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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...

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Published in:American Journal of Occupational Therapy Vol. 65; no. 2; pp. 161 - 169
Main Authors: Wu, Andy J., Radel, Jeff, Hanna-Pladdy, Brenda
Format: case study research tables/charts Journal Article
Published: American Occupational Therapy Association Mar/Apr2011
Online Access:View this record in EBSCOhost
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      dt: Mar/Apr2011
      vid: 65
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Improved Function After Combined Physical and Mental Practice After Stroke: A Case of Hemiparesis and Apraxia.
      aug:
        au:
          Wu, Andy J.
          Radel, Jeff
          Hanna-Pladdy, Brenda
        affil: PhD candidate, Department of Occupational Therapy Education, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 2003, Kansas City, KS
      sug:
        subj:
          Task Performance and Analysis
          Activities of Daily Living
          Mental Processes
          Stroke Rehabilitation
          Apraxia Rehabilitation
          Human
          Pretest-Posttest Design
          Adult
          Male
          Clinical Assessment Tools
          Case Studies
          Sample Size
          Adult: 19-44 years
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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