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Titre : | Multimodal Mental Practice Versus Repetitive Task Practice Only to Treat Chronic Stroke : A Randomized Controlled Pilot Study (2021) |
Auteurs : | Stephen J. Page ; Peter G. Levine |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 75, n° 6, November 2021) |
Article en page(s) : | p. 1-8 |
Note générale : | https://doi.org/10.5014/ajot.2021.044925 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Ergothérapie ; Maladie chronique ; Membre supérieur ; Méthodes |
Résumé : | Importance: Occupational therapists are the primary clinicians tasked with management of the more affected upper extremity (UE) after stroke. However, there is a paucity of efficacious, easy-to-use, inexpensive interventions to increase poststroke UE function. Objective: To compare the effect of a multimodal mental practice (MMMP) regimen with a repetitive task practice (RTP)?only regimen on paretic UE functional limitation. Design: Secondary analysis of randomized controlled pilot study data. Setting: Outpatient clinical rehabilitation laboratory. Participants: Eighteen chronic stroke survivors exhibiting moderate, stable UE impairment. Intervention: Participants administered RTP only participated in 45-min, one-on-one occupational therapy sessions 3 times per week for 10 wk; participants administered MMMP completed time-matched UE training sessions consisting of action observation, RTP, and mental practice, delivered in 15-min increments. Outcomes and Measures: The Action Research Arm Test, the UE section of the Fugl-Meyer Scale, and the Hand subscale of the Stroke Impact Scale (Version 3.0) were administered 1 wk before and 1 wk after intervention. Results: The MMMP group exhibited significantly larger (p <.01 increases on all three outcome measures compared with the rtp group and surpassed minimal clinically important difference standards for ue measures. conclusions relevance: because of time-matched duration mmmp findings suggest that may be just as feasible to implement in clinical settings. efforts replicate results this study a large-scale trial are warranted. what article adds: shows efficacy an easy-to-use protocol significantly increased affected arm function even years after stroke. multimodal mental practice stroke survivors more than only.> |
Disponible en ligne : | Oui |
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