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A follow-up study on the relationship among participation, activity and motor function in survivors of stroke following constraint-induced therapy

ATLER K; MALCOLM M; GREIFE C
DISABIL REHABIL , 2015, vol. 37, n° 1-2, p. 121-128
Doc n°: 174258
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2014.910560
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

The aim of this follow-up study was to examine the relationships among
motor function, activity and participation following constraint-induced therapy (CIT). METHODS:
In this correlational study, 12 individuals who had previously
participated in CIT completed the Fugl Meyer Assessment for the Upper Extremity
and Wolf Motor Function Test (motor assessments), the Motor Activity Log
(activity measure) and the Daily Experiences of Pleasure, Productivity and
Restoration Profile (participation measure). Motor and activity changes over time
were assessed using repeated measures ANOVA and Friedman's tests. Spearman's
correlations were used to examine the associations between the participation
measure and motor and activity measures were analyzed using Spearman's
correlations. RESULTS: No statistically significant correlations were found among
motor and activity scores and the amount of time spent in activity categories
(e.g. self-care, leisure). Yet, moderate to strong correlations were found
between motor assessments and time spent with others versus alone. CONCLUSION:
The lack of significant correlations between motor, activity and participation
measures challenges assumptions that improved motor abilities will translate to
greater participation. Correlations found between motor and activity measures and
the context of participation suggests participation post-stroke is complex, and
survivors of stroke may benefit from rehabilitation practices that encompass more
than motor therapy.

Langue : ANGLAIS

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