Mental Practice–Triggered Electrical Stimulation in Chronic, Moderate, Upper-Extremity Hemiparesis After Stroke / Stephen J. PAGE 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 : Mental Practice–Triggered Electrical Stimulation in Chronic, Moderate, Upper-Extremity Hemiparesis After Stroke Type de document : texte imprimé Auteurs : Stephen J. PAGE ; P. Levine ; Valerie HILL Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Bras  Stimulation électrique fonctionnelle  Hémiplégie Résumé : OBJECTIVE. To determine the feasibility and impact of home-based, mental practice–triggered electrical stimulation among stroke survivors exhibiting moderate upper-extremity (UE) impairment. METHOD. Five participants with moderate, stable UE hemiparesis were administered the Fugl-Meyer Assessment, the Box and Block Test, and the Activities of Daily Living, Hand Function, and overall recovery domains of the Stroke Impact Scale (Version 3). They were then administered an 8-wk regimen consisting of 1 hr of mental practice–triggered electrical stimulation every weekday in their home. At the end of every 2 wk, participants attended supervised stimulation to progress therapeutic exercises and stimulation levels and monitor compliance. RESULTS. Six instances of device noncompliance were reported. Participants exhibited reduced UE motor impairment and increased UE dexterity and participation in valued activities. CONCLUSION. The regimen appears feasible and had a substantial impact on UE impairment, dexterity, and participation in valued activities as well as perceptions of recovery. Permalink : ./index.php?lvl=notice_display&id=35336 [article] Mental Practice–Triggered Electrical Stimulation in Chronic, Moderate, Upper-Extremity Hemiparesis After Stroke [texte imprimé] / Stephen J. PAGE ; P. Levine ; Valerie HILL . - 2015. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Mots-clés : Accident cérébrovasculaire  Bras  Stimulation électrique fonctionnelle  Hémiplégie Résumé : OBJECTIVE. To determine the feasibility and impact of home-based, mental practice–triggered electrical stimulation among stroke survivors exhibiting moderate upper-extremity (UE) impairment. METHOD. Five participants with moderate, stable UE hemiparesis were administered the Fugl-Meyer Assessment, the Box and Block Test, and the Activities of Daily Living, Hand Function, and overall recovery domains of the Stroke Impact Scale (Version 3). They were then administered an 8-wk regimen consisting of 1 hr of mental practice–triggered electrical stimulation every weekday in their home. At the end of every 2 wk, participants attended supervised stimulation to progress therapeutic exercises and stimulation levels and monitor compliance. RESULTS. Six instances of device noncompliance were reported. Participants exhibited reduced UE motor impairment and increased UE dexterity and participation in valued activities. CONCLUSION. The regimen appears feasible and had a substantial impact on UE impairment, dexterity, and participation in valued activities as well as perceptions of recovery. Permalink : ./index.php?lvl=notice_display&id=35336

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Minimal depression / Lindy L. WEAVER in American Journal of Occupational Therapy, Vol. 67/5 (septembre-octobre 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.550-555 Titre : Minimal depression : how does it relate to upper-extremity impairment and function in stroke ? Type de document : texte imprimé Auteurs : Lindy L. WEAVER ; Lynne SHEFFLER ; Stephen J. PAGE ; et al. Année de publication : 2013 Article en page(s) : p.550-555 Langues : Anglais (eng) Mots-clés : Etat dépressif  Motricité  Accident cérébrovasculaire  Membre supérieur Résumé : OBJECTIVE. We sought to determine the association between minimal depression, upper-extremity (UE) impairment, and UE motor function in a cohort of participants with subacute stroke. METHOD. We conducted a retrospective, secondary analysis of an interventional study. Correlational analyses were performed using the following outcome measures: the UE section of the Fugl-Meyer Assessment (FM), the functional ability section of the Arm Motor Ability Test (AMAT), and the Beck Depression Inventory (BDI-II). RESULTS. We found a negative correlation between BDI-II and both the FM (-.120, p = .196) and the AMAT (-.110, p = .275); however, this correlation was not statistically significant. Women exhibited higher depression scores (8.75 + 0.78) than men (6.29 + 0.46; p = .008). CONCLUSION. Low levels of depression are not associated with UE motor impairment and function in people with minimal to moderate UE disability levels. Poststroke depression occurs more frequently in women, warranting additional research on sex-specific differences. Given the proliferation of UE therapies targeting this group, this information is important for effective therapy planning and implementation. Permalink : ./index.php?lvl=notice_display&id=14147 [article] Minimal depression : how does it relate to upper-extremity impairment and function in stroke ? [texte imprimé] / Lindy L. WEAVER ; Lynne SHEFFLER ; Stephen J. PAGE ; et al. . - 2013 . - p.550-555. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.550-555 Mots-clés : Etat dépressif  Motricité  Accident cérébrovasculaire  Membre supérieur Résumé : OBJECTIVE. We sought to determine the association between minimal depression, upper-extremity (UE) impairment, and UE motor function in a cohort of participants with subacute stroke. METHOD. We conducted a retrospective, secondary analysis of an interventional study. Correlational analyses were performed using the following outcome measures: the UE section of the Fugl-Meyer Assessment (FM), the functional ability section of the Arm Motor Ability Test (AMAT), and the Beck Depression Inventory (BDI-II). RESULTS. We found a negative correlation between BDI-II and both the FM (-.120, p = .196) and the AMAT (-.110, p = .275); however, this correlation was not statistically significant. Women exhibited higher depression scores (8.75 + 0.78) than men (6.29 + 0.46; p = .008). CONCLUSION. Low levels of depression are not associated with UE motor impairment and function in people with minimal to moderate UE disability levels. Poststroke depression occurs more frequently in women, warranting additional research on sex-specific differences. Given the proliferation of UE therapies targeting this group, this information is important for effective therapy planning and implementation. Permalink : ./index.php?lvl=notice_display&id=14147

