Retention of motor changes in chronic stroke survivors who were administered mental practice |
| |
Authors: | Page Stephen J Murray Colleen Hermann Valerie Levine Peter |
| |
Institution: | aDepartment of Rehabilitation Sciences, University of Cincinnati Academic Medical Center, Cincinnati, OH;bDepartment of Physical Medicine and Rehabilitation, University of Cincinnati Academic Medical Center, Cincinnati, OH;cDepartment of Neurosciences, University of Cincinnati Academic Medical Center, Cincinnati, OH;dDepartment of Neurology, University of Cincinnati Academic Medical Center, Cincinnati, OH;eHealth Sciences Program, University of Cincinnati Academic Medical Center, Cincinnati, OH;fNeuromotor Recovery and Rehabilitation Laboratory at Drake Center, Cincinnati, OH |
| |
Abstract: | Page SJ, Murray C, Hermann V, Levine P. Retention of motor changes in chronic stroke survivors who were administered mental practice.ObjectiveTo determine retention of motor changes 3 months after participation in a regimen consisting of mental practice (MP) combined with repetitive task-specific (RTP) practice.DesignProspective, blinded, cohort, pre-post study.SettingOutpatient rehabilitation hospital.ParticipantsIndividuals (N=21) in the chronic stage of stroke (mean age ± SD, 66.1±8.1y; age range, 56–76y; mean time since stroke at study enrollment, 58.7mo; range, 13–129mo) exhibiting mild to moderate impairments of hand function.InterventionsAll individuals had been randomly assigned to receive a 10-week regimen consisting of MP emphasizing paretic upper extremity (UE) use during valued activities. Directly after each of these sessions, subjects were administered audiotaped MP. We assessed this group's paretic UE motor levels before, after, and 3 months after intervention.Main Outcome MeasuresThe UE section of the Fugl-Meyer Assessment of Sensorimotor Impairment (FM), the Action Research Arm Test (ARAT), the Arm Motor Ability Test (AMAT), and the Box and Block Test (BB).ResultsNone of the scores significantly changed from the period directly after intervention to the 3-month posttesting period (FM: t=.817; ARAT: t=.923; AMAT: t=.898, t=.818, and t=.967 for the Functional Ability, Quality of Movement, and Time scales, respectively; BB: t=.892).ConclusionsChanges in paretic UE movement realized through MP combined with RTP (MP + RTP) participation are retained 3 months after the intervention has concluded. This is the first study examining retention of motor changes after MP + RTP participation, and one of only a few studies examining long retention of motor changes after any intervention targeting stroke-induced hemiparesis. |
| |
Keywords: | Hemiplegia Neuronal plasticity Occupational therapy Physical therapy (specialty) Rehabilitation Stroke |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|