Effectiveness of synchronous action observation and mental practice on upper extremity motor recovery after stroke.

IF 0.9 Q4 REHABILITATION

OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2024-04-01 Epub Date: 2022-10-29 DOI:10.1080/07380577.2022.2138675

Krystal Robinson-Bert, Anne B Woods

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引用次数: 0

Abstract

The purpose of this quasi-experimental pretest-posttest control group study was to examine the effect of group synchronous action observation/mental practice intervention compared to usual rehabilitation care on upper extremity motor recovery after stroke. The intervention group (n = 25) received usual care, consisting of a minimum of 3 hours of rehabilitation services per day, 5 days a week, plus group synchronous action observation/mental practice sessions 3 times per week and the control group (n = 26) received usual care. Outcome measures included the Kinesthetic and Visual Imagery Questionnaire Short Version (KVIQ-10), the Fugl-Meyer Assessment (FMA-UE) of affected upper extremity motor function only and The Box and Block Test (BBT). Although there were no statistically significant differences in upper extremity motor function between the two groups, a subgroup analysis of the intervention group identified statistically significant (FMA-UE: p < .001; BBT: p = .04) and Minimally Important Clinical Differences on upper extremity motor recovery between patients with behaviors demonstrating more versus less commitment to the intervention. Group synchronous action observation/mental practice is a promising intervention for patients demonstrating commitment to actively participating in the intervention to improve outcomes on upper extremity motor recovery after stroke.

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同步动作观察和心理练习对中风后上肢运动恢复的影响

这项准实验性的前测-后测对照组研究旨在考察小组同步行动观察/心理练习干预与常规康复护理相比对中风后上肢运动恢复的影响。干预组（n = 25）接受常规护理，包括每周 5 天、每天至少 3 小时的康复服务，以及每周 3 次的小组同步动作观察/心理练习；对照组（n = 26）接受常规护理。结果测量包括运动学和视觉意象问卷简易版（KVIQ-10）、仅对受影响上肢运动功能进行的福格尔-迈耶评估（FMA-UE）以及盒块测试（BBT）。虽然两组患者的上肢运动功能在统计学上没有显著差异，但对干预组进行的亚组分析发现，在上肢运动功能恢复方面，对干预表现出更多承诺和较少承诺的患者之间存在显著的统计学差异（FMA-UE：p < .001；BBT：p = .04）和最小重要临床差异。小组同步行动观察/心理练习是一种很有前景的干预方法，患者只要表现出积极参与干预的决心，就能改善中风后上肢运动恢复的效果。

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来源期刊

OCCUPATIONAL THERAPY IN HEALTH CARE REHABILITATION-

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Occupational Therapy in Health Care is a journal of contemporary practice in occupational therapy. It provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field. Focused on everyday practice, the journal addresses the concerns of new and experienced therapists, presenting innovations in client evaluations and treatments, current research findings, critical reviews of current textbooks, descriptions of novel programs and descriptions of fieldwork innovations. An essential guide to the changing trends in health care, social services, and education, Occupational Therapy in Health Care provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field.