Motor relearning programme for stroke patients: a randomized controlled trial
Autor: | Dora Y.L. Chan, Derrick K. S. Au, Che Hin Chetwyn Chan |
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Rok vydání: | 2006 |
Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Activities of daily living Stroke patient Matched-Pair Analysis Physical Therapy Sports Therapy and Rehabilitation Timed Up and Go test Community integration law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law medicine Humans Physical Therapy Modalities Analysis of Variance Rehabilitation Stroke Rehabilitation Middle Aged Functional Independence Measure Test (assessment) Motor Skills Berg Balance Scale Physical therapy Female 0305 other medical science Psychology 030217 neurology & neurosurgery |
Zdroj: | Clinical Rehabilitation. 20:191-200 |
ISSN: | 1477-0873 0269-2155 |
DOI: | 10.1191/0269215506cr930oa |
Popis: | Objective: To study the efficacy of the motor relearning approach in promoting physical function and task performance for patients after a stroke. Design: Matched-pair randomized controlled trial. Setting: An outpatient rehabilitation centre in Hong Kong. Participants: Fifty-two outpatients with either a thrombotic or haemorrhagic stroke who completed either the study or control group. Interventions: The patients received 18 2-h sessions in six weeks of either the motor relearning programme or a conventional therapy programme. Main outcome measures: The Berg Balance Scale, the Timed Up and Go Test, the Functional Independence Measure (FIM), the modified Lawton Instrumental Activities of Daily Living (IADL) test, and the Community Integration Questionnaire. Results: Patients in the motor relearning group showed significantly better performance on all but the Timed Up and Go Test when compared with the control group ( F(1,150)=6.34-41.86, P ≤ 0.015). The interactions between group and occasion were significant on all five outcome measures, indicating that the rates of change across time between the motor relearning and control groups differed ( F(3,150)=3.60-33.58, P < 0.015). Conclusion: The motor relearning programme was found to be effective for enhancing functional recovery of patients who had a stroke. Both ‘sequential’ and ‘function-based’ concepts are important in applying the motor relearning approach to the rehabilitation of stroke patients. |
Databáze: | OpenAIRE |
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