Article

An increasing demand for training after stroke has brought about the
need to develop rehabilitation technology. This article reports an inquiry into
skill preferences of persons after stroke regarding arm-hand training and
examines the relationship between the use of the affected arm and the patient's
training preference. METHOD: Data collection involved a semi-structured interview
of 20 persons in the subacute and 20 persons in the chronic stage after stroke,
based on an adaptation of the motor activity log. RESULTS: Subacute and chronic
patients after stroke agreed on seven out of 10 most preferred training skills.
Patient preferences related mostly to 'manipulation in combination with
positioning' and 'manipulation'. Eight motivation aspects for skill training were
identified as being important. A positive correlation was found between skill
preference scores and use of the impaired arm (r= 0.64) (p < 0.001). CONCLUSIONS:
This study has resulted in an inventory of skills that persons after stroke
prefer to train on. This list can be used for implementation of exercises in
rehabilitation technology. Motivation for skill training pertains to optimising
participation level, rather than function or activity level. This study suggests
that client-centred assessment is advocated to set therapy goals that match
patient training preferences.

Langue : ANGLAIS