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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Predictive ability of 2-Day measurement of active range of motion on 3-Mo upper-extremity motor function in people with poststroke hemiparesis / Eliza M. PRAGER in American Journal of Occupational Therapy, Vol. 66/1 (janvier-février 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/1 (janvier-février 2012) . - p. 35-41 Titre : Predictive ability of 2-Day measurement of active range of motion on 3-Mo upper-extremity motor function in people with poststroke hemiparesis Type de document : texte imprimé Auteurs : Eliza M. PRAGER ; Catherine E. LANG Année de publication : 2012 Article en page(s) : p. 35-41 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Hémiparésie  Motricité Résumé : OBJECTIVE. We determined (1) whether active range of motion (AROM) of shoulder flexion and wrist extension measured at the initial therapy evaluation in the acute hospital predicted upper-extremity (UE) motor function 3 mo after stroke and (2) whether the presence of nonmotor impairments influenced this prediction. METHOD. We collected AROM data from 50 people with stroke during their initial acute hospital therapy evaluation and UE motor function data 3 mo later. Multiple regression techniques determined the predictive ability of initial AROM on later UE motor function. RESULTS. Initial AROM explained 28% of the variance in UE motor function 3 mo poststroke. Nonmotor deficits did not contribute to the variance. CONCLUSION. Compared with later AROM measurements, initial values did not adequately predict UE motor function 3 mo after stroke. Clinicians should use caution when informing clients of UE functional prognosis in the early days after stroke. Permalink : ./index.php?lvl=notice_display&id=14193 [article] Predictive ability of 2-Day measurement of active range of motion on 3-Mo upper-extremity motor function in people with poststroke hemiparesis [texte imprimé] / Eliza M. PRAGER ; Catherine E. LANG . - 2012 . - p. 35-41. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/1 (janvier-février 2012) . - p. 35-41 Mots-clés : Accident cérébrovasculaire  Hémiparésie  Motricité Résumé : OBJECTIVE. We determined (1) whether active range of motion (AROM) of shoulder flexion and wrist extension measured at the initial therapy evaluation in the acute hospital predicted upper-extremity (UE) motor function 3 mo after stroke and (2) whether the presence of nonmotor impairments influenced this prediction. METHOD. We collected AROM data from 50 people with stroke during their initial acute hospital therapy evaluation and UE motor function data 3 mo later. Multiple regression techniques determined the predictive ability of initial AROM on later UE motor function. RESULTS. Initial AROM explained 28% of the variance in UE motor function 3 mo poststroke. Nonmotor deficits did not contribute to the variance. CONCLUSION. Compared with later AROM measurements, initial values did not adequately predict UE motor function 3 mo after stroke. Clinicians should use caution when informing clients of UE functional prognosis in the early days after stroke. Permalink : ./index.php?lvl=notice_display&id=14193

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