[article] 
inAmerican Journal of Occupational Therapy > Vol. 66/6 (novembre-décembre 2012) . - p. 747

Titre :	Behavioral, Neurophysiological, and Descriptive Changes After Occupation-Based Intervention
Type de document :	texte imprimé
Auteurs :	Camille STUBIK-PEPLASKI ; Cheryl CARRICO ; et al. ; Laurel NICHOLS
Année de publication :	2012
Article en page(s) :	p. 747
Langues :	Anglais (eng)
Mots-clés :	Neurophysiologie  Comportement  Récupération  Trouble motricité
Résumé :	OBJECTIVE. We evaluated the effects of occupation-based intervention on poststroke upper-extremity (UE) motor recovery, neuroplastic change, and occupational performance in 1 research participant. METHOD. A 55-yr-old man with chronic stroke and moderately impaired UE motor function participated in 15 sessions of occupation-based intervention in a hospital setting designed to simulate a home environment. We tested behavioral motor function (Fugl-Meyer Assessment, Stroke Impact Scale, Canadian Occupational Performance Measure) and neuroplasticity (transcranial magnetic stimulation [TMS]) at baseline and at completion of intervention. We collected descriptive data on occupational participation throughout the study. RESULTS. All behavioral outcomes indicated clinically relevant improvement. TMS revealed bihemispheric corticomotor reorganization. Descriptive data revealed enhanced occupational performance. CONCLUSION. Occupation-based intervention delivered in a hospital-based, homelike environment can lead to poststroke neuroplastic change, increased functional use of the affected UE, and improved occupational performance.
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[article] Behavioral, Neurophysiological, and Descriptive Changes After Occupation-Based Intervention [texte imprimé] / Camille STUBIK-PEPLASKI ; Cheryl CARRICO ; et al. ; Laurel NICHOLS . - 2012 . - p. 747.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 66/6 (novembre-décembre 2012) . - p. 747

Mots-clés :	Neurophysiologie  Comportement  Récupération  Trouble motricité
Résumé :	OBJECTIVE. We evaluated the effects of occupation-based intervention on poststroke upper-extremity (UE) motor recovery, neuroplastic change, and occupational performance in 1 research participant. METHOD. A 55-yr-old man with chronic stroke and moderately impaired UE motor function participated in 15 sessions of occupation-based intervention in a hospital setting designed to simulate a home environment. We tested behavioral motor function (Fugl-Meyer Assessment, Stroke Impact Scale, Canadian Occupational Performance Measure) and neuroplasticity (transcranial magnetic stimulation [TMS]) at baseline and at completion of intervention. We collected descriptive data on occupational participation throughout the study. RESULTS. All behavioral outcomes indicated clinically relevant improvement. TMS revealed bihemispheric corticomotor reorganization. Descriptive data revealed enhanced occupational performance. CONCLUSION. Occupation-based intervention delivered in a hospital-based, homelike environment can lead to poststroke neuroplastic change, increased functional use of the affected UE, and improved occupational performance.
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