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Effects of forced use combined with scheduled home exercise program on upper extremity functioning in individuals with hemiparesis

PARK HY; YOO EY; PARK SH; PARK JH; KANG DH; CHUNG BI; JUNG MY
NEUROREHABILITATION , 2012, vol. 31, n° 2, p. 185-195
Doc n°: 160692
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-2012-0788
Descripteurs : AF2 - TROUBLES CIRCULATOIRES CEREBRAUX, DD15 - PATHOLOGIE - MEMBRE SUPERIEUR

The aims of this study were to
1) investigate the effects of forced use combined with scheduled home exercise program compared to forced use only on increasing upper extremity functioning,
2) examine whether increased upper
extremity functioning generalized to activities of daily living (ADL)
functioning, and 3) explore participants' psychosocial functioning. METHODS: A
single-subject A-B-A'-C research design was employed in this study. The intervention consisted of two conditions: forced use only (intervention period
B), and forced use in addtion to scheduled home exercise program (intervention
period C). RESULTS: The results were as follows: 1) Forced use combined with
scheduled home exercise program compared to forced use only allowed individuals
with stroke to take part in exercise programs on their own within their home
setting, ultimately improving their upper extremity functioning.
2) The program's
promotion of performance in ADL tasks have the advantage of keeping participants
focused so that a number of exercises can be maintained throughout the
intervention. 3) Finally, forced use combined with scheduled home exercise
program showed partial effects on improving the participants' psychosocial
functioning. CONCLUSION:
The results of the present study suggest that forced use
combined with scheduled home exercise program compared to forced use only has the
potential to be a cost- and resource-efficient method for intensifying rehabilitation.

Langue : ANGLAIS

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