Bibliographic Details
| Title: |
Effects of an intensive, task-specific rehabilitation program for individuals with chronic stroke: a case series. |
| Authors: |
Combs SA (AUTHOR), Kelly SP (AUTHOR), Barton R (AUTHOR), Ivaska M (AUTHOR), Nowak K (AUTHOR) |
| Source: |
Disability & Rehabilitation. May2010, Vol. 32 Issue 8, p669-678. 10p. |
| Abstract: |
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. [ABSTRACT FROM AUTHOR] |
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| Database: |
Psychology and Behavioral Sciences Collection |