Please use this identifier to cite or link to this item:
Title: Additional task-related practice improves mobility and upper limb function early after stroke: a randomised controlled trial.
Austin Authors: Blennerhassett, Jannette M ;Dite, Wayne 
Affiliation: Department of Physiotherapy, Austin Health, Royal Talbot Rehabilitation Centre, Austin Health, Kew, Victoria, Australia
Issue Date: 2004
Publication information: The Australian Journal of Physiotherapy; 50(4): 219-24
Abstract: The purpose of this study was to investigate whether additional practice of either upper limb or mobility tasks improved functional outcome during inpatient stroke rehabilitation. This prospective, randomised, single blind clinical trial recruited 30 stroke subjects into either an Upper Limb or a Mobility Group. All subjects received their usual rehabilitation and an additional session of task-related practice using a circuit class format. Independent assessors, blinded to group allocation, tested all subjects. Outcome measures used were three items of the Jebsen Taylor Hand Function Test (JTHFT), two arm items of the Motor Assessment Scale (MAS), and three mobility measures, the Timed Up and Go Test (TUGT), Step Test, and Six Minute Walk Test (6MWT). Both groups improved significantly between pre- and post-tests on all of the mobility measures, however only the Upper Limb Group made a significant improvement on the JTHFT and MAS upper arm items. Following four weeks training, the Mobility Group had better locomotor ability than the Upper Limb Group (between-group differences in the 6MWT of 116.4 m, 95% CI 31.4 to 201.3 m, Step Test 2.6 repetitions, 95% CI -1.0 to 6.2 repetitions, and TUGT -7.6 sec, 95% CI -15.5 to 0.2 sec). The JTHFT dexterity scores in the Upper Limb Group were 6.5 sec (95% CI -7.4 to 20.4 sec) faster than the Mobility Group. Our findings support the use of additional task-related practice during inpatient stroke rehabilitation. The circuit class format was a practical and effective means to provide supervised additional practice that led to significant and meaningful functional gains.
Gov't Doc #: 15574110
Journal: The Australian journal of physiotherapy
Type: Journal Article
Subjects: Arm.physiopathology
Length of Stay
Middle Aged
Physical Therapy Modalities
Prospective Studies
Recovery of Function
Rehabilitation Centers
Remission, Spontaneous
Task Performance and Analysis
Treatment Outcome
Appears in Collections:Journal articles

Show full item record

Page view(s)

checked on Apr 19, 2024

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.