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A Comparative Study on the Effect of Types of Focus of Attention on Upper Limb Function Training in Subjects with Stroke.

Objective: This study was done to find out which type of focus of attention is better for improving function after stroke. It was pre-test post test experimental study of 3 weeks duration conducted in physiotherapy department of a super specialty hospital in New Delhi. Methods: Thirty chronic stroke...

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Published in:Journal of Physical Medicine & Rehabilitation Sciences Vol. 17; no. 3; pp. 134 - 140
Main Authors: Khatoon, Imrana, Hamdani, Nusrat, Noohu, Majumi
Format: research tables/charts Journal Article
Published: Turkiye Klinikleri 2014
Online Access:View this record in EBSCOhost
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      jtl: Journal of Physical Medicine & Rehabilitation Sciences
      issn: 13093843
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      dt: 2014
      vid: 17
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      pub: Turkiye Klinikleri
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        atl: A Comparative Study on the Effect of Types of Focus of Attention on Upper Limb Function Training in Subjects with Stroke.
      aug:
        au:
          Khatoon, Imrana
          Hamdani, Nusrat
          Noohu, Majumi
        affil: Jamia Hamdard, Department of Physiotherapy, New Delhi, India
      sug:
        subj:
          Stroke Rehabilitation
          Attention
          Upper Extremity Physiopathology
          Functional Training
          Physical Therapy Methods
          Chronic Disease
          Time Factors
          Disability Evaluation
          Clinical Assessment Tools
          Scales
          Pretest-Posttest Design
          Random Assignment
          T-Tests
          Paired T-Tests
          Data Analysis Software
          P-Value
          Middle Age
          Aged
          Human
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab:
        Objective: This study was done to find out which type of focus of attention is better for improving function after stroke. It was pre-test post test experimental study of 3 weeks duration conducted in physiotherapy department of a super specialty hospital in New Delhi. Methods: Thirty chronic stroke patients recruited for the study were randomly assigned to two groups. Group 1 trained with external focus of and group 2 trained with internal focus of attention Each group given three weeks functional training for 30 minutes, 5 days in a week. Subjects were evaluated by Fugl-Meyer scale and Action Research Arm test. Results: There was a significant difference between the groups in Fugl-Meyer score and no significant difference in ARAT score (composite scores) and its subscale scores after training. A within group analysis showed that both group 1 and group 2 did differ significantly on Fugl-Meyer score and ARAT score (composite score) and its subscales except gross movement before and after the training. Conclusion: The findings of the study suggests that it will be better to use external focus of attention while training for functional activities.
        Amaç: Bu çalışmanın amacı,strokdan sonraki fonksiyonel düzelme için hangi dikkate odaklanma tipinin daha etkili olduğunu saptamaktır.Yeni Delhi 'de konuya özel bir hastanenin fizyoterapi bölümünde ,3 hafta süreyle pre-test ve post-test deneysel çalışma şeklinde uygulanmıştır. Yöntemler: Kronik stroklu 30 hasta randomize olarak 2 gruba bölündü.İlk gruba eksternal dikkat odaklanma,2. gruba ise internal odaklanma çalışması uygulandı.Her bir gruba 3 hafta süreyle,haftada 5 gün, 30 dakika fonksiyonel deneme şeklinde idi.Hastalar Fugl-Meyer skala ve Omuz Aktivite Araştırma Testi (ARAT ) ile değerlendirildi. Bulgular: Fugl-Meyer skorunda gruplar arasında belirgin fark saptandı,ARAT skorunda ve alt gruplarında uygulama sonrası belirgin fark yoktu (bileşik skor ).Grup içi analiz 2 grup arasında Fugl-Meyer 'de belirgin fark,ARAT 'da ise,alt gruplardaki kaba motor hareketler dışındaki aktivitelerde fark saptandığını ortaya koydu. Sonuçlar: Çalışmanın sonucu, fonksiyonel aktivite çalışmasında eksternal dikkat odaklanmasının daha etkili olduğunu göstermiştir.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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