Abstract:
INTRODUCTION:Stroke is the leading cause of disability. A need exists for an effective intervention to enhance upper extremity (UE) motor abilities and activities of daily living (ADL) performance. OBJECTIVE:The objectives of this pilot study were to (1) determine the feasibility of adding Interactive Metronome (IM) to an occupational therapy (OT) program; and (2) determine changes in UE impairments, function, quality of life, and perceived physical performance ability and satisfaction using a combined IM + OT regimen compared with OT alone for adults with chronic stroke. METHODS:This pilot study (n=10) used a 2-group (OT or IM+OT) pretest-posttest design. The intervention involved 60 minutes of IM + OT or OT alone, 3 days a week for 10 weeks. Outcome measures included the UE Fugl-Meyer (impairment), the Arm Motor Ability Test (function), the Box and Block Test (function), Stroke Impact Scale (quality of life), and the Canadian Occupational Performance Measure (perceived performance ability and satisfaction). RESULTS:It was feasible to add IM to OT. The IM+OT group demonstrated decreased impairment and increased quality of life. However, the OT-alone group demonstrated greater gains in function, perceived physical performance ability, and satisfaction. CONCLUSION:These findings suggest that rhythm and timing training using the IM is a feasible intervention to consider as part of therapy treatment. However, IM may fit best for prefunctional treatment, as it seemed to primarily decrease impairment. It may also serve as a supplement before or after treatment in order to maximize rehabilitation potential. Clinical implications and suggestions for future studies are provided.
journal_name
Top Stroke Rehabiljournal_title
Topics in stroke rehabilitationauthors
Hill V,Dunn L,Dunning K,Page SJdoi
10.1310/tsr1806-728subject
Has Abstractpub_date
2011-11-01 00:00:00pages
728-37issue
6eissn
1074-9357issn
1945-5119pii
P2428X8801188231journal_volume
18pub_type
临床试验,杂志文章abstract::The article will explore the use of the term medical necessity as it relates to wheeled mobility. Health insurance will cover a wheelchair if it is determined that it is medically necessary for a particular client. There are many different types of health insurance, and no universal definition of medical necessity. Th...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/564P-FWK1-Q96Y-5AXJ
更新日期:2005-07-01 00:00:00
abstract::The privileging of the substituted judgment standard as the gold standard for surrogate decision making in law and bioethics has constrained the research agenda in end-of-life decision making. The empirical literature is inundated with a plethora of "Newlywed Game" designs, in which potential patients and potential su...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1404-80
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Survivors of stroke have long-term physical and psychological consequences that impact their quality of life. Few interventions are available in the community to address these problems. Yoga, a type of mindfulness-based intervention, is shown to be effective in people with other chronic illnesses and may hav...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1080/10749357.2016.1277481
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Aerobic training can improve cardiorespiratory fitness in individuals after stroke. However, the effects of short-term and long-term detraining are not well known. OBJECTIVE:To determine the effects of short-term (1-month) and long-term (6-month) detraining on cardiorespiratory fitness (VO2peak) of individu...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1816074
更新日期:2020-09-03 00:00:00
abstract:OBJECTIVE:This study investigated whether or not individuals with ataxia from stroke improve their upper extremity motor function with intense motor practice. METHOD:Three individuals with ataxia from chronic stroke completed modified constraint-induced movement therapy (CIMT) protocols. Stroke Participants 1 and 2 co...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1503-262
更新日期:2008-05-01 00:00:00
abstract::Intrathecal baclofen (ITB) therapy is a widely recognized management technique for severe, disabling spasticity in individuals with cerebral palsy and spinal and brain injuries. Its utility in the stroke population has only been recognized recently. Unlike the aforementioned patient populations, many stroke survivors ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/14PN-TV5C-AYUB-NDP2
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Relatives of stroke patients should be an integral part of the continuum of rehabilitation services. OBJECTIVE:The objective was to describe their perception of the quality of the services they received in the context of early supported discharged (ESD), in- and out-patient rehabilitation services. METHODS...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1790731
更新日期:2021-03-01 00:00:00
abstract::Background Post-stroke fatigue is common and disabling. Objectives The aim of NotFAST was to examine factors associated with fatigue in stroke survivors without depression, six months after stroke. Methods Participants were recruited from four UK stroke units. Those with high levels of depressive symptoms (score ≥7 on...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2017.1368912
更新日期:2017-12-01 00:00:00
abstract:PURPOSE:This study evaluated the impact of an educational intervention that integrates concepts of a community re-engagement framework (CR) and interprofessional collaboration (IPC) on health care providers' (HCP) practice with persons living with stroke (PLS). METHOD:A mixed-methods design was used in which HCPs (n =...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1310/tsr1901-63
更新日期:2012-01-01 00:00:00
abstract::Venous thromboembolism (VTE) is a common complication following acute ischemic and hemorrhagic stroke. Pulmonary embolism (PE), the most serious consequence of deep vein thrombosis (DVT), can result in significant morbidity and death. Patients with stroke are at particular risk because of limb paralysis, prolonged bed...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,评审
doi:10.1310/54NU-U4CP-5KC8-JM9W
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Sufficient physical activity (PA) is highly recommended to improve the prognosis after stroke. However, there have been only a few studies evaluating the changes in PA level after stroke. AIMS:We aimed to identify the changes in PA level between before and after stroke, and to determine the association betw...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1799292
更新日期:2020-07-29 00:00:00
abstract:BACKGROUND:Loss of skeletal muscle mass is one of the main reasons for disability in patients with stroke. However, lower leg muscle wasting has not been studied in acute stroke patients. OBJECTIVE:To investigate the changes in quadriceps muscle thickness in acute non-ambulatory stroke survivors. METHODS:A total of 1...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1179/1945511915Y.0000000002
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Motor imagery practice refers to the mental rehearsal of motor acts in the absence of actual movement production. PURPOSE:To evaluate the effect of motor imagery practice on the performance of sit to stand (STS) and reaching to grasp in subjects with post stroke chronic hemiparesis. METHOD:The study was de...
