Constraint Induced Movement Therapy. By the same token if the patient wants to work on the “good” limit of their movement ability e.g they have a deficit in speed of movement and can not  make fast movments or they lack several degrees of movement in extension or flexion then again how do you customize a functional task to cover these impairments.
The Hand/ArmTutor system allows for the customization of exercise tasks to a level that allows patients with severe movement dysfunction to start intensive exercise practice with their impaired hand. The Hand/ArmTutor system has been proven to improve patient functional upper extremity, shoulder, elbow and wrist and hand, movement ability in both patients with severe and moderate movement dysfunction.
The Hand/ArmTutor system intensively trains simple movement parameters using isolated exercise practice. The tasks can be set according to the individual patients limits of movement ability and the difficulty of the tasks can be shaped. The feedback gives the patient information on their performance of the tasks and instructions on how to improve their movement. Instruction and feedback is part of the learning cycle and the HandTutor system teaches the patient how to move their arm.
The HandTutor and its sister devices (ArmTutor, LegTutor, 3DTutor) are available for children as well as adults and are fully certified by the FDA and CE. See http://www.HandTutor.com for more information.

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