Longer versus shorter mental practice sessions for affected upper extremity movement after stroke: a randomized controlled trial.
Longer versus shorter mental practice sessions for affected upper extremity movement after stroke: a randomized controlled trial.
复制标题
DOI：
10.1177/0269215510395793
复制
发表时间：
2011-07
影响因子：
3
通讯作者：
Levine P
中科院分区：
文献类型：
--
作者：
Page SJ;Dunning K;Hermann V;Leonard A;Levine P
评估和比较20、40和60分钟的心理练习（MP）对患侧上肢损伤和功能受限的疗效。多基线设计的随机对照研究。29例慢性卒中受试者，表现出稳定的轻度轻偏瘫。受试者进行30分钟的康复治疗，每周3天，持续10周，并强调在有价值的活动中使用受影响的上肢。在这些会议之后，随机选择的受试者被给予20分钟，40分钟或60分钟的MP录音。分配到对照组的受试者接受与MP组相同的治疗，并在治疗后立即进行录音假干预。Fugl-Meyer（FM）和行动研究手臂测试。在任何人口统计学变量或运动量表上，未发现组间存在的差异。在FM上，MP持续时间显著预测了测试前至测试后的变化（p = 0.05），持续时间增加与FM评分增加较大相关（60分钟持续时间组的评分增加5.4分）。在ARAT中，观察到非显著性趋势（p = 0.78），有利于20分钟给药条件（增加4.5分）。重要的是，无论给药条件如何，接受MP治疗的受试者在FM和ARAT方面的评分变化均显著大于未接受MP治疗的受试者。60分钟的MP似乎最显著地减少受影响的手臂损伤。然而，根据MP持续时间，未观察到受影响手臂功能受限的明确变化模式。结果表明，中风康复方案加强MP呈现更大的功能比治疗的影响。
To evaluate and compare efficacy of 20, 40, and 60-minute mental practice (MP) sessions on affected upper extremity impairment and functional limitation. Randomized controlled study with multiple baseline design. 29 subjects with chronic stroke and exhibiting stable, mild hemiparesis. Subjects were administered 30-minute rehabilitative sessions occurring 3 days/week for 10 weeks, and emphasizing affected upper extremity use during valued activities. Directly after these sessions, randomly selected subjects were administered audiotaped MP for 20, 40, or 60 minutes. Subjects assigned to a control group received the same therapy as MP groups, and an audiotaped sham intervention directly after therapy sessions. The Fugl-Meyer (FM) and Action Research Arm Test. No pre-existing differences were found between groups on any demographic variable or movement scale. On the FM, MP duration significantly predicted pretesting to POST change (p = .05), with increasing duration related to larger FM score increases (5.4 point score increase for the 60 minute duration group). On the ARAT, a non-significant trend was seen (p = 0.78), favoring the 20 minute dosing condition (4.5 point increase). Importantly, regardless of dosing condition, subjects administered MP exhibited markedly larger score changes on both the FM and ARAT than subjects not receiving MP. 60 minutes of MP appears to most significantly reduce affected arm impairment. However, no clear change pattern was seen in affected arm functional limitation according to MP duration. Results suggest that a stroke rehabilitative regimen augmented by MP renders a greater functional impact than therapy only.
登录
查看更多内容
DOI：
10.1097/00004356-198112000-00001
发表时间：
1981-01-01
影响因子：
1.7
作者：
LYLE, RC
通讯作者：
LYLE, RC
影响因子：
8.3
作者：
Page, Stephen J.;Levine, Peter;Khoury, Jane C.
通讯作者：
Khoury, Jane C.
影响因子：
8.3
作者：
Page, Stephen J.;Levine, Peter;Leonard, Anthony
通讯作者：
Leonard, Anthony
影响因子：
6.7
作者：
Hsieh, CL;Hsueh, IP;Lin, PH
通讯作者：
Lin, PH
影响因子：
4.2
作者：
Dobkin, Bruce H.
通讯作者：
Dobkin, Bruce H.