Exploring expectations for upper-extremity motor treatment in people after stroke / Eliza M. PRAGER in American Journal of Occupational Therapy, Vol. 65/4 (juillet-août 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/4 (juillet-août 2011) . - p. 437-444 Titre : Exploring expectations for upper-extremity motor treatment in people after stroke : a secondary analysis Type de document : texte imprimé Auteurs : Eliza M. PRAGER ; Rebecca L. BIRKENMEIER ; Catherine E. LANG Année de publication : 2011 Article en page(s) : p. 437-444 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Motricité  Traitement Résumé : OBJECTIVE. We explored expectations for outcomes during a research intervention for people with stroke. METHOD. Twelve people with chronic stroke participated in this secondary analysis from a pilot trial of a high-repetition, task-specific, upper-extremity intervention. First, we examined relationships between individual expectancy and session-by-session achievement of high numbers of repetitions. Second, we examined the relationship between expectancy for the intervention as a whole and improvements in upper-extremity motor function. We used Spearman rank-order correlation coefficients to evaluate the relationships. RESULTS. Correlations between individual expectancy and session-by-session achievement ranged from 0 to .84. Expectancy for improvement from the intervention was good (average = 7 of 10) but had a low correlation (.17) with actual improvement. CONCLUSION. Individual expectancy ratings were inconsistently related to session-by-session achievement. Expectancy for the invention as a whole was not related to improvement in upper-extremity motor function. Permalink : ./index.php?lvl=notice_display&id=14102 [article] Exploring expectations for upper-extremity motor treatment in people after stroke : a secondary analysis [texte imprimé] / Eliza M. PRAGER ; Rebecca L. BIRKENMEIER ; Catherine E. LANG . - 2011 . - p. 437-444. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/4 (juillet-août 2011) . - p. 437-444 Mots-clés : Accident cérébrovasculaire  Motricité  Traitement Résumé : OBJECTIVE. We explored expectations for outcomes during a research intervention for people with stroke. METHOD. Twelve people with chronic stroke participated in this secondary analysis from a pilot trial of a high-repetition, task-specific, upper-extremity intervention. First, we examined relationships between individual expectancy and session-by-session achievement of high numbers of repetitions. Second, we examined the relationship between expectancy for the intervention as a whole and improvements in upper-extremity motor function. We used Spearman rank-order correlation coefficients to evaluate the relationships. RESULTS. Correlations between individual expectancy and session-by-session achievement ranged from 0 to .84. Expectancy for improvement from the intervention was good (average = 7 of 10) but had a low correlation (.17) with actual improvement. CONCLUSION. Individual expectancy ratings were inconsistently related to session-by-session achievement. Expectancy for the invention as a whole was not related to improvement in upper-extremity motor function. Permalink : ./index.php?lvl=notice_display&id=14102

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Feasibility of High-Repetition, Task-Specific Training for Individuals With Upper-Extremity Paresis / Kimberly J. WADDEL in American Journal of Occupational Therapy, Vol. 68/4 (juillet - août 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 444-453 Titre : Feasibility of High-Repetition, Task-Specific Training for Individuals With Upper-Extremity Paresis Type de document : texte imprimé Auteurs : Kimberly J. WADDEL ; et al. ; Jennifer L. MOORE ; Rebecca L. BIRKENMEIER Année de publication : 2014 Article en page(s) : p. 444-453 Langues : Anglais (eng) Mots-clés : Parésie  Membre supérieur Résumé : OBJECTIVE. We investigated the feasibility of delivering an individualized, progressive, high-repetition upper-extremity (UE) task-specific training protocol for people with stroke in the inpatient rehabilitation setting. METHOD. Fifteen patients with UE paresis participated in this study. Task-specific UE training was scheduled for 60 min/day, 4 days/wk, during occupational therapy for the duration of a participant’s inpatient stay. During each session, participants were challenged to complete ≥300 repetitions of various tasks. RESULTS. Participants averaged 289 repetitions/session, spending 47 of 60 min in active training. Participants improved on impairment and activity level outcome measures. CONCLUSION. People with stroke in an inpatient setting can achieve hundreds of repetitions of task-specific training in 1-hr sessions. As expected, all participants improved on functional outcome measures. Future studies are needed to determine whether this high-repetition training program results in better outcomes than current UE interventions. Permalink : ./index.php?lvl=notice_display&id=34421 [article] Feasibility of High-Repetition, Task-Specific Training for Individuals With Upper-Extremity Paresis [texte imprimé] / Kimberly J. WADDEL ; et al. ; Jennifer L. MOORE ; Rebecca L. BIRKENMEIER . - 2014 . - p. 444-453. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 444-453 Mots-clés : Parésie  Membre supérieur Résumé : OBJECTIVE. We investigated the feasibility of delivering an individualized, progressive, high-repetition upper-extremity (UE) task-specific training protocol for people with stroke in the inpatient rehabilitation setting. METHOD. Fifteen patients with UE paresis participated in this study. Task-specific UE training was scheduled for 60 min/day, 4 days/wk, during occupational therapy for the duration of a participant’s inpatient stay. During each session, participants were challenged to complete ≥300 repetitions of various tasks. RESULTS. Participants averaged 289 repetitions/session, spending 47 of 60 min in active training. Participants improved on impairment and activity level outcome measures. CONCLUSION. People with stroke in an inpatient setting can achieve hundreds of repetitions of task-specific training in 1-hr sessions. As expected, all participants improved on functional outcome measures. Future studies are needed to determine whether this high-repetition training program results in better outcomes than current UE interventions. Permalink : ./index.php?lvl=notice_display&id=34421

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