+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Efficacy of Occupational Therapy Task-oriented Approach in Upper Extremity Post-stroke Rehabilitation

Efficacy of Occupational Therapy Task-oriented Approach in Upper Extremity Post-stroke Rehabilitation

Occupational Therapy International 23(4): 444-456

There is a need for more effective rehabilitation methods for individuals post-stroke. Occupational Therapy Task-Oriented (TO) approach has not been evaluated in a randomized clinical trial. The purpose of this study was to evaluate functional and impairment efficacies of TO approach on the more-affected Upper Extremity (UE) of persons post-stroke. A randomized single-blinded cross-over trial recruited 20 participants post-stroke (mean chronicity = 62 months) who demonstrated at least 10° active more-affected shoulder flexion and abduction and elbow flexion-extension. Participants were randomized into immediate (n = 10) and delayed intervention (n = 10) groups. Immediate group had 6 weeks of 3 hr/week TO intervention followed by 6 weeks of no-intervention control. Delayed intervention group underwent the reversed order. Functional measures included Canadian Occupational Performance Measure (COPM), Motor Activity Log (MAL), and Wolf Motor Function Test (WMFT). Impairment measures included UE Active Range of Motion (AROM) and handheld dynamometry strength. Measurements were obtained at baseline, cross over, and end of the study. TO intervention showed statistically higher functional change scores. COPM performance and satisfaction scores were 2.83 and 3.46 units greater respectively (p < .001), MAL amount of use and quality of use scores were 1.1 and 0.87 units greater, respectively (p < .001), WMFT time was 8.35 seconds faster (p = .009). TO impairment outcomes were not significantly larger than control ones. TO approach appears to be an effective UE post-stroke rehabilitation approach inducing clinically meaningful functional improvements. More studies are needed with larger samples and specific stroke chronicity and severity. Copyright © 2016 John Wiley & Sons, Ltd.

(PDF emailed within 0-6 h: $19.90)

Accession: 057739421

Download citation: RISBibTeXText

PMID: 27761966

DOI: 10.1002/oti.1447

Related references

Arm rehabilitation in post stroke subjects: A randomized controlled trial on the efficacy of myoelectrically driven FES applied in a task-oriented approach. Plos One 12(12): E0188642, 2017

Effect of a Task-Oriented Rehabilitation Program on Upper Extremity Recovery Following Motor Stroke: The ICARE Randomized Clinical Trial. JAMA 315(6): 571-581, 2016

Simple and Task-oriented Mirror Therapy for Upper Extremity Function in Stroke Patients: A Pilot Study. Hong Kong Journal of Occupational Therapy 24(1): 6-12, 2014

Book Review: Upper-extremity task-specific training after stroke or disability: A manual for occupational therapy and physical therapy. Canadian Journal of Occupational Therapy. Revue Canadienne D'ergotherapie 83(4): 259-259, 2016

VR enhanced upper extremity motor training for post-stroke rehabilitation: task design, clinical experiment and visualization on performance and progress. Studies in Health Technology and Informatics 125: 506-511, 2007

New directions in occupational therapy: implementation of the task-oriented approach in conjunction with cortical stimulation after stroke. Topics in Stroke Rehabilitation 14(6): 68-73, 2008

A non-task-oriented approach based on high-dose playful movement exploration for rehabilitation of the upper limb early after stroke: A proposal. Neurorehabilitation 43(1): 31-40, 2018

Home programs for upper extremity recovery post-stroke: a survey of occupational therapy practitioners. Topics in Stroke Rehabilitation 24(8): 573-578, 2017

The effect of task-oriented training on the muscle activation of the upper extremity in chronic stroke patients. Journal of Physical Therapy Science 28(4): 1384-1386, 2016

Effects of task-oriented training on upper extremity function and performance of daily activities by chronic stroke patients. Journal of Physical Therapy Science 27(8): 2657-2659, 2015

Mirror Therapy and Task-Oriented Training for People With a Paretic Upper Extremity. American Journal of Occupational Therapy 72(2): 7202205080p1-7202205080p8, 2018

Effects of task-oriented training on upper extremity function and performance of daily activities in chronic stroke patients with impaired cognition. Journal of Physical Therapy Science 28(1): 316-318, 2016

Effects of Task-Oriented Training as an Added Treatment to Electromyogram-Triggered Neuromuscular Stimulation on Upper Extremity Function in Chronic Stroke Patients. Occupational Therapy International 23(2): 165-174, 2017

Effects of peripheral sensory nerve stimulation plus task-oriented training on upper extremity function in patients with subacute stroke: a pilot randomized crossover trial. Clinical Rehabilitation 26(11): 999-1009, 2013

Bilateral robotic priming before task-oriented approach in subacute stroke rehabilitation: a pilot randomized controlled trial. Clinical Rehabilitation 31(2): 225-233, 2016