Effect of imagery perspective on occupational performance after stroke / Dawn M. NILSEN in American Journal of Occupational Therapy, Vol. 66/3 (mai-juin 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/3 (mai-juin 2012) . - p. 320-329 Titre : Effect of imagery perspective on occupational performance after stroke : a randomized controlled trial Type de document : texte imprimé Auteurs : Dawn M. NILSEN ; Glen Gillen ; et al. ; Theresa DIRUSSO Année de publication : 2012 Article en page(s) : p. 320-329 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Psychothérapie Résumé : OBJECTIVE. This preliminary study sought to determine whether the imagery perspective used during mental practice (MP) differentially influenced performance outcomes after stroke. METHOD. Nineteen participants with unilateral subacute stroke (9 men and 10 women, ages 28–77) were randomly allocated to one of three groups. All groups received 30-min occupational therapy sessions 2*/wk for 6 wk. Experimental groups received MP training in functional tasks using either an internal or an external perspective; the control group received relaxation imagery training. Participants were pre- and posttested using the Fugl-Meyer Motor Assessment (FMA), the Jebsen–Taylor Test of Hand Function (JTTHF), and the Canadian Occupational Performance Measure (COPM). RESULTS. At posttest, the internal and external experimental groups showed statistically similar improvements on the FMA and JTTHF (p < .05). All groups improved on the COPM (p < .05). CONCLUSION. MP combined with occupational therapy improves upper-extremity recovery after stroke. MP does not appear to enhance self-perception of performance. This preliminary study suggests that imagery perspective may not be an important variable in MP interventions. Permalink : ./index.php?lvl=notice_display&id=14058 [article] Effect of imagery perspective on occupational performance after stroke : a randomized controlled trial [texte imprimé] / Dawn M. NILSEN ; Glen Gillen ; et al. ; Theresa DIRUSSO . - 2012 . - p. 320-329. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/3 (mai-juin 2012) . - p. 320-329 Mots-clés : Accident cérébrovasculaire  Psychothérapie Résumé : OBJECTIVE. This preliminary study sought to determine whether the imagery perspective used during mental practice (MP) differentially influenced performance outcomes after stroke. METHOD. Nineteen participants with unilateral subacute stroke (9 men and 10 women, ages 28–77) were randomly allocated to one of three groups. All groups received 30-min occupational therapy sessions 2*/wk for 6 wk. Experimental groups received MP training in functional tasks using either an internal or an external perspective; the control group received relaxation imagery training. Participants were pre- and posttested using the Fugl-Meyer Motor Assessment (FMA), the Jebsen–Taylor Test of Hand Function (JTTHF), and the Canadian Occupational Performance Measure (COPM). RESULTS. At posttest, the internal and external experimental groups showed statistically similar improvements on the FMA and JTTHF (p < .05). All groups improved on the COPM (p < .05). CONCLUSION. MP combined with occupational therapy improves upper-extremity recovery after stroke. MP does not appear to enhance self-perception of performance. This preliminary study suggests that imagery perspective may not be an important variable in MP interventions. Permalink : ./index.php?lvl=notice_display&id=14058

