Effects of problem-oriented willed-movement therapy on motor abilities for people with poststroke cognitive deficits.
BACKGROUND AND PURPOSE: Cognitive deficits after stroke are common and interfere with recovery. One purpose of this study was to determine whether the motor abilities of subjects who have poststroke cognitive deficits and who have received problem-oriented willed-movement (POWM) therapy will improve...
| Publicado en: | Physical Therapy Vol. 85; no. 10; pp. 1020 - 1034 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Oct2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106550909&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106550909 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Oct2005 vid: 85 iid: 10 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 106550909 2009048996 10.1093/ptj/85.10.1020 NLM16180951 106550909 ppf: 1020 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Effects of problem-oriented willed-movement therapy on motor abilities for people with poststroke cognitive deficits. aug: au: Tang QP Yang QD Wu YH Wang GQ Huang ZL Liu ZJ Huang XS Zhou L Yang PM Fan ZY affil: Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China; tqingping1111@126.com sug: subj: Stroke Rehabilitation Physical Therapy Methods Rehabilitation, Cognitive Cognition Disorders Complications Stroke Complications Cognition Disorders Physiopathology Clinical Assessment Tools Neuromuscular Facilitation China Treatment Outcomes Comparative Studies Chi Square Test Spearman's Rank Correlation Coefficient Mann-Whitney U Test T-Tests Adult Middle Age Aged Female Male Human Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: BACKGROUND AND PURPOSE: Cognitive deficits after stroke are common and interfere with recovery. One purpose of this study was to determine whether the motor abilities of subjects who have poststroke cognitive deficits and who have received problem-oriented willed-movement (POWM) therapy will improve more than the motor abilities of subjects in the reference group who have received neurodevelopmental treatment (NDT). Another purpose of this study was to identify the relationship between cognitive function and motor abilities for both groups. SUBJECTS: The subjects recruited for this study were 36 men and 11 women with various degrees of poststroke cognitive deficits. METHODS: A randomized block design was used to assign the subjects to 2 groups. Cognitive function and motor ability were evaluated with the Mini-Mental State Examination and the Stroke Rehabilitation Assessment of Movement (STREAM). Both groups received physical therapy 5 or 6 times per week in 50-minute sessions. RESULTS: The STREAM scores improved after treatment in both groups. Main group effects were found for the lower-extremity (F=4.58, P<.05) and basic mobility (F=27.49, P<.01) subscales of the STREAM. Pretest cognitive function showed a positive relationship with posttest motor ability in the NDT group (r=.446, P<.05). However, the relationship between pretest cognitive function and posttest motor ability had no statistical significance in the POWM group (r=.101, P=.630). DISCUSSION AND CONCLUSION: These findings suggest that, regardless of a person's cognitive function, POWM intervention is effective in improving lower-extremity and basic mobilities and indicates the need to use relatively intact cognitive function or perceptual function, or both, to improve motor rehabilitation for people with cognitive function deficits. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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