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Titre : | Matching Task Difficulty to Patient Ability During Task Practice Improves Upper Extremity Motor Skill After Stroke : A Proof-of-Concept Study (2016) |
Auteurs : | Michelle L. Woodbury ; Kelly R. Anderson ; Christian Finetto |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/11, 2016) |
Article en page(s) : | pp. 18631871 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Ergothérapie ; Rééducation et réadaptation |
Mots-clés: | Occupational therapy ; Stroke |
Résumé : |
Objective To test the feasibility of the Fugl-Meyer Assessment of the Upper Extremity keyform, derived from Rasch analysis, as a method for systematically planning and progressing rehabilitation. Design Feasibility study, single group design. Setting University rehabilitation research laboratory. Participants Participants (N=10; mean age, 59.70+9.96y; 24.1+30.54mo poststroke) with ischemic or hemorrhagic stroke >3 months prior, voluntarily shoulder flexion ≥30°, and simultaneous elbow extension ≥20°. Interventions The keyform method defined initial rehabilitation targets (goals) and progressed the rehabilitation program after every third session. Targets were repetitively practiced within the context of client-selected functional tasks not in isolation. Main Outcome Measures Feasibility was defined by subject's pain or fatigue, upper extremity motor function (Wolf Motor Function Test), and movement patterns (kinematics). Assessments were administered pre- and posttreatment and compared using paired t tests. Task-difficulty and patient-ability measures were calculated using Rasch analysis and compared using paired t tests (P<.05> Results Ten participants completed 9 sessions, 200 movement repetitions per session in .05). Conclusions The Fugl-Meyer Assessment of the Upper Extremity keyform is a feasible method to ensure that the difficulty of tasks practiced were well matched to initial and evolving levels of upper extremity motor ability. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316300739 |