Article

The purposes of this study were to (1) examine the feasibility of
translating high-repetition doses of upper-extremity (UE) task-specific training
to people with stroke within the confines of the current outpatient delivery
system of 1-hour therapy sessions and (2) to gather preliminary data regarding
the potential benefit of this intensity of training. METHODS: A total of 15
patients with chronic (>6 months) UE paresis caused by stroke underwent 3 weeks
of baseline assessments followed by 6 weeks of the high-repetition intervention
(3 sessions/wk for 6 weeks). During each 1-hour session, participants were
challenged to complete 300 or more repetitions of UE functional task training (3
tasks x 100 repetitions). Assessments during and after the intervention were used
to measure feasibility and potential benefit. RESULTS: For the 13 participants
completing the intervention, the average number of repetitions per session was
322. The percentage of sessions attended was 97%. Participant ratings of pain and
fatigue were low. Action Research Arm test scores improved an average of 8 points
during the intervention and were maintained at the 1-month follow-up. Secondary
measures of activity and participation increased, but the measure of impairment
did not. CONCLUSIONS: It is feasible to deliver hundreds of repetitions of
task-specific training to people with stroke in 1-hour therapy sessions.
Preliminary outcome data suggest that this intervention may be beneficial for
some people with stroke.

Langue : ANGLAIS