School of Allied Health, Australian Catholic University, Sydney, Australia.
School of Allied Health, Australian Catholic University, Sydney, Australia; StrokeEd collaboration, Sydney, Australia.
J Physiother. 2019 Apr;65(2):95-98. doi: 10.1016/j.jphys.2019.02.007. Epub 2019 Mar 23.
In stroke rehabilitation, do goal-oriented instructions increase the intensity of practice during therapy compared to a non-specific instruction? Is one type of goal-oriented instruction more effective at increasing the intensity of practice achieved by stroke survivors during therapy?
A within-participant, repeated measures experimental study.
Twenty-four adults undertaking stroke rehabilitation at a metropolitan hospital as an inpatient or outpatient.
Participants were observed performing exercises across 3 days. On each day, they performed an exercise with a non-specific instruction ('do some [exercise]') as a baseline measure and the same exercise with one of three goal-oriented instructions, delivered in a randomised order. The three goal-oriented instructions were: 'do [exercise] 25 times' (instruction A), 'do [exercise] 25 times as fast as you can' (instruction B), and 'do [exercise] 25 times, as fast as you can, aiming for a personal best' (instruction C). The last instruction included verbal encouragement during the exercise.
The time taken to complete 25 repetitions under the baseline condition and each instruction was recorded and converted into repetitions per minute.
All of the goal-oriented instructions resulted in a significant increase in the rate of repetitions of the exercise being performed compared to the baseline measure: percentage increase from baseline (95% CI) was 62% (31 to 93) with instruction A, 116% (67 to 165) with instruction B, and 128% (84 to 171) with instruction C. Instruction C had a significantly greater effect than instruction A: mean difference in percentage increase 65% (95% CI 13 to 118).
Goal-oriented instructions can result in significant increases in the rate of repetitions of exercise in stroke rehabilitation. The use of goal-oriented instructions is a simple, no-cost strategy that can be used to increase the intensity of practice in stroke rehabilitation.
ACTRN12619000146190.
在中风康复中，与非特定指导相比，目标导向指导是否会增加治疗期间的练习强度？是否有一种类型的目标导向指导更能增加中风幸存者在治疗期间实现的练习强度？
参与者内、重复测量的实验研究。
24 名在大都市医院接受中风康复治疗的成年人，包括住院患者和门诊患者。
参与者在 3 天内观察到他们进行锻炼。在每一天，他们进行一项练习，首先是非特定指导（“做一些[练习]”）作为基线测量，然后以随机顺序进行同样的练习，同时接受三种目标导向指导中的一种。三种目标导向指导分别为：“做[练习] 25 次”（指导 A）、“尽可能快地做[练习] 25 次”（指导 B）和“尽可能快地做[练习] 25 次，争取个人最佳”（指导 C）。最后一个指令在锻炼过程中包含口头鼓励。
记录并转换为每分钟重复次数，记录在基线条件和每个指令下完成 25 次重复所需的时间。
所有目标导向指导都导致所进行的练习的重复率显著增加，与基线测量相比：从基线增加的百分比（95%CI）分别为指导 A 时的 62%（31 至 93），指导 B 时的 116%（67 至 165），指导 C 时的 128%（84 至 171）。指导 C 的效果明显大于指导 A：增加百分比的平均差异为 65%（95%CI 13 至 118）。
目标导向指导可显著增加中风康复治疗中运动的重复率。使用目标导向指导是一种简单、无成本的策略，可以增加中风康复治疗中的练习强度。
ACTRN12619000146190。
