Transfer of training between distinct motor tasks after stroke: Implications for task- specific approaches to upper extremity neurorehabilitation
Identifieur interne : 001699 ( Pmc/Curation ); précédent : 001698; suivant : 001700Transfer of training between distinct motor tasks after stroke: Implications for task- specific approaches to upper extremity neurorehabilitation
Auteurs : Sydney Y. Schaefer [États-Unis] ; Chavelle B. Patterson [États-Unis] ; Catherine E. Lang [États-Unis]Source :
- Neurorehabilitation and neural repair [ 1545-9683 ] ; 2013.
Abstract
Although task-specific training is emerging as a viable approach for recovering motor function after stroke, there is little evidence for whether the effects of such training transfer to other functional motor tasks not directly practiced in therapy.
The purpose of the current study was to test whether training on one motor task would transfer to untrained tasks that were either spatiotemporally similar or different in individuals with chronic hemiparesis post-stroke.
Eleven participants with chronic mild-to-moderate hemiparesis following stroke completed five days of supervised massed practice of a feeding task with their affected side. Performance on the feeding task, along with two other untrained functional upper extremity motor tasks (sorting, dressing) was assessed before and after training.
Performance of all three tasks improved significantly after training exclusively on one motor task. The amount of improvement in the untrained tasks was comparable, and was not dependent on the degree of similarity to the trained task.
Because the number and type of tasks that can be practiced are often limited within standard stroke rehabilitation, results from this study will be useful for designing task-specific training plans to maximize therapy benefits.
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DOI: 10.1177/1545968313481279
PubMed: 23549521
PubMed Central: 3769167
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Patterson</name><affiliation wicri:level="4"><nlm:aff id="A4">Department of Biomedical Engineering, Washington University in St. Louis</nlm:aff><country>États-Unis</country><placeName><settlement type="city">Saint-Louis (Missouri)</settlement><region type="state">Missouri (État)</region></placeName><orgName type="university">Université Washington de Saint-Louis</orgName></affiliation></author><author><name sortKey="Lang, Catherine E" sort="Lang, Catherine E" uniqKey="Lang C" first="Catherine E." last="Lang">Catherine E. Lang</name><affiliation wicri:level="2"><nlm:aff id="A1">Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Program in Physical Therapy, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Program in Occupational Therapy, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Department of Neurology, Washington University School of Medicine, St. Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Department of Neurology, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23549521</idno><idno type="pmc">3769167</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3769167</idno><idno type="RBID">PMC:3769167</idno><idno type="doi">10.1177/1545968313481279</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001699</idno><idno type="wicri:Area/Pmc/Curation">001699</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Transfer of training between distinct motor tasks after stroke: Implications for task- specific approaches to upper extremity neurorehabilitation</title><author><name sortKey="Schaefer, Sydney Y" sort="Schaefer, Sydney Y" uniqKey="Schaefer S" first="Sydney Y." last="Schaefer">Sydney Y. Schaefer</name><affiliation wicri:level="2"><nlm:aff id="A1">Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Program in Physical Therapy, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation></author><author><name sortKey="Patterson, Chavelle B" sort="Patterson, Chavelle B" uniqKey="Patterson C" first="Chavelle B." last="Patterson">Chavelle B. Patterson</name><affiliation wicri:level="4"><nlm:aff id="A4">Department of Biomedical Engineering, Washington University in St. Louis</nlm:aff><country>États-Unis</country><placeName><settlement type="city">Saint-Louis (Missouri)</settlement><region type="state">Missouri (État)</region></placeName><orgName type="university">Université Washington de Saint-Louis</orgName></affiliation></author><author><name sortKey="Lang, Catherine E" sort="Lang, Catherine E" uniqKey="Lang C" first="Catherine E." last="Lang">Catherine E. Lang</name><affiliation wicri:level="2"><nlm:aff id="A1">Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Program in Physical Therapy, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Program in Occupational Therapy, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Department of Neurology, Washington University School of Medicine, St. Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Department of Neurology, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation></author></analytic><series><title level="j">Neurorehabilitation and neural repair</title><idno type="ISSN">1545-9683</idno><idno type="eISSN">1552-6844</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P3">Although task-specific training is emerging as a viable approach for recovering motor function after stroke, there is little evidence for whether the effects of such training transfer to other functional motor tasks not directly practiced in therapy.</p></sec><sec id="S2"><title>Objective</title><p id="P4">The purpose of the current study was to test whether training on one motor task would transfer to untrained tasks that were either spatiotemporally similar or different in individuals with chronic hemiparesis post-stroke.