Article

The aim of this study was to evaluate the effectiveness of Cognitive
Sensory Motor Training Therapy (Perfetti's method) vis-a-vis conventional
occupational therapy in the recovery of arm function after acute stroke. DESIGN:
Prospective randomized controlled trial. SETTING: Two rehabilitation centers in
Bangkok, Thailand. SUBJECTS: Forty first-time acute stroke patients without
severe cognitive or language impairment. Intervention: All subjects were randomly
divided into two groups; one was treated using Perfetti's method and the other
using conventional occupational therapy. Each group underwent therapy for 30
minutes, five times a week for four weeks. MAIN MEASURES: The primary variable
was arm function as assessed by the Action Research Arm Test; secondary variables
were the extended Barthel Index and the box and block test score. RESULTS: The
intention-to-treat analysis revealed no statistically significant differences
between the two groups at the end of treatment for any variable. CONCLUSIONS:
There was no evidence of a difference between Cognitive Sensory Motor Training
Therapy of Perfetti's method and conventional occupational therapy with respect
to the restoration of hand and arm function after a stroke.

Langue : ANGLAIS