Evaluation of a technology-assisted enriched environmental activities programme for upper limb function: A randomized controlled trial.
Identifieur interne : 000418 ( Main/Exploration ); précédent : 000417; suivant : 000419Evaluation of a technology-assisted enriched environmental activities programme for upper limb function: A randomized controlled trial.
Auteurs : Bhasker Amatya [Australie] ; Fary Khan ; Imogen Windle ; Matthew Lowe ; Mary P. GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- physiopathologie : Membre supérieur.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Résultat thérapeutique, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Upper Extremity.
- Female, Humans, Male, Middle Aged, Prospective Studies, Treatment Outcome.
Abstract
OBJECTIVE
To evaluate the effectiveness and feasibility of an intensive technology-assisted inpatient enriched environmental programme for upper limb function.
METHODS
Patients consecutively admitted to the rehabilitation unit randomly allocated to an intervention (enriched environmental programme, n = 46)) or a control group (usual ward activity, n = 46). Assessments were performed at baseline (T0), discharge (T1) and 3 months (T2) using validated measures.
RESULTS
At T1, the enriched environmental group showed significant improvement in upper limb func-tion, compared with the control group: Action Research Arm Test (ARAT) "Total" (p = 0.002), and "Grip", "Pinch" and "Gross" subscales (p < 0.05 for all), with small effect size = 0.04-0.16. Most participants in the enriched environmental group had clinically significant improvement > 5.7 points on the ARAT "Total" compared with the control group (83% vs 44%, p < 0.001). Participants in the enriched environmental group were more involved in various forms of activities during waking hours. At T2, despite no significant between-group difference in ARAT scores, the majority of participants in the enriched environmental group maintained the improvement (> 5.7 points) on ARAT "Total" compared with the control group (91% vs 61%, p = 0.001). Both groups improved in other measures at both T1 and T2.
CONCLUSION
An enriched environmental programme was feasible and effective in improving upper limb function and increasing the activity of patients during their inpatient subacute care.
DOI: 10.2340/16501977-2625
PubMed: 31709452
Affiliations:
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Bhasker.Amatya@mh.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation Medicine, The Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></author><author><name sortKey="Windle, Imogen" sort="Windle, Imogen" uniqKey="Windle I" first="Imogen" last="Windle">Imogen Windle</name></author><author><name sortKey="Lowe, Matthew" sort="Lowe, Matthew" uniqKey="Lowe M" first="Matthew" last="Lowe">Matthew Lowe</name></author><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. 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Bhasker.Amatya@mh.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation Medicine, The Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></author><author><name sortKey="Windle, Imogen" sort="Windle, Imogen" uniqKey="Windle I" first="Imogen" last="Windle">Imogen Windle</name></author><author><name sortKey="Lowe, Matthew" sort="Lowe, Matthew" uniqKey="Lowe M" first="Matthew" last="Lowe">Matthew Lowe</name></author><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Upper Extremity (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Membre supérieur (physiopathologie)</term><term>Mâle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Membre supérieur</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Upper Extremity</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate the effectiveness and feasibility of an intensive technology-assisted inpatient enriched environmental programme for upper limb function.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Patients consecutively admitted to the rehabilitation unit randomly allocated to an intervention (enriched environmental programme, n = 46)) or a control group (usual ward activity, n = 46). Assessments were performed at baseline (T0), discharge (T1) and 3 months (T2) using validated measures.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>At T1, the enriched environmental group showed significant improvement in upper limb func-tion, compared with the control group: Action Research Arm Test (ARAT) "Total" (p = 0.002), and "Grip", "Pinch" and "Gross" subscales (p < 0.05 for all), with small effect size = 0.04-0.16. Most participants in the enriched environmental group had clinically significant improvement > 5.7 points on the ARAT "Total" compared with the control group (83% vs 44%, p < 0.001). Participants in the enriched environmental group were more involved in various forms of activities during waking hours. At T2, despite no significant between-group difference in ARAT scores, the majority of participants in the enriched environmental group maintained the improvement (> 5.7 points) on ARAT "Total" compared with the control group (91% vs 61%, p = 0.001). Both groups improved in other measures at both T1 and T2.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>An enriched environmental programme was feasible and effective in improving upper limb function and increasing the activity of patients during their inpatient subacute care.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31709452</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>24</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>24</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>52</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>01</Month><Day>02</Day></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Evaluation of a technology-assisted enriched environmental activities programme for upper limb function: A randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>jrm00003</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-2625</ELocationID><Abstract><AbstractText Label="OBJECTIVE">To evaluate the effectiveness and feasibility of an intensive technology-assisted inpatient enriched environmental programme for upper limb function.</AbstractText><AbstractText Label="METHODS">Patients consecutively admitted to the rehabilitation unit randomly allocated to an intervention (enriched environmental programme, n = 46)) or a control group (usual ward activity, n = 46). Assessments were performed at baseline (T0), discharge (T1) and 3 months (T2) using validated measures.</AbstractText><AbstractText Label="RESULTS">At T1, the enriched environmental group showed significant improvement in upper limb func-tion, compared with the control group: Action Research Arm Test (ARAT) "Total" (p = 0.002), and "Grip", "Pinch" and "Gross" subscales (p < 0.05 for all), with small effect size = 0.04-0.16. Most participants in the enriched environmental group had clinically significant improvement > 5.7 points on the ARAT "Total" compared with the control group (83% vs 44%, p < 0.001). Participants in the enriched environmental group were more involved in various forms of activities during waking hours. At T2, despite no significant between-group difference in ARAT scores, the majority of participants in the enriched environmental group maintained the improvement (> 5.7 points) on ARAT "Total" compared with the control group (91% vs 61%, p = 0.001). Both groups improved in other measures at both T1 and T2.</AbstractText><AbstractText Label="CONCLUSION">An enriched environmental programme was feasible and effective in improving upper limb function and increasing the activity of patients during their inpatient subacute care.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, The Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Victoria, Australia. Bhasker.Amatya@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Windle</LastName><ForeName>Imogen</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Lowe</LastName><ForeName>Matthew</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary P</ForeName><Initials>MP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>01</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>J Rehabil Med</MedlineTA><NlmUniqueID>101088169</NlmUniqueID><ISSNLinking>1650-1977</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034941" MajorTopicYN="N">Upper Extremity</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">enriched environment</Keyword><Keyword MajorTopicYN="Y">function</Keyword><Keyword MajorTopicYN="Y">rehabilitation</Keyword><Keyword MajorTopicYN="Y">upper limb</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31709452</ArticleId><ArticleId IdType="doi">10.2340/16501977-2625</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><name sortKey="Lowe, Matthew" sort="Lowe, Matthew" uniqKey="Lowe M" first="Matthew" last="Lowe">Matthew Lowe</name><name sortKey="Windle, Imogen" sort="Windle, Imogen" uniqKey="Windle I" first="Imogen" last="Windle">Imogen Windle</name></noCountry><country name="Australie"><noRegion><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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