Deans' stroke musings: Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, June 23, 2022

Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase

FYI. Do you think your therapist could implement this?

Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase

回復期において脳梗塞後の上肢麻痺に対する課題指向型アプローチと機能指向型アプローチの上肢機能および使用行動に関する比較検討. Japanese Occupational Therapy Research , Volume 39(2) , Pgs. 162-169.

NARIC Accession Number: I247505. What's this?
Author(s): Takashi TAKEBAYASHI; Hiroki Karato; Isao Sasaki; Kazuhiro Tokuda.
Publication Year: 2020.

Abstract:

The objective of this study was to compare the protocols of the Task-oriented approach (TOA) and Transfer Package (TP) to the Impairment-oriented approach (IOA) and TP for paralyzed hands after stroke. Study participants were 13 patients: 7 in the TOA/TP group and 6 in the IOA/TP group. Upper extremity function (Fugl-Meyer Assessment - FMA) and usage behavior of the paralyzed hand (Motor Activity Log - , MAL/AOU, QOM) were compared, and results indicated no significant change in FMA (p=0.18), but MAL changed significantly in the TOA group compared to the IOA group (MAL AOU: p=0.04, MAL QOM: p<0.01). These results suggest that TOA could transfer the functions acquired in real-life practice more efficiently even if the same TP is performed.
Descriptor Terms: Attitudes toward disabled, Operations research, Professional occupations, Treatment, Brain.
Language: Japanese
Geographic Location(s): Japan, East & Southeast Asia.

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Get this Document: https://www.jstage.jst.go.jp/article/jotr/39/2/39_162/_pdf/-char/en.

Citation: Takashi TAKEBAYASHI, Hiroki Karato, Isao Sasaki, Kazuhiro Tokuda. (2020). Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase. 回復期において脳梗塞後の上肢麻痺に対する課題指向型アプローチと機能指向型アプローチの上肢機能および使用行動に関する比較検討. Japanese Occupational Therapy Research , 39(2), Pgs. 162-169. Retrieved 6/23/2022, from REHABDATA database.