Article

This single-case, mixed-method study explored the feasibility of
self-administered, home-based SMART (sensorimotor active rehabilitation training)
Arm training for a 57-yr-old man with severe upper-limb disability after a right
frontoparietal hemorrhagic stroke 9 mo earlier.
Over 4 wk of self-administered,
home-based SMART Arm training, the participant completed 2,100 repetitions
unassisted. His wife provided support for equipment set-up and training
progressions. Clinically meaningful improvements in arm impairment (strength),
activity (arm and hand tasks), and participation (use of arm in everyday tasks)
occurred after training (at 4 wk) and at follow-up (at 16 wk). Areas for
refinement of SMART Arm training derived from thematic analysis of the
participant's and researchers' journals focused on enabling independence,
ensuring home and user friendliness, maintaining the motivation to persevere,
progressing toward everyday tasks, and integrating practice into daily routine.
These findings suggest that further investigation of self-administered,
home-based SMART Arm training is warranted for people with stroke who have severe
upper-limb disability.
CI - Copyright (c) 2015 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS