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Titre : | Essential Role of Social Context and Self-Efficacy in Daily Paretic Arm/Hand Use After Stroke: An Ecological Momentary Assessment Study With Accelerometry (2023) |
Auteurs : | Yi-An Chen ; Rebecca Lewthwaite ; Nicolas Schweighofer ; John R. Monterosso ; Beth E. Fisher ; Carolee Winstein |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 3, 2023) |
Article en page(s) : | p. 390-402 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accélérométrie ; Accident vasculaire cérébral (AVC) ; Auto-efficacité ; Environnement social ; Évaluation écologique instantanée (EMA) ; Membre supérieur ; Réadaptation |
Résumé : | Objective To determine the momentary effect of social-cognitive factors, in addition to motor capability, on post-stroke paretic arm/hand use in the natural environment. Design A 5-day observational study in which participants were sent 6 Ecological Momentary Assessment (EMA) prompts/day. Setting Participants? daily environment. Participants Community-dwelling, chronic stroke survivors with right-dominant, mild-moderate upper extremity paresis (N=30). Interventions Not applicable. Main Outcome Measures Time duration of bimanual and unimanual paretic arm/hand use indexed by accelerometry; social-cognitive factors (social context, self-efficacy, mood) captured by EMA; motor capability of the paretic limb measured by Fugl-Meyer Upper Extremity Motor Assessment (FM). Results After accounting for participants? motor capability, we found that momentary social context (alone or not) and self-efficacy significantly predicted post-stroke paretic arm/hand use behavior in the natural environment. When participants were not alone, paretic arm/hand movement increased both with and without the less-paretic limb (bimanual and unimanual movements, P=.018 and P<.001 respectively importantly participants were more likely to use their paretic arm if they had greater self-efficacy for limb ema repeated-measures provide a real-time approach that captures the natural dynamic ebb and flow of social-cognitive factors effect on daily use. we also observed people with motor impairments increase unimanual movements when are not alone regardless capability. conclusions in addition capability stroke survivors momentary social context play role behavior. our findings suggest development personalized rehabilitative interventions which target these promote this study highlights benefits information unravel complexities biopsychosocial interface post-stroke upper extremity recovery.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322016057 |