Adhikari Shambhu Prasad, Tretriluxana Jarugool, Chaiyawat Pakaratee, Jalayondeja Chutima
Faculty of Physical Therapy, Mahidol University, Thailand.
Department of Physiotherapy, Kathmandu University School of Medical Sciences, Nepal.
Stroke Res Treat. 2018 Jun 12;2018:1490692. doi: 10.1155/2018/1490692. eCollection 2018.
Action-observation-execution (AOE) primes physical training. We examined the immediate effect of AOE with accelerated skill acquisition program (ASAP) on dexterity in subacute stroke.
Twelve individuals from 1 to 6 months after stroke were allocated into two groups by matching age and side of stroke. After AOE of 30 minutes, the experimental group received ASAP for 60 minutes whereas the control group received dose-equivalent usual care. The movement time (MT) and functional ability (FA) of hand items of the Wolf motor function test (WMFT), hand functions and global recovery of stroke impact scale (SIS), and intrinsic motivation items of stroke rehabilitation motivation scale were assessed at baseline, after training, and during one-week follow-up. Data were analyzed within and between the groups.
AOE significantly decreased MT of flipping cards of WMFT and hand functions of SIS. Total MT was markedly reduced. AOE with ASAP demonstrated significant group-by-time interactions on MT of lifting pencil of WMFT, total MT, and global recovery. Grip strength, FA, and hand functions were significantly improved only in the experimental group. Both groups improved motivation significantly.
The AOE with ASAP enhanced dexterity, which persisted for at least a week. This intervention might improve dexterity in subacute stroke.
This trial is registered with TCTR20161007001.
动作观察执行（AOE）可促进体育训练。我们研究了AOE结合加速技能习得计划（ASAP）对亚急性卒中患者灵活性的即时影响。
将12例卒中后1至6个月的患者按年龄和卒中侧别匹配分为两组。在进行30分钟的AOE后，实验组接受60分钟的ASAP，而对照组接受剂量等效的常规护理。在基线、训练后和为期一周的随访期间，评估Wolf运动功能测试（WMFT）手部项目的运动时间（MT）和功能能力（FA）、手部功能和卒中影响量表（SIS）的整体恢复情况，以及卒中康复动机量表的内在动机项目。对组内和组间数据进行分析。
AOE显著降低了WMFT翻卡片的MT和SIS的手部功能。总MT显著降低。AOE结合ASAP在WMFT举铅笔的MT、总MT和整体恢复方面显示出显著的组×时间交互作用。仅实验组的握力、FA和手部功能显著改善。两组的动机均显著提高。
AOE结合ASAP可提高灵活性，且这种效果至少持续一周。该干预措施可能改善亚急性卒中患者的灵活性。
本试验已在TCTR20161007001注册。
