Clinical application of computerized evaluation and re-education biofeedback prototype for sensorimotor control of the hand in stroke patients

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• 作者：Hsiu-Yun Hsu (1) (6)
  Cheng-Feng Lin (2)
  Fong-Chin Su (3)
  Huan-Ting Kuo (6)
  Haw-Yen Chiu (4)
  Li-Chieh Kuo (5)
  
• 关键词：Sensation ; Stroke ; Sensorimotor control ; Feedback control ; Hand function
• 刊名：Journal of NeuroEngineering and Rehabilitation
• 出版年：2012
• 出版时间：December 2012
• 年：2012
• 卷：9
• 期：1
• 全文大小：278KB
• 参考文献：1. Murray CJ, Lopez AD: Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. / Lancet 1997, 349:1436-442. CrossRef
  2. Hunter SM, Crome P: Hand function and stroke. / Rev Clin Gerontol 2002, 12:68-1. CrossRef
  3. Nakayama H, Jorgensen HS, Raaschou HO, Olsen TS: Recovery of upper extremity function in stroke patients: the Copenhagen Stroke Study. / Arch Phys Med Rehabil 1994, 75:394-98. CrossRef
  4. Wade DT, Langton-Hewer R, Wood VA, Skilbeck CE, Ismail HM: The hemiplegic arm after stroke: measurement and recovery. / J Neurol Neurosurg Psychiatry 1983, 46:521-24. CrossRef
  5. Duncan PW, Badke MB (Eds): / Stroke Rehabilitation: The Recovery of Motor Control. Year Book Medical Publishers, Chicago, Ill; 1988.
  6. Rosamond W, Flegal K, Furie K, Go A, Greenlund K, Haase N, Hailpern SM, Ho M, Howard V, Kissela B, / et al.: Heart disease and stroke statistics-008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. / Circulation 2008, 117:e25-e146. CrossRef
  7. Trombly CA: Deficits of reaching in subjects with left hemiparesis: a pilot study. / Am J Occup Ther 1992, 46:887-97. CrossRef
  8. Johansson BB: Current trends in stroke rehabilitation. A review with focus on brain plasticity. / Acta Neurol Scand 2011, 123:147-59. CrossRef
  9. Brunnstrom S: Motor testing procedures in hemiplegia: based on sequential recovery stages. / Phys Ther 1966, 46:357-75.
  10. Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S: The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. / Scand J Rehabil Med 1975, 7:13-1.
  11. Uswatte G, Taub E, Morris D, Light K, Thompson PA: The Motor Activity Log-28: assessing daily use of the hemiparetic arm after stroke. / Neurology 2006, 67:1189-194. CrossRef
  12. Nowak DA: The impact of stroke on the performance of grasping: usefulness of kinetic and kinematic motion analysis. / Neurosci Biobehav Rev 2008, 32:1439-450. CrossRef
  13. Witney AG, Wing A, Thonnard JL, Smith AM: The cutaneous contribution to adaptive precision grip. / Trends Neurosci 2004, 27:637-43. CrossRef
  14. Johansson RS, Hager C, Riso R: Somatosensory control of precision grip during unpredictable pulling loads. II. Changes in load force rate. / Exp Brain Res 1992, 89:192-03. CrossRef
  15. Johansson RS, Westling G: Roles of glabrous skin receptors and sensorimotor memory in automatic control of precision grip when lifting rougher or more slippery objects. / Exp Brain Res 1984, 56:550-64. CrossRef
  16. Westling G, Johansson RS: Factors influencing the force control during precision grip. / Exp Brain Res 1984, 53:277-84. CrossRef
  17. Hermsdorfer J, Hagl E, Nowak DA, Marquardt C: Grip force control during object manipulation in cerebral stroke. / Clin Neurophysiol 2003, 114:915-29. CrossRef
  18. Nowak DA, Grefkes C, Dafotakis M, Kust J, Karbe H, Fink GR: Dexterity is impaired at both hands following unilateral subcortical middle cerebral artery stroke. / Eur J Neurosci 2007, 25:3173-184. CrossRef
  19. Quaney BM, Perera S, Maletsky R, Luchies CW, Nudo RJ: Impaired grip force modulation in the ipsilesional hand after unilateral middle cerebral artery stroke. / Neurorehabil Neural Repair 2005, 19:338-49. CrossRef
  20. Kim JS, Choi-Kwon S: Discriminative sensory dysfunction after unilateral stroke. / Stroke 1996, 27:677-82. CrossRef
  21. Augurelle AS, Smith AM, Lejeune T, Thonnard JL: Importance of cutaneous feedback in maintaining a secure grip during manipulation of hand-held objects. / J Neurophysiol 2003, 89:665-71. CrossRef
