OBJECTIVE: 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.
OBJECTIVE: 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.
Authors: Corwin Boake; Elizabeth A Noser; Tony Ro; Sarah Baraniuk; Mary Gaber; Ruth Johnson; Eva T Salmeron; Thao M Tran; Jenny M Lai; Edward Taub; Lemuel A Moye; James C Grotta; Harvey S Levin Journal: Neurorehabil Neural Repair Date: 2007 Jan-Feb Impact factor: 3.919
Authors: Johanne Higgins; Nancy M Salbach; Sharon Wood-Dauphinee; Carol L Richards; Robert Côté; Nancy E Mayo Journal: Clin Rehabil Date: 2006-04 Impact factor: 3.477
Authors: Steven L Wolf; Carolee J Winstein; J Philip Miller; Edward Taub; Gitendra Uswatte; David Morris; Carol Giuliani; Kathye E Light; Deborah Nichols-Larsen Journal: JAMA Date: 2006-11-01 Impact factor: 56.272
Authors: Gerard G Fluet; Alma S Merians; Qinyin Qiu; Ian Lafond; Soha Saleh; Viviana Ruano; Andrea R Delmonico; Sergei V Adamovich Journal: J Neurol Phys Ther Date: 2012-06 Impact factor: 3.649
Authors: Gerard G Fluet; Jigna Patel; Qinyin Qiu; Matthew Yarossi; Supriya Massood; Sergei V Adamovich; Eugene Tunik; Alma S Merians Journal: Disabil Rehabil Date: 2016-09-27 Impact factor: 3.033