Anderson Lynne, Cross Audrey, Wynthein Danielle, Schmidt Lindsy, Grutz Kayla
Department of Occupational Therapy, The University of South Dakota, Vermillion, South Dakota, USA.
Occup Ther Health Care. 2011 Oct;25(4):270-82. doi: 10.3109/07380577.2011.589888. Epub 2011 Jul 22.
ABSTRACT Objective. This is a case study of a 67-year-old woman, status post right hemispheric ischemic lesion cerebrovascular accident (CVA), and her use of Dynavision training as a preparatory intervention to determine its influence on her performance skills and perceived occupational performance. Method. The participant engaged in 6 weeks of Dynavision intervention, 3 days per week. The participant was evaluated using a broad battery of assessments at pretest and posttest. Outcome measures included the Action Research Arm Test (ARAT), Canadian Occupational Performance Measure (COPM), and goniometric active range of motion (AROM) measurements for the upper extremity. Standing activity tolerance during engagement in occupations also was assessed. A qualitative interview was employed to ascertain the participant's perceptions of how Dynavision training influenced her performance in activities of daily living (ADL) and instrumental activities of daily living (IADL). Results. Improvements in performance skills, perceived occupational performance, and perceived satisfaction with engagement in occupation were noted. The participant demonstrated improved AROM, functional activity tolerance, and greater awareness of the neglected side. Qualitative interviews revealed that the participant's satisfaction and confidence with ADL and IADL tasks improved at the time of posttest. Conclusion. Data suggest positive effects of Dynavision intervention when used with an individual status post-CVA.
摘要 目的。这是一项针对一名67岁女性的案例研究，该女性曾发生右半球缺血性脑血管意外（CVA），并将Dynavision训练作为一种预备干预措施，以确定其对她的运动技能和感知职业表现的影响。方法。参与者每周进行3天、为期6周的Dynavision干预。在干预前和干预后使用一系列广泛的评估对参与者进行评估。结果指标包括动作研究上肢测试（ARAT）、加拿大职业表现测量量表（COPM）以及上肢的角度测量主动活动范围（AROM）。还评估了参与职业活动时的站立活动耐力。采用定性访谈来确定参与者对Dynavision训练如何影响其在日常生活活动（ADL）和日常生活工具性活动（IADL）中的表现的看法。结果。注意到运动技能、感知职业表现以及对职业参与的感知满意度有所改善。参与者表现出改善的AROM、功能活动耐力以及对忽视侧的更高意识。定性访谈显示，在干预后，参与者对ADL和IADL任务的满意度和信心有所提高。结论。数据表明，Dynavision干预用于CVA后的个体时具有积极效果。
