Table 4.
Outcomes | Case 1 | Case 2 | ||||||||||||
|
Before the training | After the training | Difference | Before the training | After the training | Difference | ||||||||
Upper extremity motor impairments | ||||||||||||||
|
Shoulder strength (anterior deltoid; Nb) | 4.4 | 11.1 | 6.7 | 8.9 | 20.0 | 11.1 | |||||||
|
Shoulder strength (lateral deltoid; N) | 0 | 6.7 | 6.7 | 6.7 | 13.3 | 6.6 | |||||||
|
Grasp strength (N) | 194 | 247 | 53 (61)c,d | 96 | 111 | 15 (49)c,d | |||||||
|
Three-finger pinch strength (N) | 36 | 47 | 11 | 12 | 14 | 2 | |||||||
|
Shoulder flexion (°) | 100 | 117 | 17 | 118 | 139 | 21 | |||||||
|
Shoulder extension (°) | N/Ae | N/A | N/A | 22 | 24 | 2 | |||||||
|
Shoulder abduction (°) | 92 | 118 | 26 | 110 | 121 | 11 | |||||||
|
Shoulder adduction (°) | 20 | 33 | 13 | 41 | 50 | 9 | |||||||
|
Elbow flexion (°) | 120 | 131 | 11 | 127 | 141 | 14 | |||||||
|
Elbow extension (°) | –20 | –10 | 10 | 0 | 0 | 0 | |||||||
|
Elbow pronation (°) | 45 | 70 | 25 | 63 | 90 | 27 | |||||||
|
Elbow supination (°) | 40 | 70 | 30 | 57 | 90 | 33 | |||||||
|
Thumb MCPf flexion (°) | 80 | 84 | 4 | 90 | 90 | 0 | |||||||
|
Index finger MCP flexion (°) | 78 | 82 | 4 | 90 | 90 | 0 | |||||||
|
Middle finger MCP flexion (°) | 85 | 85 | 0 | 90 | 90 | 0 | |||||||
|
Ring finger MCP flexion (°) | 80 | 87 | 7 | 90 | 90 | 0 | |||||||
|
Little finger MCP (°) | 78 | 78 | 0 | 90 | 90 | 0 | |||||||
Upper extremity motor function | ||||||||||||||
|
Fugl-Meyer upper extremity score (maximum 66; higher is better) | 45 | 55 | 11 (9 to 10)d | 52 | 62 | 10 (9 to 10)d | |||||||
|
Jebsen Test of Hand Function total completion time (seconds; less is better) | 147 | 126 | –21 (–20.8)d | 82 | 57 | –25 (–20.8)d | |||||||
|
Chedoke Arm and Hand Activity Inventory score (maximum 63; higher is better), bimanual | 40 | 51 | 11 (6.3)d | 44 | 58 | 14 (6.3)d | |||||||
|
Upper Extremity Functional Index 20 | 32 | 51 | 19 (8)d | 57 | 80 | 23 (8)d |
aReprinted by permission of Bright Cloud International.
bN: newton.
cDifferent minimal clinically important difference values for grasp strength reflect arm dominance versus arm affected. A 0° angle value indicates full extension to a straight arm (for elbow) and a straight hand for finger metacarpophalangeal joints.
dMinimal clinically important difference for that measure.
eN/A: not applicable.
fMCP: metacarpophalangeal joint