Article

We examined the efficacy of a remotely based arm rehabilitation
regimen. A 62-year-old man participated in occupation-based, task-specific
practice of activities of daily living (ADLs) >3 years after stroke. The entire
regimen was administered over the Internet using personal computer-based cameras
and free network meeting software. METHOD: Fugl-Meyer Assessment (FM), Action
Research Arm Test (ARA), and Canadian Occupational Performance Measure (COPM)
were administered before intervention. One week after treatment, FM, ARA, and
COPM were readministered. RESULTS: The participant exhibited reduced impairment
and reduced functional limitation. He also expressed enhanced satisfaction with
his ability to perform ADLs and rated his ADL performance better after
intervention. The participant could now drive using both hands, use eating
utensils, and catch and throw a ball. CONCLUSION: Data suggest feasibility and
efficacy of a remotely based, inexpensive approach using functional electrical
stimulation for affected arm rehabilitation after stroke.

Langue : ANGLAIS