Effects of an intensive, task-specific rehabilitation program for individuals with chronic stroke: A case series

被引:33
作者
Combs, Stephanie A. [1 ,2 ]
Kelly, Stephanie P. [1 ]
Barton, Rebecca [3 ]
Ivaska, Megan [1 ]
Nowak, Kara [1 ]
机构
[1] Univ Indianapolis, Krannert Sch Phys Therapy, Indianapolis, IN 46227 USA
[2] Western Michigan Univ, Interdisciplinary Hlth Sci PhD Program, Kalamazoo, MI 49008 USA
[3] Univ Indianapolis, Sch Occupat Therapy, Indianapolis, IN 46227 USA
关键词
Chronic stroke; intense; task-specific; rehabilitation; client-centred; OCCUPATIONAL-PERFORMANCE-MEASURE; UPPER EXTREMITY FUNCTION; MOTOR-FUNCTION-TEST; INDUCED MOVEMENT THERAPY; BODY-WEIGHT SUPPORT; OUTCOME MEASURE; OLDER-ADULTS; RELIABILITY; IMPACT; GAIT;
D O I
10.3109/09638280903242716
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose. The purpose of this case series was to determine feasibility and evaluate changes in activity and participation outcomes in persons with chronic stroke after an intensive, task-specific rehabilitation program incorporating whole-body and client-centred interventions. Method. Participants with chronic stroke (N = 12) who were ambulatory and had at least minimal arm/hand function were recruited. The program included whole-body goal-focused activities, gait training and strengthening exercises for 4 h, 5 days per week for 2 weeks. Daily educational sessions and a home activities program were also included. Activity-based measures including the Wolf motor function test, Berg balance scale, timed up and go test and 6-min walk test and participation-based measures including the Stroke Impact Scale and Canadian Occupational Performance Measure were collected at pre-test, immediate post-test and 5-month retention. Results. The effect of the intervention on participation-based outcomes was much greater than on the activity-based outcomes. Minimal detectable differences in self-perceived participation were reported for most participants. Conclusions. The intensive, task-specific intervention was a feasible program for these participants with stroke. Although minimal changes in activity-based outcomes were found, the participants perceived improvements in participation with personal goal-related activities that resulted in large effect sizes that were maintained for 5-months after the intervention.
引用
收藏
页码:669 / 678
页数:10
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