Can functional task exercise improve executive function and contribute to functional balance in older adults with mild cognitive impairment? A pilot study / Lawla L.F. Law in The British Journal of Occupational Therapy, Vol.81 Issue 9 (Septembre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 9 (Septembre 2018) . - p. 495-502 Titre : Can functional task exercise improve executive function and contribute to functional balance in older adults with mild cognitive impairment? A pilot study Type de document : texte imprimé Auteurs : Lawla L.F. Law ; Kenneth N.K. Fong ; Matthew K. Yau Année de publication : 2018 Article en page(s) : p. 495-502 Langues : Anglais (eng) Mots-clés : Mild cognitive impairment  functional task exercise  functional balance Résumé : Introduction Individuals with cognitive impairment are more susceptible to falls associated with decreased executive function and balance. This pilot study investigated whether functional task exercise could improve executive function, which might further affect the functional balance in older adults with mild cognitive impairment. Method This was a single-group pre-test/post-test pilot. A total of 43 participants completed a 10-week structured functional task exercise programme, performing simulated functional tasks. Paired-samples t-test was performed to evaluate intervention effects. Associations between variables were examined using Pearson's correlation coefficient. Multiple regression analysis was performed to explore the contribution of cognitive variables to functional balance. Results Significant improvements were shown in general cognitive functions, executive function, functional balance and functional status. All executive function outcomes were significantly associated with functional balance. Everyday problem-solving ability was the only significant cognitive contributor (β = 0.407, p < 0.05) to functional balance after controlling for the confounding factors. Conclusion This pilot showed functional task exercise using simulated functional task as a means of intervention was feasible and was associated with observed improvements in executive function and functional balance in older adults with mild cognitive impairment, whereas everyday problem-solving ability was found to be associated with functional balance. Further well-designed controlled studies are needed to draw more definitive conclusions. Permalink : ./index.php?lvl=notice_display&id=80199 [article] Can functional task exercise improve executive function and contribute to functional balance in older adults with mild cognitive impairment? A pilot study [texte imprimé] / Lawla L.F. Law ; Kenneth N.K. Fong ; Matthew K. Yau . - 2018 . - p. 495-502. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 9 (Septembre 2018) . - p. 495-502 Mots-clés : Mild cognitive impairment  functional task exercise  functional balance Résumé : Introduction Individuals with cognitive impairment are more susceptible to falls associated with decreased executive function and balance. This pilot study investigated whether functional task exercise could improve executive function, which might further affect the functional balance in older adults with mild cognitive impairment. Method This was a single-group pre-test/post-test pilot. A total of 43 participants completed a 10-week structured functional task exercise programme, performing simulated functional tasks. Paired-samples t-test was performed to evaluate intervention effects. Associations between variables were examined using Pearson's correlation coefficient. Multiple regression analysis was performed to explore the contribution of cognitive variables to functional balance. Results Significant improvements were shown in general cognitive functions, executive function, functional balance and functional status. All executive function outcomes were significantly associated with functional balance. Everyday problem-solving ability was the only significant cognitive contributor (β = 0.407, p < 0.05) to functional balance after controlling for the confounding factors. Conclusion This pilot showed functional task exercise using simulated functional task as a means of intervention was feasible and was associated with observed improvements in executive function and functional balance in older adults with mild cognitive impairment, whereas everyday problem-solving ability was found to be associated with functional balance. Further well-designed controlled studies are needed to draw more definitive conclusions. Permalink : ./index.php?lvl=notice_display&id=80199

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Multisensory stimulation to promote upper extremity motor recovery in stroke: A pilot study / Lawla L.F. Law in The British Journal of Occupational Therapy, Vol.81 Issue 11 (Novembre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 641-648 Titre : Multisensory stimulation to promote upper extremity motor recovery in stroke: A pilot study Type de document : texte imprimé Auteurs : Lawla L.F. Law ; Kenneth N.K. Fong ; Ray K.F. Li Année de publication : 2018 Article en page(s) : p. 641-648 Note générale : doi.org/10.1177/0308022618770141 Langues : Anglais (eng) Mots-clés : Multisensory  motor recovery  stroke  upper extremity Résumé : Introduction Occupational therapists have been using various preparatory methods as part of the treatment sessions to prepare clients for occupational performance and participation in occupation. Studies have shown sensory stimulation both activates brain areas inducing cortical reorganization and modulates motor cortical excitability for the stimulated afferents, hence re-establishing the disrupted sensorimotor loop due to stroke. This pilot investigates the potential effects of using multisensory stimulation as a preparatory method prior to conventional training (CT) on upper-extremity motor recovery and self-care function in stroke patients. Method This was a quasi-randomized controlled pilot. Twelve participants (age in years = 67.17 + /−11.29) with upper extremity motor deficits were randomly allocated to multisensory therapy (n = 6) or conventional (n = 6) groups for 12-week training. Assessments were conducted at baseline and post-intervention using Fugl-Meyer Assessment of Motor Recovery after Stroke (FMA), Manual Muscle Testing (MMT), Functional Test for the Hemiplegic Upper Extremity (Hong Kong version FTHUE-HK) and Modified Barthel Index (MBI). Results Significant between-group differences were shown in FMA (p = 0.003), FTHUE-HK (p = 0.028) and MMT (p = 0.034). Conclusion Multisensory stimulation could be used as a preparatory method prior to CT in improving upper extremity motor recovery in stroke rehabilitation. Further well-designed larger scale studies are needed to validate the potential benefits of this application. Permalink : ./index.php?lvl=notice_display&id=80278 [article] Multisensory stimulation to promote upper extremity motor recovery in stroke: A pilot study [texte imprimé] / Lawla L.F. Law ; Kenneth N.K. Fong ; Ray K.F. Li . - 2018 . - p. 641-648. doi.org/10.1177/0308022618770141 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 641-648 Mots-clés : Multisensory  motor recovery  stroke  upper extremity Résumé : Introduction Occupational therapists have been using various preparatory methods as part of the treatment sessions to prepare clients for occupational performance and participation in occupation. Studies have shown sensory stimulation both activates brain areas inducing cortical reorganization and modulates motor cortical excitability for the stimulated afferents, hence re-establishing the disrupted sensorimotor loop due to stroke. This pilot investigates the potential effects of using multisensory stimulation as a preparatory method prior to conventional training (CT) on upper-extremity motor recovery and self-care function in stroke patients. Method This was a quasi-randomized controlled pilot. Twelve participants (age in years = 67.17 + /−11.29) with upper extremity motor deficits were randomly allocated to multisensory therapy (n = 6) or conventional (n = 6) groups for 12-week training. Assessments were conducted at baseline and post-intervention using Fugl-Meyer Assessment of Motor Recovery after Stroke (FMA), Manual Muscle Testing (MMT), Functional Test for the Hemiplegic Upper Extremity (Hong Kong version FTHUE-HK) and Modified Barthel Index (MBI). Results Significant between-group differences were shown in FMA (p = 0.003), FTHUE-HK (p = 0.028) and MMT (p = 0.034). Conclusion Multisensory stimulation could be used as a preparatory method prior to CT in improving upper extremity motor recovery in stroke rehabilitation. Further well-designed larger scale studies are needed to validate the potential benefits of this application. Permalink : ./index.php?lvl=notice_display&id=80278

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