The cognitive augmented mobility program (CAMP): feasibility and preliminary efficacy
| Autor: | Joyce L. Chen, Kay-Ann Allen, Sara McEwen, Ada Tang, Jennifer Shaffer, Ashley Bergner, Elizabeth L. Inness, Sandra M. Pacione, Katherine Dittmann, Elizabeth Linkewich |
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| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences Cognition 0302 clinical medicine Physical medicine and rehabilitation Gait (human) medicine Humans Gait Stroke Rehabilitation business.industry Stroke Rehabilitation medicine.disease Exercise Therapy Related research Feasibility Studies Best evidence 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Physiotherapy Theory and Practice. 38:737-749 |
| ISSN: | 1532-5040 0959-3985 |
| DOI: | 10.1080/09593985.2020.1790068 |
| Popis: | Best evidence suggests incorporating task-specific training, aerobics, and strengthening to improve mobility and gait in persons with stroke (PWS). Related research suggests incorporating cognitive problem-solving strategy training may lead to better skill maintenance and transfer. The present study examined the feasibility and preliminary outcomes of an evidence-based cognitive augmented mobility program (CAMP) for PWS.A single-arm pre-post and follow-up design was conducted, in two blocks (NCT03683160). Participants completed an exercise intervention with an integrated cognitive strategy component and had weekly 1:1 sessions with a physiotherapist trained in Cognitive Orientation to daily Occupational Performance (CO-OP), focusing on goal practice and cognitive strategy use. CAMP consisted of a pre-intervention education and goal-setting session and 16 90-minute sessions held in a group format, 2x/wk for 8 weeks. Assessments were conducted 1 week prior to beginning the intervention, 1 week post-intervention, and at a 4-5 week follow-up.CAMP was found to be feasible with 96% session attendance and strong participant satisfaction. Pre to post-CAMP intervention, a large effect was found for endurance (r = 0.53), balance (r = 0.59), mobility (r = 0.63) and goal attainment (r = 0.63) indicators, and large effects were maintained at follow-up for balance, mobility, and goal attainment. A medium effect was found for functional independence (r = 0.38), gait speed (r = 0.39), and balance confidence (r = 0.38). A small effect was found for participation (r = 0.27) and overall stroke recovery (r = 0.25).Preliminary results suggest CAMP is feasible; there may be a beneficial effect of combining best evidence for mobility and fitness with cognitive strategy training. The positive results for skill maintenance and transfer suggest further investigation is warranted. |
| Databáze: | OpenAIRE |
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