Your competent? doctor created a protocol on this years ago, right? NO? I guess you don't have a functioning stroke doctor, do you?
Mental Practice to Reduce Severe Upper Extremity Hemiparesis: A Feasibility Pilot Study
Abstract
Limited
interventions address severe upper extremity (UE) hemiparesis. The
feasibility of mental practice (MP) in acute inpatient rehabilitation
(AIR) is unexplored. The purpose of this pilot study was to assess the
effect of MP on severe UE hemiparesis and the feasibility of MP in AIR.
Single-group, pretest–posttest. Eleven patients ages 18–90, <1-month
post-stroke, with UE hemiparesis completed an MP protocol, 5 days/week
for 2 weeks. The Wolf Motor Function Test (WMFT) and Fugl Meyer
Assessment (FM) assessed UE functional abilities and impairments. The
patients and 17 occupational therapists working in AIR were surveyed to
determine the feasibility of MP. Wilcoxon signed-rank test showed a
statistically significant difference in FMA and WMFT scores pretest to
posttest. The feasibility survey results found MP to be appropriate and
feasible, with lower scores in acceptability. MP appears to be feasible
and appropriate to address severe UE hemiparesis in the AIR setting.
Plain Language Summary
Mental Practice to Reduce Severe Upper Extremity Weakness After a Stroke
Research
has shown mental practice (MP) can reduce arm weakness after a stroke.
MP is thinking about performing a task, without actually moving.
Researchers are unsure if MP is effective to treat severe arm weakness.
Study objectives: (1) Identify the effect of MP on severe arm weakness
following a stroke. (2) Gain information about how patients and
occupational therapists feel about MP. Eleven individuals, ages 18–90,
who had a stroke with severe arm weakness participated in MP 5 days/week
for 2 weeks. Arm weakness was measured before and after the treatment.
The participants completed a survey about performing MP as well as 17
occupational therapists who work with individuals who have had a stroke.
Results: MP improved the arm movements of individuals with severe arm
weakness. Patients and therapists found MP to be appropriate and
feasible to address arm weakness; however, they demonstrated less
acceptability of performing MP.
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