Article

This investigation examined the demographic characteristics along with
3 measures of motor function in determining outcomes in activities of daily
living (ADL) after distributed constraint-induced therapy (dCIT). METHODS: The study recruited 69 stroke patients who received 3 weeks of dCIT for 2 hours
daily, 5 days a week. The self-reported outcome measures for daily function were
the Motor Activity Log (MAL) including the amount of use (AOU) and quality of
movement (QOM), Nottingham Extended Activities of Daily Living Questionnaire
(NEADL), and the Stroke Impact Scale (SIS). Age, sex, onset, side of stroke,
Fugl-Meyer assessment (FMA), Wolf Motor Function Test (WMFT), and Action Research
Arm Test (ARAT) were the potential predictors. RESULTS: The ARAT grasp-grip-pinch
score was the most dominant predictor for MAL-AOU and NEADL (P< 0.05), and the
ARAT total score for the subscore of the ADL/instrumental ADL section of the SIS
(P< 0.05). The FMA wrist-hand score was a significant predictor for MAL-QOM (P<
0.05). Age was the only demographic factor that significantly predicted NEADL
performance (P< 0.05). CONCLUSION: Among the 3 commonly used measures of motor function after stroke, ARAT was the strongest determinant in predicting MAL-AOU,
MAL-QOM, and SIS-ADL/instrumental ADL after dCIT.

Langue : ANGLAIS