Task-specific training: evidence for and translation to clinical practice
Task-specific training: evidence for and translation to clinical practice
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DOI：
10.1002/oti.275
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发表时间：
2009-09-01
影响因子：
1.5
通讯作者：
Carey, Leeanne M.
中科院分区：
文献类型：
--
作者：
Hubbard, Isobel J.;Parsons, Mark W.;Carey, Leeanne M.
越来越多的证据表明，任务特定训练作为神经运动干预在神经康复中的价值。证据是建立在运动技能学习的心理学和神经科学中的经验依赖性和学习依赖性的神经可塑性变化在动物和人类的大脑。此外，有越来越多的经验证据表明，任务特定的训练在康复中的有效性和任务导向训练后的神经可塑性变化。在本文中，我们定位的证据，针对特定任务的训练在康复的背景下，审查其相关的职业为基础的神经康复，特别是在上肢功能和日常活动，并建议其应用的证据驱动的战略。我们建议职业治疗师应将特定任务训练作为神经运动干预的一个组成部分，特别是在与卒中后上肢恢复相关的管理中。具体而言，我们提出了五个实施战略的基础上审查的证据。这些是：针对具体任务的培训应与患者/客户和背景相关;随机分配;重复并涉及大量实践;旨在重建整个任务;并通过积极和及时的反馈予以加强。版权所有（C）2009约翰威利父子有限公司
There is mounting evidence of the value of task-specific training as a neuromotor intervention in neurological rehabilitation. The evidence is founded in the psychology of motor skill learning and in the neuroscience of experience-dependent and learning-dependent neural plastic changes in the brain in animals and humans. Further, there is growing empirical evidence for the effectiveness of task-specific training in rehabilitation and for neural plastic changes following task-oriented training. In this paper, we position the evidence for task-specific training in the context of rehabilitation; review its relevance for occupation-based neurological rehabilitation, particularly in relation to upper limb function and everyday activities; and recommend evidence-driven strategies for its application. We recommend that task-specific training be routinely applied by occupational therapists as a component of their neuromotor interventions, particularly in management related to post-stroke upper limb recovery. Specifically, we propose five implementation strategies based on review of the evidence. These are: task-specific training should be relevant to the patient/client and to the context; be randomly assigned; be repetitive and involve massed practice; aim towards reconstruction of the whole task; and be reinforced with positive and timely feedback. Copyright (C) 2009 John Wiley & Sons, Ltd.