Matching Items (4)
Filtering by
- All Subjects: Strokes
- Creators: Holzapfel, Simon
Description
Upper extremity function is vital for activities of daily living especially in stroke survivors. An innovative way to improve upper extremity function has been shown with Assisted Cycle Therapy (ACT). This is among the first study to examine ACT in stroke survivors. 13 stroke survivors performed ACT, VC, and NC and pre and post measures of upper extremity function were conducted with the box and blocks test (BBT). The results showed that non-paretic upper extremity improved its function after ACT and VC, but not after NC. For the paretic arm, while the results did not reach conventional levels of significance, improvements in upper extremity function following ACT more so than VC or NC. These results were interpreted to suggest that ACT resulted in increased production of BDNF in the motor cortex, which resulted in improvements in global motor function.
ContributorsHeyer, Brittany Nicole (Author) / Ringenbach, Shannon (Thesis director) / Holzapfel, Simon (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
Executive function is vital for activities of daily living especially in stroke survivors because it is critical to everyday tasks (e.g., driving, cooking, etc.). An innovative way to improve executive function may be Assisted Cycling Therapy (ACT). This is among the first studies to use a Stroop task to measure inhibition, selective attention, and information processing speed following ACT in stroke survivors. Twenty-three participants post-stroke performed ACT, voluntary cycling (VC) and no cycling (NC). The results showed that there were improvements in the Stroop task following an acute session of ACT but not following VC or NC. These results suggest that ACT resulted in increased afferent information which may have resulted in increased arousal and excitability in regions of the prefrontal cortex. These factors have been shown to improve executive function.
ContributorsCooper, Aspen (Author) / Ringenbach, Shannon (Thesis director) / Holzapfel, Simon (Committee member) / Barrett, The Honors College (Contributor)
Created2017-05
Description
Electromyography (EMG) is an extremely useful tool in extracting control signals from the human body. Needle electromyography is the current standard for obtaining superior quality muscle signals and obtaining signals corresponding to individual muscles. However, needle EMG faces many problems when converting from the laboratory to marketable devices, specifically in home devices. Many patients have issues with needles and the extra care required of needle EMG is prohibitive. Therefore, a surface EMG device that can obtain clear signals from individual muscles would be valuable to many markets in the development of next generation in home devices. Here, signals from surface EMG were analyzed using a low noise EMG evaluation system (RHD 2000; Intan Technologies). The signal to noise ratio (SNR) was calculated using MatLab. The average SNR is 4.447 for the Extensor Carpi Ulnaris, and 7.369 for the Extensor Digitorum Communis. Spectral analysis was performed using the Welch approach in MatLab. The power spectrum indicated that low frequency signals dominate the EMG of small hand muscles. Also, harmonic bands of 60Hz noise were present as part of the signal which should be accounted for with filters in future iterations of the testing method. Provided is evidence that strong, independent signals were acquired and could be used in further application of surface EMG corresponding to lifting of the fingers.
ContributorsSnyder, Joshua Scott (Author) / Muthuswamy, Jit (Thesis director) / Buneo, Christopher (Committee member) / Harrington Bioengineering Program (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This study examined upper extremity function, including manual dexterity, in chronic stroke survivors following a 10-week high intensity interval treadmill walking intervention. Six stroke survivors completed two 35-minute high intensity interval treadmill walking sessions based on ventilatory threshold per week. In addition, each participant completed one 30-minute low-intensity walking session at home. Participants completed upper extremity and manual dexterity testing at baseline, acutely, and after the 10-week intervention. Contrary to the prediction made, significant improvements in both paretic and non-paretic upper-extremity function including manual dexterity were not found. While time to complete the Nine Hole Peg Test (9HPB) somewhat decreased and the number of blocks transferred in the Box and Blocks Test (BBT) slightly increased, results were not found to be statistically significant. The results do suggest, nonetheless, that high intensity interval treadmill training may lead to improvements in upper extremity function and potentially daily living in chronic stroke survivors.
ContributorsHatty, Laura Elizabeth (Author) / Ringenbach, Shannon (Thesis director) / Bosch, Pamela (Committee member) / Holzapfel, Simon (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05