ArticlePloS one2019
Changes in actual arm-hand use in stroke patients during and after clinical rehabilitation involving a well-defined arm-hand rehabilitation program: A prospective cohort study.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suitability of accelerometry as an objective measure for upper extremity use in stroke patients.BMC neurology · 2022Pooled it
- Can specific virtual reality combined with conventional rehabilitation improve poststroke hand motor function? A randomized clinical trial.Journal of neuroengineering and rehabilitation · 2023Trial
- Changes in Unimanual and Bimanual Upper Extremity Use During the Subacute Phase Post-Stroke Assessed in Supervised and Unsupervised Contexts.Neurorehabilitation and neural repair · 2026Article
- Simplified assessment of upper limb dysfunction after stroke: decision tree analysis based on the International Classification of Functioning, Disability and Health.European journal of physical and rehabilitation medicine · 2025Article
- Are Changes in Corticomotor Excitability Associated with Improved Arm Functional Performance Following a Tailored Strength Training Intervention in Chronic Stroke Survivors?Brain sciences · 2025Article
- Clinician perceptions of a novel wearable robotic hand orthosis for post-stroke hemiparesis.Disability and rehabilitation · 2025Article
- Experience-driven competition in neural reorganization after stroke.The Journal of physiology · 2025Review
- Article
- Development and feasibility of first- and third-person motor imagery for people with stroke living in the community.Pilot and feasibility studies · 2023Article
- Task-oriented arm training for stroke patients based on remote handling technology concepts: A feasibility study.Technology and health care : official journal of the European Society for Engineering and Medicine · 2023Article
- Predictors of high dose of massed practice following stroke.Translational neuroscience · 2022Article
- Magnetically Counting Hand Movements: Validation of a Calibration-Free Algorithm and Application to Testing the Threshold Hypothesis of Real-World Hand Use after Stroke.Sensors (Basel, Switzerland) · 2021Article
- Relationship Between Body-Specific Attention to a Paretic Limb and Real-World Arm Use in Stroke Patients: A Longitudinal Study.Frontiers in systems neuroscience · 2021Article
- The probability of choosing both hands depends on an interaction between motor capacity and limb-specific control in chronic stroke.Experimental brain research · 2020Article
- Quantification of the relative arm use in patients with hemiparesis using inertial measurement units.Journal of rehabilitation and assistive technologies engineeringArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionImprovement of arm-hand function and arm-hand skill performance in stroke patients is reported by many authors. However, therapy content often is poorly described, data on actual arm-hand use are scarce, and, as follow-up time often is very short, little information on patients' mid- and long-term progression is available. Also, outcome data mainly stem from either a general patient group, unstratified for the severity of arm-hand impairment, or a very specific patient group.
objectivesTo investigate to what extent the rate of improvement or deterioration of actual arm-hand use differs between stroke patients with either a severely, moderately or mildly affected arm-hand, during and after rehabilitation involving a well-defined rehabilitation program.
methodsDesign: single-armed prospective cohort study. Outcome measure: affected arm-hand use during daily tasks (accelerometry), expressed as 'Intensity-of arm-hand-use' and 'Duration-of-arm-hand-use' during waking hours. Measurement dates: at admission, clinical discharge and 3, 6, 9, and 12 months post-discharge. Statistics: Two-way repeated measures ANOVAs.
resultsSeventy-six patients (63 males); mean age: 57.6 years (sd:10.6); post-stroke time: 29.8 days (sd:20.1) participated. Between baseline and 1-year follow-up, Intensity-of-arm-hand-use on the affected side increased by 51%, 114% and 14% (p < .000) in the mildly, moderately and severely affected patients, respectively. Similarly, Duration-of-arm-hand-use increased by 26%, 220% and 161% (p < .000). Regarding bimanual arm-hand use: Intensity-of-arm-hand-use increased by 44%, 74% and 30% (p < .000), whereas Duration-of-arm-hand-use increased by 10%, 22% and 16% (p < .000).
conclusionStroke survivors with a severely, moderately or mildly affected arm-hand showed different, though (clinically) important, improvements in actual arm-hand use during the rehabilitation phase. Intensity-of-arm-hand-use and Duration-of-arm-hand-use significantly improved in both unimanual and bimanual tasks/skills. These improvements were maintained until at least 1 year post-discharge.
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