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Exploring expectations for upper-extremity motor treatment in people after stroke : a secondary analysis

PRAGER EM; BIRKENMEIER RL; KAELIN LANG A
AM J OCCUP THER , 2011, vol. 65, n° 4, p. 437-444
Doc n°: 154707
Localisation : Documentation IRR
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, DD16 - TRAITEMENTS - MEMBRE SUPERIEUR

We explored expectations for outcomes during a research intervention
for people with stroke. METHOD: Twelve people with chronic stroke participated in
this secondary analysis from a pilot trial of a high-repetition, task-specific,
upper-extremity intervention. First, we examined relationships between individual
expectancy and session-by-session achievement of high numbers of repetitions.
Second, we examined the relationship between expectancy for the intervention as a
whole and improvements in upper-extremity motor function. We used Spearman
rank-order correlation coefficients to evaluate the relationships. RESULTS:
Correlations between individual expectancy and session-by-session achievement
ranged from 0 to .84. Expectancy for improvement from the intervention was good
(average = 7 of 10) but had a low correlation (.17) with actual improvement.
CONCLUSION: Individual expectancy ratings were inconsistently related to
session-by-session achievement. Expectancy for the invention as a whole was not
related to improvement in upper-extremity motor function.

Langue : ANGLAIS

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