Upper extremity motor function and hand muscular power in patients with stroke: A pilot study

authors:

avatar Mohammad Reza Asgari , avatar Fazel Dehvan , avatar Maryam Binesh , avatar Fatemeh Rahaei , avatar Mohsen Soleimani ORCID , * , avatar Raheb Ghorbani ORCID , avatar Afshin Samaei


how to cite: Asgari M R, Dehvan F, Binesh M, Rahaei F, Soleimani M, et al. Upper extremity motor function and hand muscular power in patients with stroke: A pilot study. koomesh. 2017;19(2):e151097. 

Abstract

Introduction: Stroke is one of the most important neurological diseases that annually causes death and long-term disability in patients in the world. The incidence of motor impairment in the upper extremity and hand as a result of stroke as compared to the lower extremity are more prevalent and less recovery. This pilot study was performed to Investigate of upper extremity and hand muscular power in patients with stroke. Materials and Methods: In a descriptive-analytical study, 36 patients with stroke were investigated, in internal medicine ward of Kowsar hospital in Semnan. Sampling method was easy, available, and purposeful. In the study, the section of upper extremity and hand assessment of Fugl-Meyer scale were used to measure the upper extremity motor function and also hand dynamometer were used to measure hand muscular power. Results: In this study, the mean score of affected upper extremity motor function in stroke patients was 8.2±8.73, mean score of affected hand motor function was 5.3±5.6, and mean of affected hand muscular power was 2.64±3.8. No significant relationship between demographic variables and affected upper extremity, hand motor function score and affected hand grip power of subjects were observed. Conclusion:  The results of the study showed that upper extremity motor function and hand muscular power in patients with stroke was reduced considerably. Due to the high prevalence of this motor impairment after stroke and its consequences, health care personnel should design appropriate care and rehabilitation programs to more control these damages

References

  • 1.

    Faraji F, Eshrati B, Pirasteh S. The evaluation of correlation between plasma level of CRP and WBC with ischemic stroke severity and infarct volume. Arak Med Univ J 2008; 11: 105-112. (Persian).

  • 2.

    Roghani S, Delbari A, Tabatabae S. Stroke rehabilitation: Principles, advances, early experiences, and realities in Iran. Q J Sabzevar Univ Med Sci 2012; 19: 96-108. (Persian).

  • 3.

    Faralli A, Bigoni M, Mauro A, Rossi F, Carulli D. Noninvasive strategies to promote functional recovery after stroke. Neural Plasticity 2013; 2013: 1-16.

  • 4.

    Moatamed Vaziri P, Bahrpeyma F, Firoozabadi M, Forough B. Effect of low frequency repeatitive transcranial magnetic stimulation to improve motor function and grip force of upper limb in hemiplegic patients. J Gorgan Univ of Med Sci 2013; 14: 10-16. (Persian).

  • 5.

    Jouzi M. Assessment of the effect of massage therapy on stroke patients. Islamic Azad Univ Med Sci J 2009; 19: 256-261. (Persian).

  • 6.

    Peng B, Cui LY. Treatment for acute ischemic stroke: new evidence from China. Chin Med J 2013; 126: 3403-3404.

  • 7.

    Dehghani Firoozabadi M, Kazemi T, Sharifzadeh G, Dadbeh S, Dehghan P. Stroke in birjand, iran: a hospital-based study of acute stroke. Iranian Red Crescent Med J 2013; 15: 264-268. (Persian).

  • 8.

    Lemogoum D, Degaute JP, Bovet P. Stroke prevention, treatment, and rehabilitation in sub-saharan Africa. Am J Prev Med 2005; 29: 95-101.

  • 9.

    Masiero S, Carraro E, Ferraro C, Gallina P, Rossi A, Rosati G. Upper limb rehabilitation robotics after stroke: a perspective from the University of Padua, Italy. J Rehabil Med 2009; 41: 981-985.

  • 10.

    Dubey P, Pandey S, Moonis G. Acute stroke imaging: recent updates. Stroke Res Treat 2013; 2013: 1-6.

  • 11.

    Wu P, Mills E, Moher D, Seely D. Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke 2010; 41: 171-179.

  • 12.

    Baghshomali S, Bushnell C. Reducing stroke in women with risk factor management: blood pressure and cholesterol. Womens Health (Lond Engl) 2014; 10: 535-544.

  • 13.

    Toyoda K. Epidemiology and registry studies of stroke in Japan. J Stroke 2013; 15: 21-26.

  • 14.

    Hejazi Shirmard M, Azad A, Taghi Zadeh G. Effects of sensory retraining on recovery of the hemiplegic upper limb in stroke patients (A Single-System Design). Mod Rehabil 2011; 5: 48-53.

  • 15.

    Knutson JS, Harley MY, Hisel TZ, Chae J. Improving hand function in stroke survivors: a pilot study of contralaterally controlled functional electric stimulation in chronic hemiplegia. Arch Phys Med Rehabil 2007; 88: 513-520.

  • 16.

    Ministry of health and medical education. Picture of health of medical sciences universities and medical services (Iran). Tehran: Tabalvour; 2002; PP: 31. (Persian).

