1. Feasibility of High-Repetition, Task-Specific Training for Individuals With Upper-Extremity Paresis.
- Author
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Waddell, Kimberly J., Birkenmeier, Rebecca L., Moore, Jennifer L., Hornby, T. George, and Lang, Catherine E.
- Subjects
FUNCTIONAL training ,GRIP strength ,OCCUPATIONAL therapy ,ARM ,CEREBROVASCULAR disease diagnosis ,CONFIDENCE intervals ,EXERCISE tests ,LONGITUDINAL method ,MUSCLE contraction ,HEALTH outcome assessment ,PARALYSIS ,RESEARCH evaluation ,RESEARCH funding ,STATISTICAL sampling ,STROKE ,T-test (Statistics) ,TIME ,PILOT projects ,ACCELEROMETRY ,TREATMENT effectiveness ,INTER-observer reliability ,MULTITRAIT multimethod techniques ,SEVERITY of illness index ,RESEARCH methodology evaluation ,MEDICAL equipment reliability ,DATA analysis software ,FUNCTIONAL assessment ,STROKE rehabilitation ,STROKE patients ,DESCRIPTIVE statistics ,DISEASE complications - Abstract
OBJECTIVE. We investigated the feasibility of delivering an individualized, progressive, high-repetition upper-extremity (UE) task-specific training protocol for people with stroke in the inpatient rehabilitation setting. METHOD. Fifteen patients with UE paresis participated in this study. Task-specific UE training was scheduled for 60 min/day, 4 days/wk, during occupational therapy for the duration of a participant’s inpatient stay. During each session, participants were challenged to complete ≥300 repetitions of various tasks. RESULTS. Participants averaged 289 repetitions/session, spending 47 of 60 min in active training. Participants improved on impairment and activity level outcome measures. CONCLUSION. People with stroke in an inpatient setting can achieve hundreds of repetitions of task-specific training in 1-hr sessions. As expected, all participants improved on functional outcome measures. Future studies are needed to determine whether this high-repetition training program results in better outcomes than current UE interventions.. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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