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Effectiveness of Interventions to Improve Occupational Performance of People With Cognitive Impairments After Stroke / Glen Gillen in American Journal of Occupational Therapy, Vol. 69/1 (janvier-février 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Titre : Effectiveness of Interventions to Improve Occupational Performance of People With Cognitive Impairments After Stroke : An Evidence-Based Review Type de document : texte imprimé Auteurs : Glen Gillen ; et al. ; Jessica ATTRIDGE ; Dawn M. NILSEN Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Trouble apprentissage  Médecine fondée sur les preuves  Performance  Travail Résumé : This evidence-based review was conducted to determine which interventions are effective in improving occupational performance after stroke. Forty-six articles met the inclusion criteria and were examined. Interventions for the following impairments were reviewed: general cognitive deficits, executive dysfunction, apraxia, memory loss, attention deficits, visual field deficits (included because of their close relationship with neglect), and unilateral neglect. Evidence is available from a variety of clinical trials to guide interventions regarding general cognition, apraxia, and neglect. The evidence regarding interventions for executive dysfunction and memory loss is limited. There is insufficient evidence regarding impairments of attention and mixed evidence regarding interventions for visual field deficits. The effective interventions have some commonalities, including being performance focused, involving strategy training, and using a compensatory as opposed to a remediation approach. The implications of the findings for practice, research, and education are discussed. Permalink : ./index.php?lvl=notice_display&id=35329 [article] Effectiveness of Interventions to Improve Occupational Performance of People With Cognitive Impairments After Stroke : An Evidence-Based Review [texte imprimé] / Glen Gillen ; et al. ; Jessica ATTRIDGE ; Dawn M. NILSEN . - 2015. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Mots-clés : Accident cérébrovasculaire  Trouble apprentissage  Médecine fondée sur les preuves  Performance  Travail Résumé : This evidence-based review was conducted to determine which interventions are effective in improving occupational performance after stroke. Forty-six articles met the inclusion criteria and were examined. Interventions for the following impairments were reviewed: general cognitive deficits, executive dysfunction, apraxia, memory loss, attention deficits, visual field deficits (included because of their close relationship with neglect), and unilateral neglect. Evidence is available from a variety of clinical trials to guide interventions regarding general cognition, apraxia, and neglect. The evidence regarding interventions for executive dysfunction and memory loss is limited. There is insufficient evidence regarding impairments of attention and mixed evidence regarding interventions for visual field deficits. The effective interventions have some commonalities, including being performance focused, involving strategy training, and using a compensatory as opposed to a remediation approach. The implications of the findings for practice, research, and education are discussed. Permalink : ./index.php?lvl=notice_display&id=35329

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Effectiveness of Interventions to Improve Occupational Performance of People With Motor Impairments After Stroke / Dawn M. NILSEN in American Journal of Occupational Therapy, Vol. 69/1 (janvier-février 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Titre : Effectiveness of Interventions to Improve Occupational Performance of People With Motor Impairments After Stroke : An Evidence-Based Review Type de document : texte imprimé Auteurs : Dawn M. NILSEN ; et al. ; Daniel GELLER ; Glen Gillen Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Travail  Performance  Travail répétitif  Membre supérieur  Equilibration  Médecine fondée sur les preuves Résumé : We conducted a review to determine the effectiveness of interventions to improve occupational performance in people with motor impairments after stroke as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. One hundred forty-nine studies met inclusion criteria. Findings related to key outcomes from select interventions are presented. Results suggest that a variety of effective interventions are available to improve occupational performance after stroke. Evidence suggests that repetitive task practice, constraint-induced or modified constraint-induced movement therapy, strengthening and exercise, mental practice, virtual reality, mirror therapy, and action observation can improve upper-extremity function, balance and mobility, and/or activity and participation. Commonalities among several of the effective interventions include the use of goal-directed, individualized tasks that promote frequent repetitions of task-related or task-specific movements. Permalink : ./index.php?lvl=notice_display&id=35330 [article] Effectiveness of Interventions to Improve Occupational Performance of People With Motor Impairments After Stroke : An Evidence-Based Review [texte imprimé] / Dawn M. NILSEN ; et al. ; Daniel GELLER ; Glen Gillen . - 2015. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Mots-clés : Accident cérébrovasculaire  Travail  Performance  Travail répétitif  Membre supérieur  Equilibration  Médecine fondée sur les preuves Résumé : We conducted a review to determine the effectiveness of interventions to improve occupational performance in people with motor impairments after stroke as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. One hundred forty-nine studies met inclusion criteria. Findings related to key outcomes from select interventions are presented. Results suggest that a variety of effective interventions are available to improve occupational performance after stroke. Evidence suggests that repetitive task practice, constraint-induced or modified constraint-induced movement therapy, strengthening and exercise, mental practice, virtual reality, mirror therapy, and action observation can improve upper-extremity function, balance and mobility, and/or activity and participation. Commonalities among several of the effective interventions include the use of goal-directed, individualized tasks that promote frequent repetitions of task-related or task-specific movements. Permalink : ./index.php?lvl=notice_display&id=35330