  • 17.

    Hassanpour M, Hoseini SA, Aboutaleb S, Rahgozar M, Sarafraz Z. The effect of bilateral activities on the improvement of upper limb function in CVA patients. J Kermanshah Univ Med Sci 2011; 15: 24-30. (Persian).

  • 18.

    Faraji F, Ghasami K, Talaie-Zanjani A, Mohammadbeigi A. Prognostic factors in acute stroke, regarding to stroke severity by Canadian Neurological Stroke Scale: A hospital-based study. Asian J Neurosurg 2013; 8: 78-82.

  • 19.

    Majdy nasab N, Shah ali H, Khosravy A. relashionship between inflammatory factor CRP with prognosis of stroke patient in upper middle cerebral artery in golestan hospital. J Milit Med Sci 2009; 6: 249-252. (Persian).

  • 20.

    Kandel M, Beis JM, Le Chapelain L, Guesdon H, Paysant J. Non-invasive cerebral stimulation for the upper limb rehabilitation after stroke: A review. Ann Phys Rehabil Med 2012; 55: 657-680.

  • 21.

    Ghasemi E, Shaygannejad V, Joker S, Rezaiean F, Armak M, Mahmoodi Z. The effectiveness of functional electrical stimulation (FES), biofeedback and exercise therapy on various parameters of lower limb muscle strength, kinematics of gait and balance in stroke patients: a comparative study. J Res Rehabil Sci 2010; 6: 14-25. (Persian).

  • 22.

    Hossienifar M, Akbari A, Sanchouli T, Kalim-Shastan A, Ghiasi F. The effect of functional and strengthening exercises on improvement of upper extremity function in patients with hemiparesis following stroke. Tabib-e-Shargh 2008; 10: 163-173. (Persian).

  • 23.

    Mukherjee M, McPeak LK, Redford JB, Sun C, Liu W. The effect of electro-acupuncture on spasticity of the wrist joint in chronic stroke survivors. Arch phys Med Rehabil 2007; 88: 159-166.

  • 24.

    Berner YN, Lif Kimchi O, Spokoiny V, Finkeltov B. The effect of electric stimulation treatment on the functional rehabilitation of acute geriatric patients with stroke--a preliminary study. Arch Gerontol Geriatr 2004; 39: 125-132.

  • 25.

    Alt Murphy M, Resteghini C, Feys P, Lamers I. An overview of systematic reviews on upper extremity outcome measures after stroke. BMC Neurol 2015; 15: 29.

  • 26.

    Shafiee Z, Ali hosseini M, Rassafiani M, Rezaee M. Effects of constraint- induced movement therapy (CIMT) on improvement of upper-limb and hand function in stroke patients: an integrative review. J Rehabil Med 2013; 2: 52-61.

  • 27.

    Pang MY, Eng JJ. Muscle strength is a determinant of bone mineral content in the hemiparetic upper extremity: implications for stroke rehabilitation. Bone 2005; 37: 103-111.

  • 28.

    Heydari M. Comparison of mobilizing and immobilizing splints on hand motor function in stroke patients: a randomize clinical trial. Qom Univ Med Sci J 2010; 4: 48-53. (Persian).

  • 29.

    Knutson JS, Harley MY, Hisel TZ, Chae J. Improving hand function in stroke survivors: a pilot study of contralaterally controlled functional electric stimulation in chronic hemiplegia. Arch Phys Med Rehabil 2007; 88: 513-520.

  • 30.

    Shahi Morridi D, Asgharnia H, Sheykh fathelahi M. The frequency of sensorimotor dysfunctions during the first 3 month after stroke hospitalized patients in Aliben Abitaleb hospital in Rafsanjan city. J Rafsanjan Univ Med Sci Health Serv 2002; 1: 241-250. (Persian).

  • 31.

    Chirayu V, Vaidya, Drusty K, Majmudar. A retrospective study of clinical profile of stroke patients from GMERS medical college and hospital, gandhinagar, gujarat. Int J Clin Trials 2014; 1: 62-66.

  • 32.

    Akbarfahimi M, Karimi H, Rahbar S, Ashaeri H, Faghehzadeh S. The relationship between motor function of hemiplegic upper limb and independency in activities of daily of living in stroke patients in Tehran. Koomesh 2011; 12: 236-243. (Persian).

  • 33.

    Eapen RP, Parikh JH, Patel NT. A study of clinical profile and risk factors of cerebrovascular stroke. Gujarat Med J 2009; 64: 47-54.

  • 34.

    Shahbazi M, Sayyadi A, Zareiy S. Assessment of risk factors in Cerebrovascular accident patients: Beasat Hospital between 2000 and 2001. Ebnesina J Med 2007; 10: 11-14. (Persian).

  • 35.

    Ahmadi Ahangar A, Sanaat A, Saghebi R. Risk factors for cerebrovascular disease, Babol, 2000-02. J Babol Univ Med Sci 2005; 7: 55-60. (Persian).

  • 36.

    Iranmanesh F, Salehi M, Bakhshi H, Arab R. Silent stroke and related risk factors. J Gorgan Uni Med Sci 2013; 15: 90-94. (Persian).

