Research Article

Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo

Volume: 2 Number: 3 September 1, 2018
TR EN

Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo

Abstract

Aim: Stroke is a major cause of disability. As a result of rehabilitation, 80% of hemiplegic patients recover in particular, whereas only 28% to 57% recover the grip. Aim of this study is to evaluate the effects of induced stress therapy on motor and functional recovery of the hemiplegic upper limb, to compare the pace of recovery and upper limb autonomy between hemiplegics subjected to induced stress therapy and not subject to induced stress therapy and evaluate the impact of this therapy in the prevention of upper limb neuromuscular complications and disorders.

Methods: This is an interventional study conducted in 30 hemiplegic vascular patients followed at the University Clinics of Kinshasa and at the General Reference Hospital of Kinshasa for 6 months. The pace of recovery was evaluated by the motor index of Demeurisse. We used Pearson's chi - square to compare the results. The significance level was considered for the value of p≤0.05.

Results: The mean age of these patients was 57.5 ± 10.5 years, with a male predominance (63.3%). The majority of these patients were civil servants (23.3%), traders (16.7%) and teachers (16.7%), trades making frequent use of the upper limb. After 6 months of re-education, there was no significant increase in tone in patients undergoing stress-induced therapy (p = 0.34), whereas, for the comparison group, the increase in tone was very significant (p = 0.01); a very significant improvement in motor function (p = 0.000) was observed for the group of induced stress therapy, and significant (p = 0.05) for the comparison group. The progression of pain was good for the group of induced stress therapy (p = 0.02), and negative for patients not subjected to induced stress therapy (p = 0.5).

Conclusion: In the course of this study, it was found that induced stress therapy is effective in the functional recovery and prevention of neuro-motor disorders of the upper limb of the vascular hemiplegic.

Keywords

References

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Details

Primary Language

English

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Teddy Bofosa *
Congo, Democratic Republic of

Eric Kam
Congo, Democratic Republic of

François Njimbu This is me
Congo, Democratic Republic of

Ponce Mpefi This is me

Tharcis Kayembe This is me
Congo, Democratic Republic of

Betty Miangindula This is me
Congo, Democratic Republic of

Publication Date

September 1, 2018

Submission Date

April 24, 2018

Acceptance Date

June 6, 2018

Published in Issue

Year 2018 Volume: 2 Number: 3

APA
Bofosa, T., Kam, E., Njimbu, F., Mpefi, P., Kayembe, T., & Miangindula, B. (2018). Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo. Journal of Surgery and Medicine, 2(3), 239-243. https://doi.org/10.28982/josam.417843
AMA
1.Bofosa T, Kam E, Njimbu F, Mpefi P, Kayembe T, Miangindula B. Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo. J Surg Med. 2018;2(3):239-243. doi:10.28982/josam.417843
Chicago
Bofosa, Teddy, Eric Kam, François Njimbu, Ponce Mpefi, Tharcis Kayembe, and Betty Miangindula. 2018. “Impact of a Program of Induced Stress Therapy on the Motor and Functional Recovery of the Upper Limb of Hemiplegic Patients in Kinshasa, Democratic Republic of Congo”. Journal of Surgery and Medicine 2 (3): 239-43. https://doi.org/10.28982/josam.417843.
EndNote
Bofosa T, Kam E, Njimbu F, Mpefi P, Kayembe T, Miangindula B (September 1, 2018) Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo. Journal of Surgery and Medicine 2 3 239–243.
IEEE
[1]T. Bofosa, E. Kam, F. Njimbu, P. Mpefi, T. Kayembe, and B. Miangindula, “Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo”, J Surg Med, vol. 2, no. 3, pp. 239–243, Sept. 2018, doi: 10.28982/josam.417843.
ISNAD
Bofosa, Teddy - Kam, Eric - Njimbu, François - Mpefi, Ponce - Kayembe, Tharcis - Miangindula, Betty. “Impact of a Program of Induced Stress Therapy on the Motor and Functional Recovery of the Upper Limb of Hemiplegic Patients in Kinshasa, Democratic Republic of Congo”. Journal of Surgery and Medicine 2/3 (September 1, 2018): 239-243. https://doi.org/10.28982/josam.417843.
JAMA
1.Bofosa T, Kam E, Njimbu F, Mpefi P, Kayembe T, Miangindula B. Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo. J Surg Med. 2018;2:239–243.
MLA
Bofosa, Teddy, et al. “Impact of a Program of Induced Stress Therapy on the Motor and Functional Recovery of the Upper Limb of Hemiplegic Patients in Kinshasa, Democratic Republic of Congo”. Journal of Surgery and Medicine, vol. 2, no. 3, Sept. 2018, pp. 239-43, doi:10.28982/josam.417843.
Vancouver
1.Teddy Bofosa, Eric Kam, François Njimbu, Ponce Mpefi, Tharcis Kayembe, Betty Miangindula. Impact of a program of induced stress therapy on the motor and functional recovery of the upper limb of hemiplegic patients in Kinshasa, Democratic Republic of Congo. J Surg Med. 2018 Sep. 1;2(3):239-43. doi:10.28982/josam.417843