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Long-term rehabilitation for chronic stroke arm movements: a randomized controlled trial
Citation
Cauraugh, JH and Naik, SK and Lodha, N and Coombes, SA and Summers, JJ, Long-term rehabilitation for chronic stroke arm movements: a randomized controlled trial, Clinical Rehabilitation, 25, (12) pp. 1086-1096. ISSN 0269-2155 (2011) [Refereed Article]
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Copyright Statement
Copyright © 2011 SAGE Publications
DOI: doi:10.1177/0269215511410580
Abstract
Objective: We investigated the effect of long-term practice on motor improvements in chronic stroke
patients.
Design: Randomized parallel group controlled study.
Setting: Motor Behavior Laboratory, University of Florida.
Subjects: Eighteen individuals who experienced a stroke more than nine months prior to enrolling.
Interventions: The treatment interventions were bilateral arm movements coupled with active neuromuscular
stimulation on the impaired arm for both practice duration groups. The short-term group
received one treatment protocol, whereas, over 16 months, the long-term practice group completed
10 treatment protocols. All protocol sessions were 6 hours long (90 minutes 1 day/week/4 weeks) and
were separated by 22 days.
Main outcome measures: Repeated data collection on three primary outcome measures (i.e. Box and
Block test, fractionated reaction times, and sustained force production) evaluated motor capabilities
across rehabilitation times.
Results: Mixed design ANOVAs (GroupRetention Test: 24; GroupRetention TestArm
Condition: 242) revealed improved motor capabilities for the long-term practice duration group
on each primary measure. At the 16-month delayed retention test, when compared to the short-term
group, the long-term group demonstrated: (a) more blocks moved (43 v 32), (b) faster premotor reaction
times (158 v 208 ms), and (c) higher force production (75 v 45 N).
Conclusion: Sixty hours of rehabilitation over 16 months provided by various bilateral arm movements
and coupled active stimulation improved motor capabilities in chronic stroke.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | Chronic stroke, motor recovery, upper extremity rehabilitation, bilateral movements and active |
| Research Division: | Psychology and Cognitive Sciences |
| Research Group: | Psychology |
| Research Field: | Sensory Processes, Perception and Performance |
| Objective Division: | Health |
| Objective Group: | Clinical Health (Organs, Diseases and Abnormal Conditions) |
| Objective Field: | Nervous System and Disorders |
| Author: | Summers, JJ (Professor Jeffery Summers) |
| ID Code: | 74949 |
| Year Published: | 2011 |
| Web of Science® Times Cited: | 8 |
| Deposited By: | Psychology |
| Deposited On: | 2011-12-16 |
| Last Modified: | 2014-12-18 |
| Downloads: | 1 View Download Statistics |
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