  • 37.

    Shi YX, Tian JH, Yang KH, Zhao Y. Modified constraint-induced movement therapy versus traditional rehabilitation in patients with upper-extremity dysfunction after stroke: a systematic review and meta-analysis. Arch Phys Med Rehabil 2011; 92: 972-982.

  • 38.

    Vahdaty nejad A. The effect Task-specific exercise on Lower limb function of adult hemiplegic patient. bachelor degree. Shahid Beheshti Med Univ 2005; 12-17. (Persian).

  • 39.

    Heidarzadeh M, Ghahremanian A, Hagigat A, Yoosefi E. Relationship between quality of life and social support in stroke patients. Iran J Nurs 2009; 22: 23-32. (Persian).

  • 40.

    Aiyar A. A study of clinic-radiological correlation in cerebrovascular stroke (A study of 50 cases). Guj Med J 1999; 52: 58-63.

  • 41.

    Lipsanen A, Jolkkonen J. Experimental approaches to study functional recovery following cerebral ischemia. Cell Mol Life Sci 2011; 68: 3007-3017.

  • 42.

    Jafari M, Makarem A, Dalvandi A, Azimian M, Hosseini M. Determination of facilitators and barriers in post stroke life, in Kerman city. Mod Rehabil 2011; 5: 54-62. (Persian).

  • 43.

    Azad A, Edalatkhah M, Taghi Zadeh G. Effect of intensive task-oriented balance practice on functional balance and mobility in chronic stroke patients. Mod Rehabil 2014; 8: 31-37. (Persian).

  • 44.

    Ghandehari K, Saboor Davoudian F, Maarufi P. Evaluation of factors influencing sensory disability in cerebral stroke patients. J Shahid Sadoughi Univ Med Sci 2010; 18: 92-97. (Persian).

  • 45.

    Feigin Valery L, Barker-Collo S, Krishnamurthi R, Theadom A, Starkey N. Epidemiology of ischaemic stroke and traumatic brain injury. Best Pract Res Clin Anaesthesiol 2010; 24: 485-494.

  • 46.

    Iranmanesh F, Vazirynejad R, Gadari F, Rajabpoor N. Study of relationship between prevalence of post-stroke depression and stroke risk factors. J Fasa Univ Med Sci 2012; 2: 66-70. (Persian).

  • 47.

    Haji Hosseini F, Sharifnia S, Rezaee R, Nazari R, Molukzadeh S. Cerebro-vascular risk factors in Type 2 diabetic patients at short term. J Ilam Univ Med Sci 2011; 19: 41-50. (Persian).

  • 48.

    Amini N, Bagheri H, Abdolvahab M, Baghestani AR, Raji P, Jalili M, Montazeri A. The effect of constraint-induced movement therapy (CIMT) on quality of life, function and Range of motion of upper extremity of patients with stroke. J Rehabil Med 2012; 6: 1-4. (Persian).

  • 49.

    Au-Yeung SS, Hui-Chan CW. Electrical acupoint stimulation of the affected arm in acute stroke: a placebo-controlled randomized clinical trial. Clin Rehabil 2014; 28: 149-158.

  • 50.

    Hsu SS, Hu MH, Wang YH, Yip PK, Chiu JW, Hsieh CL. Dose-response relation between neuromuscular electrical stimulation and upper-extremity function in patients with stroke. Stroke 2010; 41: 821-824.

  • 51.

    Yom C, Cho Hy, Lee B. Effects of virtual reality-based ankle exercise on the dynamic balance, muscle tone, and gait of stroke patients. J Phys Ther Sci 2015; 27: 845.

  • 52.

    Morris JH, van Wijck F, Joice S, Ogston SA, Cole I, MacWalter RS. A comparison of bilateral and unilateral upper-limb task training in early poststroke rehabilitation: a randomized controlled trial. Arch Phys Med Rehabil 2008; 89: 1237-1245.

  • 53.

    Atashi V, Mohammadi F, Dalvandi A, Abdollahi I, Kazemi R. Effect of slow stroke back massage (SSBM) on shoulder pain and hand function in patients with stroke. Hayat 2012; 18: 47-56. (Persian).

  • 54.

    Yun GJ, Chun MH, Park JY, Kim BR. The synergic effects of mirror therapy and neuromuscular electrical stimulation for hand function in stroke patients. Ann Rehabil Med 2011; 35: 316-321.

  • 55.

    Mousavi Lotfi S, Lotfi R, Dadkhah Tehrani T, Abedini Z, Khormai A. Risk factor frequencies in ischemic and hemorrhagic stroke: a comparative study. Fac Nurs Midwifery Q 2009; 19: 12-17. (Persian).

  • 56.

    Lindberg P, Brain plasticity and upper limb function after stroke: some implication for rehabilitation. Acta universitatis upsaliensis. Digital comprehensive summaries of Uppsala dissertations from the faculty of medicine 2007.251.ISBN 978-91-554-6863-7.

  • 57.

    Kang HS, Sok SR, Kang JS. Effects of meridian acupressure for stroke patients in Korea. J Clin Nurs 2009; 18: 2145-2152.##.