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Titre : | Guided Training Relative to Direct Skill Training for Individuals With Cognitive Impairments After Stroke: A Pilot Randomized Trial (2017) |
Auteurs : | Elizabeth R. Skidmore ; Meryl Butters ; Ellen Whyte |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/4, 2017) |
Article en page(s) : | pp. 673-680 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Cognition ; Rééducation et réadaptation |
Mots-clés: | Activities of daily living ; Stroke |
Résumé : |
Objective To examine the effects of direct skill training and guided training for promoting independence after stroke. Design Single-blind randomized pilot study. Setting Inpatient rehabilitation facility. Participants Participants in inpatient rehabilitation with acute stroke and cognitive impairments (N=43). Interventions Participants were randomized to receive direct skill training (n=22, 10 sessions as adjunct to usual inpatient rehabilitation) or guided training (n=21, same dose). Main Outcome Measure The FIM assessed independence at baseline, rehabilitation discharge, and months 3, 6, and 12. Results Linear mixed models (random intercept, other effects fixed) revealed a significant intervention by time interaction (F4,150=5.11, P<.001 a significant main effect of time p and stroke severity there was no intervention change in fim scores greater for the direct group at rehabilitation discharge size between-group differences d=".28)" guide months difference between groups mean points.> Conclusions Guided training, provided in addition to usual care, offered a small advantage in the recovery of independence, relative to direct skill training. Future studies examining guided training in combination with other potentially potent intervention elements may further advise best practices in rehabilitation for individuals with cognitive impairments after acute stroke. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316312151 |