</p></sec><sec id="S3"><title>Methods</title><p id="P5">Eleven participants with chronic mild-to-moderate hemiparesis following stroke completed five days of supervised massed practice of a feeding task with their affected side. Performance on the feeding task, along with two other untrained functional upper extremity motor tasks (sorting, dressing) was assessed before and after training.</p></sec><sec id="S4"><title>Results</title><p id="P6">Performance of all three tasks improved significantly after training exclusively on one motor task. The amount of improvement in the untrained tasks was comparable, and was not dependent on the degree of similarity to the trained task.</p></sec><sec id="S5"><title>Conclusions</title><p id="P7">Because the number and type of tasks that can be practiced are often limited within standard stroke rehabilitation, results from this study will be useful for designing task-specific training plans to maximize therapy benefits.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">100892086</journal-id><journal-id journal-id-type="pubmed-jr-id">22207</journal-id><journal-id journal-id-type="nlm-ta">Neurorehabil Neural Repair</journal-id><journal-id journal-id-type="iso-abbrev">Neurorehabil Neural Repair</journal-id><journal-title-group><journal-title>Neurorehabilitation and neural repair</journal-title></journal-title-group><issn pub-type="ppub">1545-9683</issn><issn pub-type="epub">1552-6844</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23549521</article-id><article-id pub-id-type="pmc">3769167</article-id><article-id pub-id-type="doi">10.1177/1545968313481279</article-id><article-id pub-id-type="manuscript">NIHMS508568</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Transfer of training between distinct motor tasks after stroke: Implications for task- specific approaches to upper extremity neurorehabilitation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Schaefer</surname><given-names>Sydney Y.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Patterson</surname><given-names>Chavelle B.</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Lang</surname><given-names>Catherine E.</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO</aff><aff id="A2"><label>2</label>Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO</aff><aff id="A3"><label>3</label>Department of Neurology, Washington University School of Medicine, St. Louis, MO</aff><aff id="A4"><label>4</label>Department of Biomedical Engineering, Washington University in St. Louis</aff><author-notes><fn id="FN1"><p id="P1">Other authors: Chavelle B. Patterson, BS Department of Biomedical Engineering Washington University in St. Louis St. Louis, MO 63130 USA Phone: (314) 633-8450 Fax: (314) 286-1410 <email>chavellebp@gmail.com</email></p></fn><fn id="FN2"><p id="P2">Catherine E. Lang, PT, PhD Programs in Physical Therapy and Occupational Therapy and Department of Neurology Washington University School of Medicine Campus Box 8502 St. Louis, MO 63108 USA Phone: (314) 286-1945 Fax: (314) 286-1410 <email>langc@wustl.edu</email></p></fn><corresp id="CR1">Corresponding author: Sydney Y. Schaefer, PhD Program in Physical Therapy Washington University School of Medicine Campus Box 8502 St. Louis, MO 63108 USA Phone: (314) 633-8450 Fax: (314) 286-1410 <email>syschaefer@gmail.com</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>3</day><month>9</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>02</day><month>4</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>9</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>10</day><month>9</month><year>2013</year></pub-date><volume>27</volume><issue>7</issue><fpage>602</fpage><lpage>612</lpage><abstract><sec id="S1"><title>Background</title><p id="P3">Although task-specific training is emerging as a viable approach for recovering motor function after stroke, there is little evidence for whether the effects of such training transfer to other functional motor tasks not directly practiced in therapy.</p></sec><sec id="S2"><title>Objective</title><p id="P4">The purpose of the current study was to test whether training on one motor task would transfer to untrained tasks that were either spatiotemporally similar or different in individuals with chronic hemiparesis post-stroke.</p></sec><sec id="S3"><title>Methods</title><p id="P5">Eleven participants with chronic mild-to-moderate hemiparesis following stroke completed five days of supervised massed practice of a feeding task with their affected side. Performance on the feeding task, along with two other untrained functional upper extremity motor tasks (sorting, dressing) was assessed before and after training.</p></sec><sec id="S4"><title>Results</title><p id="P6">Performance of all three tasks improved significantly after training exclusively on one motor task. The amount of improvement in the untrained tasks was comparable, and was not dependent on the degree of similarity to the trained task.</p></sec><sec id="S5"><title>Conclusions</title><p id="P7">Because the number and type of tasks that can be practiced are often limited within standard stroke rehabilitation, results from this study will be useful for designing task-specific training plans to maximize therapy benefits.</p></sec></abstract><kwd-group><kwd>task-specific training</kwd><kwd>transfer</kwd><kwd>stroke</kwd><kwd>upper extremity</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source><award-id>T32 HD007434 || HD</award-id></award-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source><award-id>R01 HD055964 || HD</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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