title: The influence of dynamic orthosis training on upper extremity function after stroke: a pilot study.
abstract: The goal of this study was to assess the use of a dynamic orthosis on upper extremity function in chronic stroke patients. A case series approach was utilized, with provision of a training program (3x/week, 50 minutes/session for 8 weeks) and employment of a dynamic orthosis. Six volunteers with persistent hemiparesis due to a single, unilateral stroke performed task-oriented movements with the aid of a dynamic orthosis. Tests were administered before and after training. Functional capacity was assessed using the TEMPA (Test d'Évaluation des Membres Supérieurs de Personnes Âgées) test. The Wilcoxon test was used for pre-training and post-training comparisons of TEMPA scores. The volunteers showed significant improvement of upper extremity function in the performance of a bilateral task (p = 0.01) and three unilateral tasks (p = 0.04). This pilot study suggests that the dynamic orthosis associated with the performance of functional tasks can have positive outcomes regarding the improvement of functional capacity of upper extremity.
authors.affiliation: Department of Physical Therapy, University of Pernambuco, Petrolina, PE, Brazil.
authors.forename: Rodrigo Cappato
authors.initials: RC
authors.lastname: de Araújo
authors.affiliation: Department of Mechanical Engineering, Federal Institute of Minas Gerais, Congonhas, MG, Brazil.
authors.forename: Daniel Neves
authors.initials: DN
authors.lastname: Rocha
authors.affiliation: Department of Physical Therapy, University of Pernambuco, Petrolina, PE, Brazil.
authors.forename: Ana Carolina Rodarti
authors.initials: AC
authors.lastname: Pitangui
authors.affiliation: Department of Mechanical Engineering, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Marcos
authors.initials: M
authors.lastname: Pinotti
mesh_terms: D000328:Adult; D000368:Aged; D001132:Arm / Q000502:physiology*; D002545:Brain Ischemia / Q000534:rehabilitation; D004576:Electromyography; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009989:Orthotic Devices; D010865:Pilot Projects; D016059:Range of Motion, Articular; D012046:Rehabilitation / Q000379:methods*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome
keywords: electromyography; orthotic devices; rehabilitation; stroke