Improved Function After Combined Physical and Mental Practice After Stroke: A Case of Hemiparesis and Apraxia.
This study describes change in functional performance and self-perception after participation in combined training with physical practice followed by mental practice. The patient was a 44-yr-old White man who experienced a single left ischemic stroke 7 mo before enrollment in the study. He engaged i...
| Publicado en: | American Journal of Occupational Therapy Vol. 65; no. 2; pp. 161 - 169 |
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| Autores principales: | , , |
| Formato: | case study research tables/charts Journal Article |
| Publicado: |
American Occupational Therapy Association
Mar/Apr2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | This study describes change in functional performance and self-perception after participation in combined training with physical practice followed by mental practice. The patient was a 44-yr-old White man who experienced a single left ischemic stroke 7 mo before enrollment in the study. He engaged in physical and mental practice of two functional tasks: (1) reaching for and grasping a cup and (2) turning pages in a book with the more-affected arm. Practice took place 3 times per week during 60-min sessions for 6 consecutive wk. Primary outcome measures were the Arm Motor Ability Test (AMAT) and the Canadian Occupational Performance Measure (COPM). An abbreviated version of the Florida Apraxia Battery gesture-to-verbal command test approximated severity of ideomotor apraxia. After intervention, the patient demonstrated increased functional performance (AMAT) and self-perception of performance (COPM) despite persistent ideomotor apraxia. The results of this single-case report indicate functional benefit from traditional rehabilitation techniques despite comorbid, persisting ideomotor apraxia. |
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