| Titre : | Pilot Randomized Controlled Trial of Self-Regulation in Promoting Function in Acute Poststroke Patients (2014) |
| Auteurs : | Karen P.Y. Liu ; Chetwyn C.H. Chan |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2014/7, 2014) |
| Article en page(s) : | p. 1262-1267 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Ergothérapie ; Rééducation et réadaptation |
| Mots-clés: | Occupational therapy ; Randomized Controlled Trials as Topic ; Essais contrôlés randomisés comme sujet ; Recovery of function ; Récupération fonctionnelle |
| Résumé : |
Objective To test the efficacy of self-regulation (SR) for promoting task performance and motor and cognitive functions. Design Pilot randomized controlled trial. Setting Rehabilitation unit. Participants Inpatients with acute poststroke (N=44) after a cerebral infarction aged ≥60 years. Interventions Patients were randomly assigned to the SR (n=24) or functional rehabilitation (control; n=20) intervention. The SR intervention consisted of 1 week of therapist-supervised practices of daily tasks using SR of one's own performance (five 1-h sessions). Patients in the control intervention practiced the same daily tasks with a therapist's demonstration and guidance. Main Outcome Measures Performance of tasks, including household and monetary transaction tasks; FIM; Fugl-Meyer Assessment (FMA); and Color Trails Test (CTT). Results The SR group showed significant improvement in all tasks (median difference, 1–2; effect size [r]=.74–.89) versus none (median difference, 0–0.5) in the control group. Results of the FIM (P<.001 r=".87" in the motor subscale p cognitive fma for upper extremity function and lower ctt of sr group improved. outperformed their control counterparts tasks difference fim but not functions.> Conclusions SR appears useful for improving task performance that demands both motor and cognitive abilities by promoting information processing and active learning. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314002585 |
Bibliothèques HE Vinci