  22. Johansson RS, Riso R, Hager C, Backstrom L: Somatosensory control of precision grip during unpredictable pulling loads. I. Changes in load force amplitude. / Exp Brain Res 1992, 89:181-91. CrossRef
  23. Moberg E: Objective methods for determining the functional value of sensibility in the hand. / J Bone Joint Surg Br 1958, 40-B:454-76.
  24. Jeannerod M, Michel F, Prablanc C: The control of hand movements in a case of hemianaesthesia following a parietal lesion. / Brain 1984,107(Pt 3):899-20. CrossRef
  25. Wolf SL: Electromyographic biofeedback applications to stroke patients. / Crit Rev Phys Ther 1983, 63:1448-459.
  26. Wolf SL, Binder-MacLeod SA: Electromyographic biofeedback applications to the hemiplegic patient. Changes in lower extremity neuromuscular and functional status. / Phys Ther 1983, 63:1404-413.
  27. Wolf SL, Binder-MacLeod SA: Electromyographic biofeedback applications to the hemiplegic patient. Changes in upper extremity neuromuscular and functional status. / Phys Ther 1983, 63:1393-403.
  28. Honer J, Mohr T, Roth R: Electromyographic biofeedback to dissociate an upper extremity synergy pattern: a case report. / Phys Ther 1982, 62:299-03.
  29. Kurillo G, Gregoric M, Goljar N, Bajd T: Grip force tracking system for assessment and rehabilitation of hand function. / Technol Health Care 2005, 13:137-49.
  30. Chiu HY, Hsu HY, Kuo LC, Chang JH, Su FC: Functional sensibility assessment. Part I: develop a reliable apparatus to assess momentary pinch force control. / J Orthop Res 2009, 27:1116-121. CrossRef
  31. Hsu HY, Kuo LC, Chiu HY, Jou IM, Su FC: Functional sensibility assessment. Part II: Effects of sensory improvement on precise pinch force modulation after transverse carpal tunnel release. / J Orthop Res 2009, 27:1534-539. CrossRef
  32. Kollen B, Kwakkel G, Lindeman E: Functional recovery after stroke: a review of current developments in stroke rehabilitation research. / Rev Recent Clin Trials 2006, 1:75-0. CrossRef
  33. Yancosek KE, Howell D: A narrative review of dexterity assessments. / J Hand Ther 2009, 22:258-69. quiz 270 CrossRef
  34. Gao KL, Ng SS, Kwok JW, Chow RT, Tsang WW: Eye-hand coordination and its relationship with sensori-motor impairments in stroke survivors. / J Rehabil Med 2010, 42:368-73.
  35. Carmeli E, Patish H, Coleman R: The aging hand. / J Gerontol A Biol Sci Med Sci 2003, 58:146-52. CrossRef
  36. Tamburin S, Cacciatori C, Marani S, Zanette G: Pain and motor function in carpal tunnel syndrome: a clinical, neurophysiological and psychophysical study. / J Neurol 2008, 255:1636-643. CrossRef
  37. Johansson RS, Lemon RN, Westling G: Time-varying enhancement of human cortical excitability mediated by cutaneous inputs during precision grip. / J Physiol 1994,481(Pt 3):761-75.
  38. Schenker M, Burstedt MK, Wiberg M, Johansson RS: Precision grip function after hand replantation and digital nerve injury. / J Plast Reconstr Aesthet Surg 2006, 59:706-16. CrossRef
  39. Shieh SJ, Hsu HY, Kuo LC, Su FC, Chiu HY: Correlation of digital sensibility and precision of pinch force modulation in patients with nerve repair. / J Orthop Res 2011, 29:1210-215. CrossRef
  40. Brodal A: / Neurological anatomy in relation to clinical medicine. 3rd edition. Oxford University, New York; 1981.
  41. Glees P, Cole J: Ipsilateral representation in the cerebral cortex; its significance in relation to motor function. / Lancet 1952, 1:1191-192. CrossRef
  42. Sunderland A, Bowers MP, Sluman SM, Wilcock DJ, Ardron ME: Impaired dexterity of the ipsilateral hand after stroke and the relationship to cognitive deficit. / Stroke 1999, 30:949-55. CrossRef
  43. Hermsd?rfer J, Nowak DA, Lee A, Rost K, Timmann D, Mühlau M, Boecker H: The representation of predictive force control and internal forward models: evidence from lesion studies and brain imaging. / Cogn Process 2005, 6:48-8. CrossRef
  44. Zachary RB, Holmes W: Primary suture of nerves. / Surg Gynecol Obstet 1946, 82:632-51.
  45. Bell-Krotoski JA, Buford WL: The force/time relationship of clinically used sensory testing instruments. / J Hand Ther 1997, 10:297-09. CrossRef
  
