Effects of dynavision training as a preparatory intervention status postcerebrovascular accident: a case report.

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.