Waddell Kimberly J, Birkenmeier Rebecca L, Moore Jennifer L, Hornby T George, Lang Catherine E
Kimberly J. Waddell, MS, OTR/L, is Occupational Therapist, Rehabilitation Institute of Chicago, Chicago, IL.
Rebecca L. Birkenmeier, OTD, OTR/L, is Research Assistant Professor, Program in Occupational Therapy, Program in Physical Therapy, Department of Neurology, Washington University School of Medicine, St. Louis, MO.
Am J Occup Ther. 2014 Jul-Aug;68(4):444-53. doi: 10.5014/ajot.2014.011619.
OBJECTIVE. We investigated the feasibility of delivering an individualized, progressive, high-repetition upper-extremity (UE) task-specific training protocol for people with stroke in the inpatient rehabilitation setting. METHOD. Fifteen patients with UE paresis participated in this study. Task-specific UE training was scheduled for 60 min/day, 4 days/wk, during occupational therapy for the duration of a participant's inpatient stay. During each session, participants were challenged to complete ≥300 repetitions of various tasks. RESULTS. Participants averaged 289 repetitions/session, spending 47 of 60 min in active training. Participants improved on impairment and activity level outcome measures. CONCLUSION. People with stroke in an inpatient setting can achieve hundreds of repetitions of task-specific training in 1-hr sessions. As expected, all participants improved on functional outcome measures. Future studies are needed to determine whether this high-repetition training program results in better outcomes than current UE interventions.
目的。我们研究了在住院康复环境中为中风患者提供个性化、渐进式、高重复次数的上肢（UE）特定任务训练方案的可行性。方法。15名上肢轻瘫患者参与了本研究。在参与者住院期间的职业治疗中，特定任务的上肢训练安排为每天60分钟，每周4天。在每个训练时段，要求参与者完成各种任务≥300次重复。结果。参与者平均每次训练重复289次，在60分钟的训练中，有47分钟用于主动训练。参与者在损伤和活动水平结局指标上有所改善。结论。住院的中风患者在1小时的训练时段内可以完成数百次特定任务训练。正如预期的那样，所有参与者在功能结局指标上都有所改善。未来需要进行研究，以确定这种高重复训练方案是否比当前的上肢干预措施产生更好的效果。
