https://discover.dc.nihr.ac.uk/portal/article/4000640/repetitive-task-training-can-help-recovery-after-stroke?
Following a stroke, people who received repetitive task training showed greater improvements in performing functional tasks, such as picking up a cup, standing up and walking. These improvements were sustained for up to six months.
Disability following stroke is common, affecting around half of all stroke survivors. This NIHR-funded review of over thirty trials found that repetitive task training provided small gains in arm and leg function, balance and walking distance (about 35 metres).
We do not yet know the optimum number of sessions, or the ideal duration or intensity. However, it is a versatile and relatively easy intervention which can be delivered by physiotherapists/occupational therapists in groups, individually, in hospital, in the community or at home. Depending on the nature of the exercise, there is also potential for people to continue to practice on their own or with carer support.
This review shows that it can help people to improve functionality and mobility and should be considered as part of routine rehabilitation, in line with national guidance.
Expert commentary
This is a very useful review
for clinical practice(Really?). It shows that repetitive task training improves
mobility and upper limb function for people with stroke in both the
short and long term, whether undertaken soon or long after the stroke.
Although the evidence is only moderately strong, it eclipses the
evidence for current commonly used approaches. The challenge now is to
develop rehabilitation to incorporate as much repetitive task training
as possible, during patients’ daily routines as well therapy sessions.
There is, of course, further work to be done to develop individualised
doses and types of practice but in the meantime just do it.
Sarah F Tyson, Professor of Rehabilitation, University of Manchester
This is so not useful. If I could pick up a cup, I WOULD practice it obsessively; I'd get in enough repetitions to... to do what? Instead, I have to practice obsessively TRYING to open my hand so that after a million repetitions, I'll be able to ... pick up a cup. Maybe.
ReplyDeleteI agree, if I could get rid of my spasticity I could recover completely
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