Article

OBJECTIVE: To evaluate the implementation of a technology-assisted programme to
intensify upper limb rehabilitation after stroke and other neurological
conditions in an Australian community cohort.
METHODS: A "Hand Hub" was
established in a tertiary hospital. Intervention was delivered via individual or
group sessions for a period of up to 6 weeks, in addition to the patients'
regular therapy. Patients were assessed before and after the programme using
validated measures. RESULTS: A total of 92 participants completed both
assessments (mean age 57 years (standard deviation 17 years), 58% male and 88%
with stroke). Post-intervention, participants showed significant improvement in
arm function and strength (p < 0.001, effect sizes (r) = 0.5-0.7), streamlined
Wolf Motor Function Test score (p < 0.05, r = 0.2-0.4), improved muscle tone on
the Modified Ashworth Scale (p < 0.001, r = 0.4), Functional Independence Measure
(locomotion, mobility and psychosocial subscales (p < 0.05, r = 0.2-0.3). Quality
of life (EQ-5D) and overall health also improved significantly (p < 0.01 for all,
r = 0.3-0.6). CONCLUSION: The "Hand Hub" programme is feasible and showed
promising results for upper limb function in persons with neurological disorders.
The findings need to be further confirmed in a larger study sample, with a longer
follow-up.

Langue : ANGLAIS