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. 2022 Jul 14;13(1):181-190.
doi: 10.1515/tnsci-2022-0228. eCollection 2022 Jan 1.

Predictors of high dose of massed practice following stroke

Bishir Sabo  1   2 , Auwal Abdullahi  1   3 , Umaru Muhammad Badaru  1 , Wim Saeys  3 , Steven Truijen  3
Affiliations

Predictors of high dose of massed practice following stroke

Bishir Sabo et al. Transl Neurosci. .

Abstract

Objective: The aim of this study is to determine the factors that affect patients' ability to carry out high dose of massed practice.

Methods: Patients with stroke were included in the study if they had no severe impairment in motor and cognitive functions. Dose of massed practice, motor function, perceived amount and quality of use of the arm in the real world, wrist and elbow flexors spasticity, dominant hand stroke, presence of shoulder pain, and central post-stroke pain were assessed on the first day. Dose of massed practice was assessed again on the second day. The data were analyzed using descriptive statistics and linear multiple regression.

Results: Only motor function (β = -0.310, r = 0.787, P < 0.001), perceived amount of use (β = 0.300, r = 0.823; 95% CI = 0.34-107.224, P = 0.049), severity of shoulder pain (β = -0.155, r = -0.472, P = 0.019), wrist flexors spasticity (β = -0.154, r = -0.421, P = 0.002), age (β = -0.129, r = -0.366, P = 0.018), dominant hand stroke (β = -0.091, r = -0.075, P = 0.041), and sex (β = -0.090, r = -0.161, P = 0.036) significantly influenced patients' ability to carry out high dose of massed practice.

Conclusion: Many factors affect patients' ability to carry out high dose of massed practice. Understanding these factors can help in designing appropriate rehabilitation.

Keywords: activities of daily living; dose; motor recovery; quality of life.

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Conflict of interest statement

Conflict of interest: Authors state no conflict of interest.

Figures

Figure 1
Figure 1
Study flowchart.
Figure 2
Figure 2
Scatter plot illustrating the regression line of predictors of ability to carry out high dose of massed practice during CIMT.
Figure 3
Figure 3
Scatter plot illustrating the regression line of predictors of perceived amount of use of the arm in the real limb following CIMT.
Figure 4
Figure 4
Scatter plot illustrating the regression line of predictors of perceived quality of use of the arm in the real limb following CIMT.
See this image and copyright information in PMC

References

    1. Raghavan P. Upper limb motor impairment post stroke. Phys Med Rehabil Clin N Am. 2015;26(4):599–610. 10.1016/j.pmr.2015.06.008. - DOI - PMC - PubMed
    1. Ostendorf CG, Wolf SL. Effect of forced use of the upper extremity of a hemiplegic patient on changes in function: a single-case design. Phys Ther. 1981;61(7):1022–8. - PubMed
    1. Wolf SL, Lecraw DE, Barton LA, Jann BB. Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients. Exp Neurol. 1989;104(2):125–32. - PubMed
    1. Taub E, Miller NE, Novack TA, Cook IEW, Fleming WC, Nepomuceno CS. Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil. 1993;74(4):347–54. - PubMed
    1. Etoom E, Hawamdeh M, Hawamdeh Z. Constraint induced movement therapy as a rehabilitation intervention for upper extremity in stroke patients: systematic review and metaanalysis. Int J Rehabil Res. 2016;39(3):197–210. - PubMed

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