Transfer of training between distinct motor tasks after stroke: Implications for task- specific approaches to upper extremity neurorehabilitation
Identifieur interne : 001735 ( Main/Curation ); précédent : 001734; suivant : 001736Transfer 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.
Url:
DOI: 10.1177/1545968313481279
PubMed: 23549521
PubMed Central: 3769167
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<author><name sortKey="Schaefer, Sydney Y" sort="Schaefer, Sydney Y" uniqKey="Schaefer S" first="Sydney Y." last="Schaefer">Sydney Y. Schaefer</name>
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<author><name sortKey="Lang, Catherine E" sort="Lang, Catherine E" uniqKey="Lang C" first="Catherine E." last="Lang">Catherine E. Lang</name>
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<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>
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