Download PDF
CC BY 4.0 · Journal of Health and Allied Sciences NU 2023; 13(02): 199-205
DOI: 10.1055/s-0042-1749422
Original Article

Outcomes of Combined Visual and Auditive Stimulation on Functions of Hand and Grip Strengths in Patients with Hemiplegia

Bhaswati Baishya
1   Krupanidhi College of Physiotherapy, Bengaluru, Karnataka, India
,
Kalidasan Varathan
1   Krupanidhi College of Physiotherapy, Bengaluru, Karnataka, India
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Background Stroke is a major ailment that results from hypoxia, ischemia, blockage, or hemorrhage. The recovery of hand functions is an essential goal in stroke patients' recovery.

Aim This study aimed to analyze the outcomes of rhythmic auditory stimulation (RAS) and mirror therapy on hand functions, as well as grip strength, in stroke patients.

Materials and Methods A quasiexperimental study has been used based on criteria of inclusion, 30 patients were enrolled. The participants were assigned to two groups, 15 patients each. Group A (control group) underwent traditional physiotherapy. Group B (experimental group) underwent RAS and mirror therapy. Both the groups received 20 minutes of treatment, 20 sessions in 1 month. The Action Research Arm Test (ARAT) and hand-held dynamometer were used to evaluate results. Paired t-test has been used to analyze the data with the SPSS software tool.

Results The paired t-test results showed that notable distinctions in ARAT mean pretest scores between two groups were not found. A notable change in ARAT results was present between the two groups with mean posttest score and difference in pretest to posttest. No notable distinctions in grip strength results were seen with mean pretest results. But a notable change was found in grip strength results among two groups with mean posttest scores.

Conclusion Combining RAS and mirror therapy programs has shown beneficial effects on hand functions, as well as grip strength of stroke patients and can be used as adjunct interventions along with conventional physiotherapy to encourage restoration of hand functions in hemiparetic patients.

Keywords

rhythmic auditory stimulation - mirror therapy - stroke - the action research arm test - grip strength


