Task-specific reach-to-grasp training after stroke: development and description of a home-based intervention

Clinical Rehabilitation
Paul CunninghamPaulette van Vliet

Abstract

This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is to transparently describe the process of developing a complex intervention for people after stroke as part of a feasibility randomised controlled trial. To describe and justify the development of a home-based, task-specific upper limb training intervention to improve reach-to-grasp after stroke and pilot it for feasibility and acceptability prior to a randomized controlled trial. The intervention is based on intensive practice of whole reach-to-grasp tasks and part-practice of essential reach-to-grasp components. A 'pilot' manual of activities covering the domains of self-care, leisure and productivity was developed for the feasibility study. The intervention comprises 14 hours of therapist-delivered sessions over six weeks, with additional self-practice recommended for 42 hours (i.e. one hour every day). As part of a feasibility randomized controlled trial, 24 people with a wide range of upper limb impairment after stroke experienced the intervention to test adherence and a...Continue Reading

References

Dec 24, 1998·Journal of Neurophysiology·J A KleimR J Nudo
Jul 31, 1999·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·C A Trombly, C Y Wu
May 23, 2002·BMJ : British Medical Journal·Arthur A StoneMichael R Hufford
Nov 1, 1956·The Journal of Bone and Joint Surgery. British Volume·J R NAPIER
Jun 1, 2005·The Australian Journal of Physiotherapy·Sharon L Kilbreath, Robert C Heard
Dec 13, 2005·Stroke; a Journal of Cerebral Circulation·Stella Maris MichaelsenMindy F Levin
Nov 2, 2006·JAMA : the Journal of the American Medical Association·Steven L WolfUNKNOWN EXCITE Investigators
Oct 19, 2007·The Cochrane Database of Systematic Reviews·B FrenchC L Watkins
Nov 6, 2007·Clinical Rehabilitation·Richard T KaplonCarolee J Winstein
Jul 26, 2008·BMJ : British Medical Journal·Andrew Cole
Feb 26, 2009·Neurorehabilitation and Neural Repair·Bruce H Dobkin
May 30, 2009·Disability and Rehabilitation·Annick A A TimmermansHerman Kingma
Jun 9, 2009·Occupational Therapy International·Isobel J HubbardLeeanne M Carey
Mar 20, 2010·Journal of Proteome Research·Frode S BervenSteven A Carr
Apr 29, 2010·Neurorehabilitation and Neural Repair·Rebecca L BirkenmeierCatherine E Lang
Jul 2, 2010·Physical Therapy·Jocelyn E HarrisAndrew S Dawson
May 17, 2011·Lancet·Peter LanghorneGert Kwakkel
Oct 26, 2011·Clinical Rehabilitation·Fiona CouparPeter Langhorne
Mar 17, 2012·Archives of Physical Medicine and Rehabilitation·Jacqui H Morris, Frederike Van Wijck
May 18, 2012·The Cochrane Database of Systematic Reviews·Fiona CouparPaulette van Vliet
May 29, 2012·NeuroRehabilitation·Yu-Jin ChaJi-Hyuk Park
Jun 8, 2012·Disability and Rehabilitation·Thavapriya SugavanamFrederike van Wijck
Oct 30, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Martin M Brown
Sep 12, 2013·BMJ : British Medical Journal·Tammy C HoffmannPaul P Glasziou
Sep 13, 2013·BMJ : British Medical Journal·Andrew CookIsabelle Boutron
Nov 12, 2014·The Cochrane Database of Systematic Reviews·Alex PollockFrederike van Wijck

❮ Previous
Next ❯

Citations

Sep 20, 2018·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Urvashy GopaulLeeanne Carey
Apr 4, 2019·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Sarah R ValkenborghsRobin Callister
Jan 1, 2020·Topics in Stroke Rehabilitation·Elena V Donoso BrownJeanne M Hoffman

❮ Previous
Next ❯

Clinical Trials Mentioned

ISRCTN56716589

Software Mentioned

EXCITE
TIDieR

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.