Retention of the spacing effect with mental practice in hemiparetic stroke.
Retention of the spacing effect with mental practice in hemiparetic stroke.
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DOI：
10.1007/s00221-016-4686-5
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发表时间：
2016-10
影响因子：
2
通讯作者：
Pang, Juan
中科院分区：
文献类型：
--
作者：
Page, Stephen J.;Hade, Erinn M.;Pang, Juan
心理练习（MP）是身体练习的一种很有前途的辅助手段，它涉及许多与身体练习相同的机制，并具有许多与身体练习相同的特性。本研究比较了“大规模”MP方案与“分布式”MP方案对上肢（UE）运动损伤和功能限制的疗效。27例慢性中风幸存者接受Fugl-Meyer （FM）和行动研究臂测试（ARAT）的UE部分，随后进行标准化的身体练习和MP方案。一组给予“大量”MP（每天一次60分钟MP），第二组给予分散MP（20分钟MP，每天三次）。干预后，分布组受试者FM和ARAT评分的变化显著高于聚集组受试者（FM 3.65, 95% CI 0.82 ~ 6.49， p值= 0.01;ARAT 3.95, 95% CI 1.24 ~ 6.67， p值= 0.006）。同样，在POST 3时，分布组受试者的ARAT评分变化明显更高（ARAT 4.90, 95% CI 0.57-9.22， p值= 0.03）；分布条件下被试在POST 3时FM得分的变化比分布条件下高3.18分，但仅接近显著性（95% CI - 1.27 ~ 7.63， p值= 0.15）。结果表明，与大规模的练习计划相比，分布式的MP计划更有效地改变了父母的UE，特别是在减少UE功能限制方面。
Mental practice (MP) is a promising adjuvant to physical practice that involves many of the same mechanisms and takes on many of the same properties as physical practice. This study compared efficacy of a “massed” MP regimen versus a “distributed” MP regimen on upper extremity (UE) motor impairment and functional limitation. Twenty-seven chronic stroke survivors were administered the UE section of the Fugl-Meyer (FM) and Action Research Arm Test (ARAT), followed by standardized physical practice and MP regimens. One group was administered “massed” MP (60 min of MP during a single daily session) and a second group administered distributed MP (20 min of MP occurring three times/day). After intervention, changes in FM and ARAT scores of subjects in the distributed condition were significantly higher than those of subjects in the massed condition (FM 3.65, 95 % CI 0.82–6.49, p value = 0.01; ARAT 3.95, 95 % CI 1.24–6.67, p value = 0.006). Likewise, at POST 3, subjects in the distributed group showed significantly higher change in ARAT scores (ARAT 4.90, 95 % CI 0.57–9.22, p value = 0.03); the change in FM scores at POST 3 was 3.18 points higher among subjects in the distributed condition, but only approached significance (95 % CI −1.27 to 7.63, p value = 0.15). Results suggest that a distributed MP schedule is more efficacious in bringing about paretic UE changes than a massed practice schedule, especially in terms of reducing UE functional limitation.
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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：
158.5
作者：
Dobkin, BH
通讯作者：
Dobkin, BH
影响因子：
2.7
作者：
Debarnot, Ursula;Abichou, Kouloud;Piolino, Pascale
通讯作者：
Piolino, Pascale
影响因子：
3.2
作者：
Page, Stephen J.;Levine, Peter;Kissela, Brett M.
通讯作者：
Kissela, Brett M.
影响因子：
3.2
作者：
Page, SJ;Levine, P;Johnston, MV
通讯作者：
Johnston, MV