DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20200783

Modified Rood’s approach and ability of independent selfcare in haemorrhagic stroke patients of Assam, India

Kuki Bordoloi, Rup Sekhar Deka

Abstract


Background: Stroke is the third leading cause of death and the primary cause of serious, long-term disability which can be regarded as weakness, generalized fatigue, loss of voluntary motor control or limitation in mobility, spasticity, sensory and cognitive dysfunction. In this research, a comparative study on the ability of independent self-care was conducted between two groups of patients during a 3 months follow-up period viz. Group A - patients who were given Home Exercise Programme (HEP) with conventional physiotherapy; and Group B - patients who were given HEP with conventional physiotherapy along with neuro-facilitation via Rood’s approach.

Methods: In this study 236 haemorrhagic stroke patients were recruited and randomly divided to two groups.  Both the groups were given a HEP consisting of regular physiotherapy. Additionally, one group out of the two was also taught exercises based on Rood’s approach consisting of facilitation and inhibition with the help of sensory stimulation, purposeful activity based exercises, with additional emphasis on repetition. The output was evaluated in terms of disability using the Barthel Index after 3 months of treatment.

Results: After 3 months, it was found that patients who received HEP with both conventional physiotherapy and Rood’s approach had significantly greater improvement in Barthel Index scores compared to patients who received HEP only through conventional physiotherapy.

Conclusions: This suggests that HEP consisting of conventional physiotherapy along with Rood’s approach is more effective in improving the ability of independent self-care in case of post intra-cerebral haemorrhagic patients when compared to conventional physiotherapy alone.


Keywords


Activity of daily living, Ability of independent selfcare, Intra-cerebral haemorrhage, Rood’s approach, Stroke

Full Text:

PDF

References


Wade DT. Measurement in neurological rehabilitation. Curr Opin Neurol Neurosurg. 1992 Oct;5(5):682-6.

Ada L, Dorsch S, Canning CG. Strengthening interventions increase strength and improve activity after stroke: a systematic review. Aust J Physiother. 2006;52(4):241-8.

Patten C, Lexell J, Brown HE. Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy. J Rehabil Res Dev. 2004;41(3A):293-312.

Pollack MRP, Disler PB. Rehabilitation of patients after stroke. Med J Aus. 2002;177(8):452-6.

Rodriquez AA, Black PO, Kile KA, Sherman J, Stellberg B, McCormick J, et al. Gait training efficacy using a home-based practice model in chronic hemiplegia. Arch Phys Med Rehabil. 1996; 77:801-5.

Green J, Forster A, Bogle S, Young J. Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial. Lancet. 2002;359:199-203.

Bordoloi K. Stroke. In: Sharma KN, Bordoloi K. Physiotherapeutic Approach to Neuro Care. 1st edition. India: O.B. Publications; 2011:90-101.

Wade DT, Hewer L. Functional abilities after stroke: measurement, natural history and prognosis. J Neurol Neurosurg Psychiatry. 1987; 0:177-82.

Duncan PW, Goldstein LB, Matchar D, Divine GW, Feussner J. Measurement of motor recovery after stroke: outcome assessment and sample size requirements. Stroke. 1998;29:1084-9.

Anderson C, Rubenach S, Mhurchu, CN. Home or hospital for stroke rehabilitation? Results of a randomized controlled trial: I, Health outcomes at 6 months. Stroke. 2000;31:1024-31.

Alon G, Sunnerhagen KS, Geurts AC, Ohry A. A home-based, self-administered stimulation program to improve selected hand functions of chronic stroke. Neuro Rehabilitation. 2003;18 (3):215-25.

Rood MS. The treatment of neuromuscular dysfunction: Rood approach. Notes taken by C. Trombly at lecture delivered in Boston. 1976 Jul.

Trombly C, Levit K, Myers BJ. Remediating motor control and performance through traditional therapeutic approaches. Occupational Therapy for Physical Dysfunction, 4th ed. Philadelphia: Williams & Wilkins; 1997;437-446.

Rood MS. Neurophysiological reactions as a basis for physical therapy. Physical Ther Rev. 1954; 34:444-9.

Rood MS. Neurophysiological mechanisms utilized in the treatment of neuromuscular dysfunction. Am J Occupat Ther. 1956;10:220-5.

Stillman BC. The activation or de-activation of receptors for the purpose of developing somatic, autonomic, and mental functions: introduction. Part i-philosophy. Aus J Physiother. 1968;14(3):86-92.

Stockmeyer SA. An interpretation of the approach of Rood to the treatment of neuromuscular dysfunction. Am J Physical Med Rehabilita. 1967; 46(1):900-56.

Goff B. The Rood approach. Cash’s text book of neurology for physiotherapist. 4th ed. Philadelphia: J.B. Lippincott Co, 1986:220-239.

