Abstract.[Purpose] The purpose of this study was to investigate the effect of motor dual task training on gait ability of post-stroke patients.[Subjects] Participants were randomly allocated to 2 groups: a motor dual task training group (n=17) and a control group (n=16).[Methods] Both groups received physical therapy for 30 minutes, 5 days per week for 6 weeks. The motor dual task training group received additional motor dual task training for 30 minutes, 3 days per week for 6 weeks. Gait ability was evaluated using the GAITRite system. [Results] Temporal parameters and spatial parameters were significantly improved by motor dual task training. Changes in gait speed, cadence, paretic step length, non-paretic step length, paretic stride length, non-paretic stride length, and paretic single limb support period were significantly different between the motor dual task training group and the control group.[Conclusion] Motor dual task training improved gait ability. These results suggest that motor dual task training is feasible and suitable for individuals with stroke.
[Purpose] This study compared the upper extremity recovery of stroke patients with the
amount of their upper extremity use in real life as measured by accelerometers. [Subjects]
Forty inpatients who had had a stroke were recruited. [Methods] The subjects were divided
into two groups by the Fugl-Meyer Assessment of Motor Function (FMA) score, a moderately
recovered group and a well recovered group. The amount of upper extremity physical
activity and its ratio in daily time periods were analyzed for the affected and unaffected
sides. [Results] The well recovered group showed significantly higher affected arm use and
use ratio than the moderately recovered group in all time periods. [Conclusion] The upper
extremity recovery level of the affected side is similar to the physical activity level
according to the amount of upper extremity physical activity in actual life measured with
an accelerometer. Overuse of the normal side regardless of the recovery level of upper
extremity proves the International Classification of Functioning (ICF) concept of
differentiating between capacity and performance, and rehabilitation treatments should
focus on improving performance.
The Rasch equating method successfully created three crosswalks between the FIM motor items and K-MBI, with the equated test items demonstrating good psychometrics. The crosswalks would address the incomparable scoring systems between the FIM motor items and K-MBI. Implications for Rehabilitation The three crosswalk tables (scoring tables) would allow clinicians to compare or translate a patient's motor scores between the FIM and K-MBI. The crosswalk tables would allow health-care administrators to track patients' functional status across various rehabilitation facilities that exclusively use the FIM or K-MBI.
[Purpose] This study investigated the recovery of arm function and the functional use of
the affected limb in real life of stroke patients after bilateral arm training. [Subjects]
Twenty patients with stroke were randomly allocated to the BT (bilateral training group,
n=10) and UT (unilateral training group, n=10) groups. [Methods] The BT group performed
functional tasks with both hand symmetrically, the UT group performed tasks with only the
affected hand for 30 minutes a session 5 times a week over 6 weeks. Before and after the
intervention, accelerometers (Actisleep), functional independence measure (FIM) and manual
function test (MFT) were used to assess subjects’ abilities. [Results] The BT group showed
a significant improvement in FIM total score, motor subtotal score and MFT score of
affected side compared to the UT group. The BT group showed a more quantitative increase
in the amount of activity of the affected side than the UT group. Regarding activity
intensity, the BT group showed a decrease in the sedentary level and an increase of the
moderate level on the affected side compared to the UT group. [Conclusion] We found that
programs tailored to the characteristics of stroke patients and continuous monitoring of
physical activity using an accelerometer minimized possible future disability and improved
the patients’ quality of life.
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