Enriched, Task-Specific Therapy in the Chronic Phase After Stroke: An Exploratory Study
| العنوان: | Enriched, Task-Specific Therapy in the Chronic Phase After Stroke: An Exploratory Study |
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| المؤلفون: | Sara Vive, Hans-Georg Kuhn, Af Geijerstam Jl, Lina Bunketorp-Käll |
| المصدر: | Journal of Neurologic Physical Therapy |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Health Status, task-specific therapy, Exploratory research, MEDLINE, Physical Therapy, Sports Therapy and Rehabilitation, Walking, recovery of function, rehabilitation, 03 medical and health sciences, Grip strength, Young Adult, 0302 clinical medicine, Physical medicine and rehabilitation, Cognition, Intervention (counseling), medicine, Humans, Stroke, Postural Balance, Physical Therapy Modalities, Research Articles, Balance (ability), Aged, Aged, 80 and over, Environmental enrichment, Hand Strength, business.industry, Stroke Rehabilitation, Middle Aged, medicine.disease, stroke, Treatment Outcome, Berg Balance Scale, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, Female, Neurology (clinical), 0305 other medical science, business, 030217 neurology & neurosurgery, enriched environment |
| الوصف: | Supplemental Digital Content is Available in the Text. Background and Purpose: There is a need to translate promising basic research about environmental enrichment to clinical stroke settings. The aim of this study was to assess the effectiveness of enriched, task-specific therapy in individuals with chronic stroke. Methods: This is an exploratory study with a within-subject, repeated-measures design. The intervention was preceded by a baseline period to determine the stability of the outcome measures. Forty-one participants were enrolled at a mean of 36 months poststroke. The 3-week intervention combined physical therapy with social and cognitive stimulation inherent to environmental enrichment. The primary outcome was motor recovery measured by Modified Motor Assessment Scale (M-MAS). Secondary outcomes included balance, walking, distance walked in 6 minutes, grip strength, dexterity, and multiple dimensions of health. Assessments were made at baseline, immediately before and after the intervention, and at 3 and 6 months. Results: The baseline measures were stable. The 39 participants (95%) who completed the intervention had increases of 2.3 points in the M-MAS UAS and 5 points on the Berg Balance Scale (both P < 0.001; SRM >0.90), an improvement of comfortable and fast gait speed of 0.13 and 0.23 m/s, respectively. (P < 0.001; SRM = 0.88), an increased distance walked over 6 minutes (24.2 m; P < 0.001; SRM = 0.64), and significant improvements in multiple dimensions of health. The improvements were sustained at 6 months. Discussion and Conclusions: Enriched, task-specific therapy may provide durable benefits across a wide spectrum of motor deficits and impairments after stroke. Although the results must be interpreted cautiously, the findings have implications for enriching strategies in stroke rehabilitation. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A304). |
| تدمد: | 1557-0584 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::84b404d900e0cd8d0b317275eded75e3 https://pubmed.ncbi.nlm.nih.gov/32118616 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....84b404d900e0cd8d0b317275eded75e3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15570584 |
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