[article] 
inAmerican Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 161-168

Titre :	Improved function after combined physical and mental practice after stroke : a case of hemiparesis and apraxia
Type de document :	texte imprimé
Auteurs :	Andy J. WU ; Brenda HANNA-PLADDY ; Jeff D. Radel
Année de publication :	2011
Article en page(s) :	p. 161-168
Langues :	Anglais (eng)
Mots-clés :	Activités vie quotidienne  Apraxie  Accident cérébrovasculaire  Activité intellectuelle  Parésie  Activité physique
Résumé :	This study describes change in functional performance and self-perception after participation in combined training with physical practice followed by mental practice. The patient was a 44-yr-old White man who experienced a single left ischemic stroke 7 mo before enrollment in the study. He engaged in physical and mental practice of two functional tasks: (1) reaching for and grasping a cup and (2) turning pages in a book with the more-affected arm. Practice took place 3 times per week during 60-min sessions for 6 consecutive wk. Primary outcome measures were the Arm Motor Ability Test (AMAT) and the Canadian Occupational Performance Measure (COPM). An abbreviated version of the Florida Apraxia Battery gesture-to-verbal command test approximated severity of ideomotor apraxia. After intervention, the patient demonstrated increased functional performance (AMAT) and self-perception of performance (COPM) despite persistent ideomotor apraxia. The results of this single-case report indicate functional benefit from traditional rehabilitation techniques despite comorbid, persisting ideomotor apraxia.
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[article] Improved function after combined physical and mental practice after stroke : a case of hemiparesis and apraxia [texte imprimé] / Andy J. WU ; Brenda HANNA-PLADDY ; Jeff D. Radel . - 2011 . - p. 161-168.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 161-168

Mots-clés :	Activités vie quotidienne  Apraxie  Accident cérébrovasculaire  Activité intellectuelle  Parésie  Activité physique
Résumé :	This study describes change in functional performance and self-perception after participation in combined training with physical practice followed by mental practice. The patient was a 44-yr-old White man who experienced a single left ischemic stroke 7 mo before enrollment in the study. He engaged in physical and mental practice of two functional tasks: (1) reaching for and grasping a cup and (2) turning pages in a book with the more-affected arm. Practice took place 3 times per week during 60-min sessions for 6 consecutive wk. Primary outcome measures were the Arm Motor Ability Test (AMAT) and the Canadian Occupational Performance Measure (COPM). An abbreviated version of the Florida Apraxia Battery gesture-to-verbal command test approximated severity of ideomotor apraxia. After intervention, the patient demonstrated increased functional performance (AMAT) and self-perception of performance (COPM) despite persistent ideomotor apraxia. The results of this single-case report indicate functional benefit from traditional rehabilitation techniques despite comorbid, persisting ideomotor apraxia.
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