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Feasibility of high-repetition, task-specific training for individuals with upper-extremity paresis

WADDELL KJ; BIRKENMEIER RL; MOORE JL; HORNBY TG; LANG C
AM J OCCUP THER , 2014, vol. 68, n° 4, p. 444-453
Doc n°: 169783
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2014.011619
Descripteurs : KB1 - TECHNIQUES D'ERGOTHERAPIE, DD15 - PATHOLOGIE - MEMBRE SUPERIEUR

We investigated the feasibility of delivering an individualized,
progressive, high-repetition upper-extremity (UE) task-specific training protocol
for people with stroke in the inpatient rehabilitation setting. METHOD. Fifteen
patients with UE paresis participated in this study. Task-specific UE training
was scheduled for 60 min/day, 4 days/wk, during occupational therapy for the
duration of a participant's inpatient stay. During each session, participants
were challenged to complete >/=300 repetitions of various tasks. RESULTS.
Participants averaged 289 repetitions/session, spending 47 of 60 min in active
training. Participants improved on impairment and activity level outcome
measures. CONCLUSION. People with stroke in an inpatient setting can achieve
hundreds of repetitions of task-specific training in 1-hr sessions. As expected,
all participants improved on functional outcome measures. Future studies are
needed to determine whether this high-repetition training program results in
better outcomes than current UE interventions.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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