Enhanced Upper Extremity Functions with a Single Session of Action-Observation-Execution and Accelerated Skill Acquisition Program in Subacute Stroke.

IF 1.8 Q3 PERIPHERAL VASCULAR DISEASE Stroke Research and Treatment Pub Date : 2018-06-12 eCollection Date: 2018-01-01 DOI:10.1155/2018/1490692

Shambhu Prasad Adhikari, Jarugool Tretriluxana, Pakaratee Chaiyawat, Chutima Jalayondeja

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Abstract

Background: Action-observation-execution (AOE) primes physical training. We examined the immediate effect of AOE with accelerated skill acquisition program (ASAP) on dexterity in subacute stroke.

Methods: Twelve individuals from 1 to 6 months after stroke were allocated into two groups by matching age and side of stroke. After AOE of 30 minutes, the experimental group received ASAP for 60 minutes whereas the control group received dose-equivalent usual care. The movement time (MT) and functional ability (FA) of hand items of the Wolf motor function test (WMFT), hand functions and global recovery of stroke impact scale (SIS), and intrinsic motivation items of stroke rehabilitation motivation scale were assessed at baseline, after training, and during one-week follow-up. Data were analyzed within and between the groups.

Results: AOE significantly decreased MT of flipping cards of WMFT and hand functions of SIS. Total MT was markedly reduced. AOE with ASAP demonstrated significant group-by-time interactions on MT of lifting pencil of WMFT, total MT, and global recovery. Grip strength, FA, and hand functions were significantly improved only in the experimental group. Both groups improved motivation significantly.

Conclusions: The AOE with ASAP enhanced dexterity, which persisted for at least a week. This intervention might improve dexterity in subacute stroke.

Trial registration number: This trial is registered with TCTR20161007001.

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亚急性中风患者通过单次 "动作观察-执行 "和 "加速技能习得 "课程增强上肢功能

背景：动作观察-执行（AOE）是体能训练的基础。我们研究了在亚急性脑卒中患者中，AOE 与加速技能习得计划（ASAP）对灵活性的直接影响：方法：将 12 名中风后 1 至 6 个月的患者按年龄和中风侧分为两组。在30分钟的AOE后，实验组接受60分钟的ASAP训练，而对照组则接受剂量相当的常规护理。分别在基线、训练后和一周随访期间评估沃尔夫运动功能测试（WMFT）手部项目的运动时间（MT）和功能能力（FA）、卒中影响量表（SIS）的手部功能和总体恢复情况以及卒中康复动机量表的内在动机项目。对组内和组间数据进行了分析：结果：AOE 明显降低了 WMFT 的翻转卡片 MT 和 SIS 的手部功能 MT。总 MT 显著降低。AOE与ASAP在WMFT举笔的MT、总MT和全面恢复方面表现出显著的组间交互作用。只有实验组的握力、FA 和手部功能有明显改善。结论：结论：AOE 和 ASAP 可提高手的灵活性，并可持续至少一周。该干预措施可改善亚急性中风患者的灵活性：本试验注册号为 TCTR20161007001。

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