Publication History

Article published online:
01 July 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Thorvaldsen P, Asplund K, Kuulasmaa K, Rajakangas AM, Schroll M. World Health Organization Monitoring Trends and Determinants in Cardiovascular Disease. Stroke incidence, case fatality, and mortality in the WHO MONICA project. Stroke 1995; 26 (03) 361-367
    CrossrefPubMedGoogle Scholar
  • 2 Diamond PT, Gale SD, Evans BA. Relationship of initial hematocrit level to discharge destination and resource utilization after ischemic stroke: a pilot study. Arch Phys Med Rehabil 2003; 84 (07) 964-967
    PubMedGoogle Scholar
  • 3 Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res 2017; 120 (03) 439-448
    CrossrefPubMedGoogle Scholar
  • 4 Taylor FC, Suresh Kumar K. Stroke in India fact sheet (updated 2012). Accessed April 28, 2022 at: https://www.researchgate.net/profile/Suresh-Kumar-85/publication/264116605_Stroke_in_India_-_Fact-sheet_Updated_2012/links/550bdcbf0cf265693cefb81a/Stroke-in-India-Fact-sheet-Updated-2012.pdf.
    Google Scholar
  • 5 Gobindram A. Stroke care: experiences and clinical research in stroke units in Chennai. Ann Indian Acad Neurol 2006; 9 (04) 193
    CrossrefGoogle Scholar
  • 6 Yan T, Hui-Chan CW, Li LS. Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke: a randomized placebo-controlled trial. Stroke 2005; 36 (01) 80-85
    CrossrefPubMedGoogle Scholar
  • 7 Luke C, Dodd KJ, Brock K. Outcomes of the Bobath concept on upper limb recovery following stroke. Clin Rehabil 2004; 18 (08) 888-898
    CrossrefPubMedGoogle Scholar
  • 8 Park JY, Chang M, Kim KM, Kim HJ. The effect of mirror therapy on upper-extremity function and activities of daily living in stroke patients. J Phys Ther Sci 2015; 27 (06) 1681-1683
    CrossrefPubMedGoogle Scholar
  • 9 Trombly CA, Quintana LA. The effects of exercise on finger extension of CVA patients. Am J Occup Ther 1983; 37 (03) 195-202
    CrossrefPubMedGoogle Scholar
  • 10 Kim JH, Lee BH. Mirror therapy combined with biofeedback functional electrical stimulation for motor recovery of upper extremities after stroke: a pilot randomized controlled trial. Occup Ther Int 2015; 22 (02) 51-60
    CrossrefPubMedGoogle Scholar
  • 11 Hatem SM, Saussez G, Della Faille M. et al. Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery. Front Hum Neurosci 2016; 10: 442
    CrossrefPubMedGoogle Scholar
  • 12 Ahn JY, Kim H, Park CB. Effects of whole-body vibration on upper extremity function and grip strength in patients with subacute stroke: a randomised single-blind controlled trial. Occup Ther Int 2019; 2019: 5820952
    PubMedGoogle Scholar
  • 13 Street AJ, Magee WL, Bateman A, Parker M, Odell-Miller H, Fachner J. Home-based neurologic music therapy for arm hemiparesis following stroke: results from a pilot, feasibility randomized controlled trial. Clin Rehabil 2018; 32 (01) 18-28
    CrossrefPubMedGoogle Scholar
  • 14 Kim JR, Jung MY, Yoo EY, Park JH, Kim SH, Lee J. Effects of rhythmic auditory stimulation during hemiplegic arm reaching in individuals with stroke: an exploratory study. Hong Kong J Occup Ther 2014; 24 (02) 64-71
    CrossrefGoogle Scholar
  • 15 Sulivan O'SB, Schmitz TJ, Fulk GD. eds Physical Rehabilitation. Stroke. 6th edition. Philadelphia, PA: F.A. Davis Company; 2014: 685
    Google Scholar
  • 16 Jung-Hee KI, Sung-Gook PA, Hyun-Jung LI, Gyung-Choon PA, Moon-Hyung KI, Byoung-Hee LE. Effects of the combination of rhythmic auditory stimulation and task-oriented training on functional recovery of subacute stroke patients. J Phys Ther Sci 2012; 24 (12) 1307-1313
    CrossrefGoogle Scholar
  • 17 Da Silva Mendes JC, Freysteinson WM, de Melo Gamboa R, Pereira V. Mirror Therapy: can be this technique used on facial disfigurement?. Revista E-Psi. 2017; 7 (01) 25-38
    Google Scholar
  • 18 Kim JH, Lee B. The effect of mirror therapy on functional recovery of upper extremity after stroke: a randomized pilot study. J Exp Stroke Transl Med 2017; 10 (01) 1-7
    Google Scholar
  • 19 Paik YR, Kim SK, Lee JS, Jeon BJ. Simple and task-oriented mirror therapy for upper extremity function in stroke patients: a pilot study. Hong Kong J Occup Ther 2014; 24 (01) 6-12
    CrossrefGoogle Scholar
  • 20 Raglio A, Zaliani A, Baiardi P. et al. Active music therapy approach for stroke patients in the post-acute rehabilitation. Neurol Sci 2017; 38 (05) 893-897
    CrossrefPubMedGoogle Scholar
  • 21 El Shemy SA, Abd El-Maksoud GM. Mirror therapy versus cross education on wrist extension and hand grip strength in children with hemiparesis. Bull Fac Phys Ther 2009;14(02):
    Google Scholar
  • 22 Sathian K, Greenspan AI, Wolf SL. Doing it with mirrors: a case study of a novel approach to neurorehabilitation. Neurorehabil Neural Repair 2000; 14 (01) 73-76
    CrossrefPubMedGoogle Scholar
  • 23 Dobkin BH, Dorsch A. New evidence for therapies in stroke rehabilitation. Curr Atheroscler Rep 2013; 15 (06) 331
    Google Scholar
  • 24 Wang SM, Lin CY, Tse TH. et al. Effects of rhythmic auditory stimulation on upper-limb movement speed in patients with schizophrenia spectrum disorders. Eur Arch Psychiatry Clin Neurosci 2021; 271 (08) 1445-1453
    CrossrefPubMedGoogle Scholar
  • 25 Jennifer AStevens. Mary Ellen Phillips Stoykov Using motor imagery in the rehabilitation of Hemiparesis. Arch Phys Med Rehabil 2003; 84 (07) 1090-1092
    PubMedGoogle Scholar
  • 26 Zhuang JY, Ding L, Shu BB, Chen D, Jia J. Associated mirror therapy enhances motor recovery of the upper extremity and daily function after stroke: a randomized control study. Neural Plast 2021; 2021: 7266263
    CrossrefPubMedGoogle Scholar