Autor: |
Thant AA; School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University: 123 Mittraphap Rd., Mueang District, Khon Kaen, 40002, Thailand.; Department of Physiotherapy, University of Medical Technology-Yangon, Myanmar., Wanpen S; School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University: 123 Mittraphap Rd., Mueang District, Khon Kaen, 40002, Thailand.; Research Center in Back, Neck, Other Joint Pain & Human Performance, Khon Kaen University, Thailand., Nualnetr N; School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University: 123 Mittraphap Rd., Mueang District, Khon Kaen, 40002, Thailand., Puntumetakul R; School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University: 123 Mittraphap Rd., Mueang District, Khon Kaen, 40002, Thailand.; Research Center in Back, Neck, Other Joint Pain & Human Performance, Khon Kaen University, Thailand., Chatchawan U; School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University: 123 Mittraphap Rd., Mueang District, Khon Kaen, 40002, Thailand.; Research Center in Back, Neck, Other Joint Pain & Human Performance, Khon Kaen University, Thailand., Hla KM; Department of Physical Medicine and Rehabilitation, Yangon General Hospital, Myanmar., Khin MT; Department of Physiotherapy, University of Medical Technology-Yangon, Myanmar. |
Abstrakt: |
[Purpose] The present study aimed to determine the effects of a task-oriented training on paretic upper extremity functional performance in patients with subacute stroke. [Participants and Methods] Twenty-eight subacute stroke sufferers (mean age: 50.07, standard deviation 9.31 years; mean time since stroke 11.11, standard deviation 6.73 weeks) were randomly allocated to task-oriented training (n=14) or conventional exercise program (n=14) group. They were trained as a hospital-based, individualized training 1 hour a session, 5 sessions a week for 4 weeks. Wolf Motor Function Test (primary outcome), motor portion of Fugl-Meyer assessment upper extremity, and hand function domain of Stroke Impact Scale were assessed at baseline, after 2 and 4 weeks of training. [Results] All participants completed their training programs. At all post-training assessments, the task-oriented training group showed significantly more improvements in all outcomes than the conventional exercise program group. No serious adverse effects were observed during or after the training. [Conclusion] Task-oriented training produced statistically significant and clinically meaningful improvements of paretic upper extremity functional performance in patients with subacute stroke. These beneficial effects were observed after 2 weeks (10 hours) of training. Future investigation is warranted to confirm and expand these findings. |