• 作者单位：Hsiu-Yun Hsu (1) (6)
  Cheng-Feng Lin (2)
  Fong-Chin Su (3)
  Huan-Ting Kuo (6)
  Haw-Yen Chiu (4)
  Li-Chieh Kuo (5)
  
  1. Department of Physical Medicine and Rehabilitation, National Cheng Kung University, Tainan, Taiwan
  6. Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, Tainan, Taiwan
  2. Department of Physical Therapy, National Cheng Kung University, Tainan, Taiwan
  3. Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
  4. Section of Plastic Surgery, Department of Surgery, National Cheng Kung University, Tainan, Taiwan
  5. Department of Occupational Therapy, National Cheng Kung University, 1 University Road, Tainan, 701, Taiwan
  

文摘

Background Hemianaesthesia patients usually exhibit awkward and inefficient finger movements of the affected hands. Conventionally, most interventions emphasize the improvement of motor deficits, but rarely address sensory capability and sensorimotor control following stroke. Thus it is critical for stroke patients with sensory problems to incorporate appropriate strategies for dealing with sensory impairment, into traditional hand function rehabilitation programs. In this study, we used a custom-designed computerized evaluation and re-education biofeedback (CERB) prototype to analyze hand grasp performances, and monitor the training effects on hand coordination for stroke patients with sensory disturbance and without motor deficiency. Methods The CERB prototype was constructed to detect momentary pinch force modulation for 14 sub-acute and chronic stroke patients with sensory deficiency and 14 healthy controls. The other ten chronic stroke patients (ranges of stroke period: 6-0?months) were recruited to investigate the effects of 4-weeks computerized biofeedback treatments on the hand control ability. The biofeedback procedures provide visual and auditory cues to the participants when the interactive force of hand-to-object exceeded the target latitude in a pinch-up-holding task to trigger optimal motor strategy. Follow-up measurements were conducted one month after training. The hand sensibility, grip forces and results of hand functional tests were recorded and analyzed. Results The affected hands of the 14 predominant sensory stroke patients exhibited statistically significant elevation in the magnitude of peak pinch force (p--.033) in pinching and lifting-up tasks, and poor results for hand function tests (p--.005) than sound hands did. In addition, the sound hands of patients were less efficient in force modulation (p--.009) than the hands of healthy subjects were. Training with the biofeedback system produced significant improvements in grip force modulation (p--.020) and better performances in the subtests of pin insertion (p--.019), and lifting of lightweight objects (p--.005). Conclusions The CERB prototype can provide momentary and interactive information for quantitative assessing and re-educating force modulation appropriately for stroke patients with sensory deficits. Furthermore, the patients could transfer the learned strategy to improve hand function.