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Changes in Upper-Extremity Functional Capacity and Daily Performance During Outpatient Occupational Therapy for People With Stroke.
- Source :
-
The American journal of occupational therapy : official publication of the American Occupational Therapy Association [Am J Occup Ther] 2016 May-Jun; Vol. 70 (3), pp. 7003290040p1-7003290040p11. - Publication Year :
- 2016
-
Abstract
- Objective: This study explored how upper-extremity (UE) functional capacity and daily performance change during the course of outpatient rehabilitation in people with stroke.<br />Method: Fifteen participants receiving outpatient occupational therapy services for UE paresis poststroke were enrolled. UE motor capacity was measured with the Action Research Arm Test (ARAT), and UE performance was measured using bilateral, wrist-worn accelerometers. Measurements were taken at or near the start of therapy, at every 10th visit or every 30 days throughout the duration of services, and at discharge.<br />Results: Three patterns were observed: (1) increase in ARAT scores and more normalized accelerometry profiles, (2) increase in ARAT scores but no change in accelerometry profiles, and (3) no change in ARAT scores or in accelerometry profiles.<br />Conclusion: UE performance in daily life was highly variable, with inconsistencies between change in UE capacity and change in UE performance. UE capacity and performance are important constructs to assess separately during rehabilitation.<br /> (Copyright © 2016 by the American Occupational Therapy Association, Inc.)
- Subjects :
- Activities of Daily Living
Adult
Aged
Aged, 80 and over
Disability Evaluation
Female
Humans
Male
Middle Aged
Outpatients statistics & numerical data
Pilot Projects
Psychomotor Performance physiology
Recovery of Function
Stroke Rehabilitation
Treatment Outcome
Upper Extremity physiopathology
Occupational Therapy methods
Paresis etiology
Paresis physiopathology
Paresis rehabilitation
Stroke complications
Stroke diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0272-9490
- Volume :
- 70
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The American journal of occupational therapy : official publication of the American Occupational Therapy Association
- Publication Type :
- Academic Journal
- Accession number :
- 27089298
- Full Text :
- https://doi.org/10.5014/ajot.2016.020891