Goff B. The application of recent advances in neurophysiology to Miss M. Rood's concept of neuromuscular facilitation. Physiother. 1972;58(12):409.

Metcalfe AB, Lawes N. A modern interpretation of the Rood Approach. Physical Ther Rev. 1998;3(4):195-212.

Coolen AC, Kühn R, Sollich P. Theory of Neural Information Processing Systems. Oxford (UK): Oxford University Press; 2005:3-25.

Grassi C, Passatore M. Action of the sympathetic system on skeletal muscle. Italian J Neurol Sci. 1988;19(1):23-8.

Brauchli P, Rüegg PB, Etzweiler F, Zeier H. Electrocortical and autonomic alteration by administration of a pleasant and an unpleasant odour. Chem Senses. 1995;20(5):505-15.

Sayorwan W, Siripornpanich V, Piriyapunyaporn T, Hongratanaworakit T, Kotchabhakdi N, Ruangrungsi N. The effects of lavender oil inhalation on emotional states, autonomic nervous system, and brain electrical activity. J Med Assoc Thai. 2012;95(4):598-606.

Bensafi M, Rouby C, Farget V, Bertrand B, Vigouroux M, Holley A. Autonomic nervous system responses to odours: the role of pleasantness and arousal. Chem Senses. 2002;27(8):703-9.

Riganello F, Cortese MD, Arcuri F, Quintieri M, Dolce G. How can music influence the autonomic nervous system response in patients with severe disorder of consciousness? Fronti Neurosci. 2015;9(461):1-9.

Yates BJ. Vestibular influences on the autonomic nervous system. Ann New York Acad Sci. 1996;781(1):458-73.

Ross MJ, Guthrie P, Dumont JC. The Impact of Modulated Color Light on the Autonomic Nervous System. Adv Mind-Body Med. 2013;27(4):7-16.

Thelen E. Motor development: A new synthesis. Am Psychologist. 1995 Feb;50(2):79.

Schaechter JD, van Oers CA, Groisser BN, Salles SS, Vangel MG, Moore CI, et al. Increase in sensorimotor cortex response to somatosensory stimulation over subacute poststroke period correlates with motor recovery in hemiparetic patients. Neurorehab Neural Repair. 2012 May;26(4):325-34.

Kunkel CF. Effect of “standing” on spasticity, contracture, and osteoporosis in paralyzed males. Arch Phys Med Rehab. 1993;74:73-8.

Johnson MH., Haan M. Developmental Cognitive Neuroscience: An Introduction. Cambridge: Blackwell Publishers Ltd; 2011:81-119.

Bordoloi K, Deka RS. Scientific reconciliation of the concepts and principles of rood approach. Int J Health Sci Res. 2018;8(9):225-34.

Carey LM, Matyas TA. Training of somatosensory discrimination after stroke. Am J Phys Med Rehabil. 2005;84:428-42.

Chen JC, Lin CH, Wei YC, Hsiao J, Liang CC. Facilitation of motor and balance recovery by thermal intervention for the paretic lower limb of acute stroke: a single-blind randomized clinical trial. Clin Rehabil. 2011;25:823-32.

Ikuno K, Kawaguchi S, Kitabeppu S, Kitaura M, Tokuhisa K, Morimoto S, et al. Effects of peripheral sensory nerve stimulation plus task-oriented training on upper extremity function in patients with subacute stroke: a pilot randomized crossover trial. Clin Rehabil. 2012;26:999-1009.

Sim SM, Oh DW, Chon SC. Immediate effects of somatosensory stimulation on hand function in patients with poststroke hemiparesis: a randomized cross-over trial. Inter J Rehab Res. 2015 Dec 1;38(4):306-12.

Shumway-Cook A, Woollacott MH. Motor Control: Theory and Practical Applications. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2001:26-49.

Apache RG. Systematic application of activity-based intervention in physical education programming for preschool children with disabilities. Palaestra. 1998 Mar 22;14(2):32-8.

Block ME, Davis TD. An activity-based approach to physical education for preschool children with disabilities. Adapted Physical Activity Quarterly. 1996;13(3):230-46.

Apache RG. Activity-based intervention in motor skill development. Perceptual and motor skills. 2005 Jun;100(3_suppl):1011-20.

Da Silva PB, Antunes FN, Graef P, Cechetti F, De Souza Pagnussat A. Strength training associated with task-oriented training to enhance upper-limb motor function in elderly patients with mild impairment after stroke: a randomized controlled trial. Am J Physical Med Rehab. 2015;94(1):11-19.

Lang CE, MacDonald JR, Gnip C. Counting repetitions: an observational study of outpatient therapy for people with hemiparesis post-stroke. J Neurol Physical Ther. 2007;31(1):3-10.

Bütefisch C, Hummelsheim H, Denzler P, Mauritz KH. Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand. J Neurol Sci. 1995;130(1):59-68.