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Occupational Therapy Interventions for Adults With Stroke / Dawn M. NILSEN in American Journal of Occupational Therapy, Vol. 69/5 (Septembre-Octobre 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905395010p1-6905395010p3 Titre : Occupational Therapy Interventions for Adults With Stroke Type de document : texte imprimé Auteurs : Dawn M. NILSEN, Auteur ; Glen Gillen, Auteur ; Marian Arbesman, Auteur Année de publication : 2015 Article en page(s) : p.6905395010p1-6905395010p3 Langues : Anglais (eng) Mots-clés : Adult  cerebrovascular accident  ischemic stroke  arm Résumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice project. The clinical condition discussed in this inaugural Evidence Connection article is adults with stroke. Findings from the systematic reviews on this topic were published in the January/February 2015 issue of the American Journal of Occupational Therapy and in AOTA’s Occupational Therapy Practice Guidelines for Adults With Stroke (Wolf & Nilsen, 2015). Each article in this series will summarize the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical decision making. Permalink : ./index.php?lvl=notice_display&id=40877 [article] Occupational Therapy Interventions for Adults With Stroke [texte imprimé] / Dawn M. NILSEN, Auteur ; Glen Gillen, Auteur ; Marian Arbesman, Auteur . - 2015 . - p.6905395010p1-6905395010p3. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905395010p1-6905395010p3 Mots-clés : Adult  cerebrovascular accident  ischemic stroke  arm Résumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice project. The clinical condition discussed in this inaugural Evidence Connection article is adults with stroke. Findings from the systematic reviews on this topic were published in the January/February 2015 issue of the American Journal of Occupational Therapy and in AOTA’s Occupational Therapy Practice Guidelines for Adults With Stroke (Wolf & Nilsen, 2015). Each article in this series will summarize the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical decision making. Permalink : ./index.php?lvl=notice_display&id=40877

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Use of mental practice to improve upper-limb recovery after stroke / Dawn M. NILSEN in American Journal of Occupational Therapy, Vol. 64/5 (septembre-octobre 2010)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 695-708 Titre : Use of mental practice to improve upper-limb recovery after stroke : a systematic review Type de document : texte imprimé Auteurs : Dawn M. NILSEN ; Glen Gillen ; Andrew M. Gordon Année de publication : 2010 Article en page(s) : p. 695-708 Langues : Anglais (eng) Mots-clés : Récupération  Accident cérébrovasculaire  Représentation Résumé : Objectives We sought to determine whether mental practice is an effective intervention to improve upperlimb recovery after stroke. Method We conducted a systematic review of the literature, searching electronic databases for the years 1985 to February 2009. We selected studies according to specified criteria, rated each study for level of evidence, and summarized study elements. Results Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures. All studies used imagery of tasks involving movement of the impaired limb. The length of the interventions and number of practice hours varied. Results suggest that mental practice combined with physical practice improves upper-limb recovery. Conclusion When added to physical practice, mental practice is an effective intervention. However, generalizations are difficult to make. Further research is warranted to determine who will benefit from training, the dosing needed, the most effective protocols, whether improvements are retained, and whether mental practice affects perceived occupational performance. Permalink : ./index.php?lvl=notice_display&id=14255 [article] Use of mental practice to improve upper-limb recovery after stroke : a systematic review [texte imprimé] / Dawn M. NILSEN ; Glen Gillen ; Andrew M. Gordon . - 2010 . - p. 695-708. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 695-708 Mots-clés : Récupération  Accident cérébrovasculaire  Représentation Résumé : Objectives We sought to determine whether mental practice is an effective intervention to improve upperlimb recovery after stroke. Method We conducted a systematic review of the literature, searching electronic databases for the years 1985 to February 2009. We selected studies according to specified criteria, rated each study for level of evidence, and summarized study elements. Results Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures. All studies used imagery of tasks involving movement of the impaired limb. The length of the interventions and number of practice hours varied. Results suggest that mental practice combined with physical practice improves upper-limb recovery. Conclusion When added to physical practice, mental practice is an effective intervention. However, generalizations are difficult to make. Further research is warranted to determine who will benefit from training, the dosing needed, the most effective protocols, whether improvements are retained, and whether mental practice affects perceived occupational performance. Permalink : ./index.php?lvl=notice_display&id=14255

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Using mirror therapy in the home environment / Dawn M. NILSEN in American Journal of Occupational Therapy, Vol. 68/3 (mai-juin 2014)

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