PMID: 18712009Aug 21, 2008Paper

Task-specific, patient-driven neuroprosthesis training in chronic stroke: results of a 3-week clinical study

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
Valerie Hill-HermannStephen J Page

Abstract

We examined the efficacy of a clinically based regimen in which a woman 16 months' poststroke participated in daily practice sessions of valued activities of daily living (ADLs). A unique aspect of this intervention was that it was largely patient driven, with the patient practicing ADLs while wearing an electrical stimulation neuroprosthesis. The Fugl-Meyer Assessment (FM), Action Research Arm Test (ARA), Arm Motor Activity Test (AMAT), and Canadian Occupational Performance Measure (COPM) were administered before intervention. Therapy consisted of 3-hr ADL training sessions every weekday during a 3-week period using a neuroprosthesis featuring functional electrical stimulation during treatment sessions. One week after the end of the treatment phase, the FM, ARA, AMAT, and COPM were again administered. The patient exhibited reduced impairment (FM score change from 31 to 35), decreased time needed to complete AMAT tasks (from 998 s to 558 s), and increased ARA score (from 27 to 31). Clinically meaningful changes were realized with distant or minimal therapist supervision, making this regimen a practical and efficacious alternative.

Citations

Jun 26, 2012·Archives of Physical Medicine and Rehabilitation·Andrew C PerschColleen Murray
Nov 3, 2015·Physical Medicine and Rehabilitation Clinics of North America·Heather T Peters, Stephen J Page
Feb 1, 2012·Archives of Physical Medicine and Rehabilitation·Stephen J PagePeter Levine
Jun 30, 2012·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Barbara M Doucet
Feb 6, 2010·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Valerie Hill HermannStephen J Page
May 5, 2010·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Glen Gillen
Feb 12, 2011·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Sarah C BeckelhimerStephen J Page

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