Article

OBJECTIVE: To test the efficacy of self-regulation (SR) for promoting task
performance and motor and cognitive functions. DESIGN: Pilot randomized
controlled trial. SETTING: Rehabilitation unit. PARTICIPANTS: Inpatients with
acute poststroke (N=44) after a cerebral infarction aged >/=60 years.
INTERVENTIONS: Patients were randomly assigned to the SR (n=24) or functional
rehabilitation (control; n=20) intervention. The SR intervention consisted of 1
week of therapist-supervised practices of daily tasks using SR of one's own
performance (five 1-h sessions). Patients in the control intervention practiced
the same daily tasks with a therapist's demonstration and guidance. MAIN OUTCOME
MEASURES: Performance of tasks, including household and monetary transaction
tasks; FIM; Fugl-Meyer Assessment (FMA); and Color Trails Test (CTT). RESULTS:
The SR group showed significant improvement in all tasks (median difference, 1-2;
effect size [r]=.74-.89) versus none (median difference, 0-0.5) in the control
group. Results of the FIM (P<.001, r=.87 in the motor subscale; P<.001, r=.49 in
the cognitive subscale), FMA (P<.001, r=.84 for upper extremity motor function
and r=.63 for lower extremity motor function), and CTT (P=.002, r=.72) of the SR
group improved. The SR group outperformed their control counterparts in 4 of the
5 tasks (median difference, 1; r=.30-.52) and in the FIM motor subscale (P=.002,
r=.47), but not in the cognitive subscale and motor and cognitive functions.
CONCLUSIONS: SR appears useful for improving task performance that demands both
motor and cognitive abilities by promoting information processing and active
learning.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS