Tools
Tools
Cowles, Tracy, Clark, Allan 
ORCID: https://orcid.org/0000-0003-2965-8941, Mares, Kathryn ORCID: https://orcid.org/0000-0003-3923-4472, Peryer, Guy ORCID: https://orcid.org/0000-0003-0425-6911, Stuck, Rebecca and Pomeroy, Valerie ORCID: https://orcid.org/0000-0003-4487-823X
(2013)
Observation-to-imitate plus practice could add little to physical therapy benefits within 31 days of stroke: Translational randomized controlled trial.
Neurorehabilitation and Neural Repair, 27 (2).
pp. 173-182.
ISSN 1545-9683
Abstract
Background and Purpose. Observation of action with intention-to-imitate (OTI) might enhance motor recovery. This early phase trial investigated whether OTI followed by physical practice (OTI + PP) enhanced the benefits of conventional physical therapy (CPT) on upper limb recovery early after stroke. Methods. Participants were 3 to 31 days poststroke. They had substantial paresis and ability to imitate action with their ipsilesional arm. After baseline measures, participants were randomized to either OTI + PP in addition to CPT or to CPT only. Outcome measures were made after 15 days of treatment. The measurement battery was the Motricity Index (MI) and the Action Research Arm Test (ARAT). Change, baseline to outcome, was examined using the Wilcoxon test for within group and Mann–Whitney U test for between groups. Results. Sixty-five of 570 stroke survivors were eligible, 55 were able to imitate, 37 gave informed consent, 7 were transferred out of area before baseline, and 29 were randomized. Outcome measures were completed with 13 CPT participants and 9 OTI + PP participants. Both groups showed statistically significant improvements for the MI (CPT median change 8, P = .003; OTI + PP median change 10, P = .012) but the median (95% confidence interval [CI]) between-group difference was 0.0 (−11, 16), P = 1.000. For the ARAT, only the CPT group showed a statistically significant improvement (median 9, P = .006). The median (95% CI) between-group difference of 1.0 (−18, 23) was not statistically significant (P = .815). Conclusions. These findings suggest that OTI + PP might add little to the benefits of CPT early after stroke.
| Item Type: | Article |
|---|---|
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Depositing User: | Users 2731 not found. |
| Date Deposited: | 20 Aug 2012 13:17 |
| Last Modified: | 19 Oct 2023 00:25 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/39404 |
| DOI: | 10.1177/1545968312452470 |
Actions (login required)
 |
View Item |