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Réserve	Consultable sur demande auprès des documentalistes Exclu du prêt

Protocol development, treatment fidelity, adherence to treatment, and quality control / Andrew C. PERSCH in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 146-153 Titre : Protocol development, treatment fidelity, adherence to treatment, and quality control Type de document : texte imprimé Auteurs : Andrew C. PERSCH ; Stephen J. PAGE Année de publication : 2013 Article en page(s) : p. 146-153 Langues : Anglais (eng) Mots-clés : Protocole thérapeutique  Recherche médicale  Qualité  Observance thérapeutique Résumé : Occupational therapy leaders have emphasized the importance of intervention effectiveness research. The CONSORT and TREND checklists have been suggested as useful tools for reporting the results of randomized and nonrandomized studies, respectively. Despite such recommendations, research protocols and reports continue to underutilize the available tools, a situation reflecting limited resources for and experience with the conduct of effectiveness research. To address this issue, and using the CONSORT statement to structure the analysis, this article discusses strategies for optimization of protocol development, treatment fidelity, adherence to treatment, and quality control. We recommend several approaches to increase the quality of research throughout these various processes. Examples of implementation from our laboratory provide evidence of the utility of these strategies. Permalink : ./index.php?lvl=notice_display&id=14200 [article] Protocol development, treatment fidelity, adherence to treatment, and quality control [texte imprimé] / Andrew C. PERSCH ; Stephen J. PAGE . - 2013 . - p. 146-153. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 146-153 Mots-clés : Protocole thérapeutique  Recherche médicale  Qualité  Observance thérapeutique Résumé : Occupational therapy leaders have emphasized the importance of intervention effectiveness research. The CONSORT and TREND checklists have been suggested as useful tools for reporting the results of randomized and nonrandomized studies, respectively. Despite such recommendations, research protocols and reports continue to underutilize the available tools, a situation reflecting limited resources for and experience with the conduct of effectiveness research. To address this issue, and using the CONSORT statement to structure the analysis, this article discusses strategies for optimization of protocol development, treatment fidelity, adherence to treatment, and quality control. We recommend several approaches to increase the quality of research throughout these various processes. Examples of implementation from our laboratory provide evidence of the utility of these strategies. Permalink : ./index.php?lvl=notice_display&id=14200

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Réserve	Consultable sur demande auprès des documentalistes Exclu du prêt

Recruitment, retention, and blinding in clinical trials / Stephen J. PAGE in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 154-161 Titre : Recruitment, retention, and blinding in clinical trials Type de document : texte imprimé Auteurs : Stephen J. PAGE ; Andrew C. PERSCH Année de publication : 2013 Article en page(s) : p. 154-161 Langues : Anglais (eng) Mots-clés : Essai thérapeutique  Critère sélection  Malade Résumé : The recruitment and retention of participants and the blinding of participants, health care providers, and data collectors present challenges for clinical trial investigators. This article reviews challenges and alternative strategies associated with these three important clinical trial activities. Common recruiting pitfalls, including low sample size, unfriendly study designs, suboptimal testing locations, and untimely recruitment are discussed together with strategies for overcoming these barriers. The use of active controls, technology-supported visit reminders, and up-front scheduling is recommended to prevent attrition and maximize retention of participants. Blinding is conceptualized as the process of concealing research design elements from key players in the research process. Strategies for blinding participants, health care providers, and data collectors are suggested. Permalink : ./index.php?lvl=notice_display&id=14211 [article] Recruitment, retention, and blinding in clinical trials [texte imprimé] / Stephen J. PAGE ; Andrew C. PERSCH . - 2013 . - p. 154-161. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 154-161 Mots-clés : Essai thérapeutique  Critère sélection  Malade Résumé : The recruitment and retention of participants and the blinding of participants, health care providers, and data collectors present challenges for clinical trial investigators. This article reviews challenges and alternative strategies associated with these three important clinical trial activities. Common recruiting pitfalls, including low sample size, unfriendly study designs, suboptimal testing locations, and untimely recruitment are discussed together with strategies for overcoming these barriers. The use of active controls, technology-supported visit reminders, and up-front scheduling is recommended to prevent attrition and maximize retention of participants. Blinding is conceptualized as the process of concealing research design elements from key players in the research process. Strategies for blinding participants, health care providers, and data collectors are suggested. Permalink : ./index.php?lvl=notice_display&id=14211

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Réserve	Consultable sur demande auprès des documentalistes Exclu du prêt

---

1 (1 - 4 / 4)