journal_title:Topics in stroke rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1310/tsr1904-306
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:To identify the percentage of persons with stroke resuming therapy within 4 weeks of inpatient rehabilitation discharge, to compare the characteristics of those who did and did not resume therapy, and to determine the predictors of resuming physical (PT), occupational (OT), and speech (ST) therapy. METHOD:Soci...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1601-80
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:This study describes current stroke care within hospital acute care settings. METHOD:Twenty-two acute care hospital sites in Central South Ontario were mailed a survey exploring the prevalence of stroke admissions, use of protocols and policies, staff resources, stroke-specific training, and available equipmen...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1405-1
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Many people with mild disability after stroke are physically inactive despite the risk of recurrent stroke. A self-management program may be one strategy to increase physical activity in stroke survivors. OBJECTIVES:To investigate the feasibility of a self-management program, and determine whether self-mana...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2017.1304876
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:To evaluate the effects of a hand splint with reflex inhibitory characteristics on balance and functional ambulation activities by means of a randomly allocated controlled study. METHODS:Nineteen chronic stroke patients were randomly allocated to the control (n = 9) and study (n = 10) groups to compare the imm...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1310/tsr1803-231
更新日期:2011-05-01 00:00:00
abstract::Stroke remains a leading cause of disability for older adults. While is it well established in the literature that exercise programs can have significant benefit, many stroke survivors do not receive specific recommendations for exercise or lack the motivation to continue exercising following discharge from rehabilita...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1602-140
更新日期:2009-03-01 00:00:00
abstract::This article proposes to use information processing models of cognition to guide behaviorally based treatments of language deficits, specifically, single-word object naming. Our approach is illustrated with a clinical case of a transcortical sensory aphasic. Clinical neuropsychological and functional imaging data demo...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/K2HJ-YP2C-FMBW-0ME5
更新日期:1997-04-01 00:00:00
abstract:BACKGROUND:Many studies have been conducted on the changes in the balance capabilities of stroke patients. However, results regarding the effects of dual-task activities on postural control in these patients have been variable. OBJECTIVE:To evaluate the effects of a short-term memory task on the sway characteristics o...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1179/1074935714Z.0000000039
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Attention deficits are common post stroke and result in poorer functional outcomes. This study examined the frequency of attention deficits after incident stroke and their correlates. METHOD:Attention of 94 stroke survivors was assessed using the Bells test, Trails Making Test A/B, 2.4- and 2.0-second trial...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1706-463
更新日期:2010-11-01 00:00:00
abstract::Background: Neuropsychiatric symptoms are common after stroke and are distressing symptoms. They may persist after the acute event and negatively impact rehabilitation, functioning, and patients' quality of life. Objectives: To elucidate the prevalence and course of neuropsychiatric symptoms in stroke patients during ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1871283
更新日期:2021-01-10 00:00:00
abstract:BACKGROUND:Stroke is a chronic disease. Standardized assessment is essential in order to determine areas for treatment. Individuals with aphasia are often excluded from research, because it is believed that their language impairments may impact their ability to provide informed consent. Thus, right spatial neglect coul...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2016.1196906
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Most strokes occur in the context of other medical diagnoses. Currently, stroke rehabilitation evidence reviews have not synthesized or presented evidence with a focus on comorbidities and correspondingly may not align with current patient population. The purpose of this review was to determine the extent an...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/10749357.2017.1282412
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:The rehabilitation of patients who are recovering from severe stroke is associated with a substantial use of resources but limited potential for functional improvement. As a result, these individuals are not perceived as being ideal candidates for inpatient stroke rehabilitation. The objective of this review wa...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,评审
doi:10.1310/tsr1902-122
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Inflammation may not only be the consequence of brain infarction but it may also contribute to ischemic damage. However, the role of inflammatory markers in predicting functional outcome in stroke remains controversial. OBJECTIVE:This study was conducted to evaluate the predictive value of admission high-se...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr2006-528
更新日期:2013-11-01 00:00:00
abstract::This article provides the rehabilitation team with some tips concerning how to maximize their chances for successful communication with individuals who have aphasia. These ideas can be applied across the range of settings in which health care is provided. The notions described here can increase the effectiveness of in...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.1996.11754090
更新日期:1996-01-01 00:00:00
abstract::Purpose To use a mixed method design to evaluate how clinicians judge falls in stroke patients as a beneficial event, and to identify patient-specific characteristics associated with beneficial falls. Methods The definition of beneficial falls was based on interviews with six experienced clinicians in stroke rehabilit...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2017.1394631
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:About one-third of adult stroke patients suffer from aphasia when they are discharged from hospital. Aphasia seems to be a negative predictive factor affecting post-stroke functional recovery after rehabilitation, but this association has been scarcely addressed in previous research. OBJECTIVES:We aim to ev...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1818479
更新日期:2020-09-24 00:00:00
abstract:OBJECTIVES:In India, post-stroke outcomes are determined using functional outcome measures (FOMs), the contents of which have not been validated for their relevance to the Indian population. In this study, we aimed to evaluate the cultural validity of five frequently used stroke-specific FOMs by comparing their content...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2016.1234190
更新日期:2017-04-01 00:00:00