So write this up as a protocol and deliver it to all 10 million yearly stroke survivors
now and into the future. Just writing this in a journal DOES NOTHING TO GET SURVIVORS RECOVERED!
Examining the Delivery Mode of Mental Practice in Reducing
Hemiparesis: A Randomized Controlled Trial
Teresa M. GreenAdventist Healthcare Rehabilitation - USA, tgreen12@twu.edu
Nicole M. FrommAdventist Healthcare Rehabilitation - USA, Nfromm@adventisthealthcare.com
Farida Sita GayleAdventist Healthcare Rehabiliation - USA, Farida.sita@gmail.com
Jinna LeeAdventist Healthcare Rehabilitation - USA, jinna1201@gmail.com
Wanyi WangTexas Woman's University - USA, wwang@twu.edu
Asha K. VasTexas Woman's University - USA, avas@twu.edu
Follow this and additional works at: https://scholarworks.wmich.edu/ojot
Part of the Occupational Therapy Commons
Nicole M. FrommAdventist Healthcare Rehabilitation - USA, Nfromm@adventisthealthcare.com
Farida Sita GayleAdventist Healthcare Rehabiliation - USA, Farida.sita@gmail.com
Jinna LeeAdventist Healthcare Rehabilitation - USA, jinna1201@gmail.com
Wanyi WangTexas Woman's University - USA, wwang@twu.edu
Asha K. VasTexas Woman's University - USA, avas@twu.edu
Follow this and additional works at: https://scholarworks.wmich.edu/ojot
Part of the Occupational Therapy Commons
Recommended Citation
Green, T. M., Fromm, N. M., Gayle, F. S., Lee, J., Wang, W., & Vas, A. K. (2023). Examining the Delivery Mode
of Mental Practice in Reducing Hemiparesis: A Randomized Controlled Trial.
The Open Journal of
Occupational Therapy, 11(4), 1-9. https://doi.org/10.15453/2168-6408.2149
Green, T. M., Fromm, N. M., Gayle, F. S., Lee, J., Wang, W., & Vas, A. K. (2023). Examining the Delivery Mode
of Mental Practice in Reducing Hemiparesis: A Randomized Controlled Trial.
The Open Journal of
Occupational Therapy, 11(4), 1-9. https://doi.org/10.15453/2168-6408.2149
Abstract
Background:
Mental Practice (MP) is an effective intervention to address upper extremity (UE)
hemiparesis post-stroke. However, parameters for the delivery mode of MP have not been defined.
Therefore, this study's purpose was to define delivery mode parameters by comparing the effectiveness
of audio-guided and video-guided MP.
hemiparesis post-stroke. However, parameters for the delivery mode of MP have not been defined.
Therefore, this study's purpose was to define delivery mode parameters by comparing the effectiveness
of audio-guided and video-guided MP.
Method:
Eighteen participants, < 1-month post-stroke, with UE hemiparesis were randomized to a MP,
repetitive task practice (RTP) or control group. The MP groups performed audio-guided or video-guided
MP, 5x/week. The RTP group physically performed the functional tasks. The control group received
traditional stroke rehabilitation. The Fugl-Meyer Assessment (FMA-UE) and Wolf Motor Function Test
(WMFT) were used to assess change in UE hemiparesis.
repetitive task practice (RTP) or control group. The MP groups performed audio-guided or video-guided
MP, 5x/week. The RTP group physically performed the functional tasks. The control group received
traditional stroke rehabilitation. The Fugl-Meyer Assessment (FMA-UE) and Wolf Motor Function Test
(WMFT) were used to assess change in UE hemiparesis.
Results:
Wilcoxon signed-rank test demonstrated audio MP increased FMA-UE scores from pretest (Mdn =
34.0, Mean = 34.0,
SD =9.56) to posttest (Mdn = 49.0, Mean = 49.6,
SD =7.5), p = .042, r = .64. Similar
improvement in FMA-UE scores was found with traditional therapy. Audio MP decreased WMFT time,
pretest (Mdn = 10.5, Mean = 49.9,
SD = 59.1) to posttest (Mdn = 4.1, Mean = 3.5,
SD = 1.4), p =.043, r =.63.
34.0, Mean = 34.0,
SD =9.56) to posttest (Mdn = 49.0, Mean = 49.6,
SD =7.5), p = .042, r = .64. Similar
improvement in FMA-UE scores was found with traditional therapy. Audio MP decreased WMFT time,
pretest (Mdn = 10.5, Mean = 49.9,
SD = 59.1) to posttest (Mdn = 4.1, Mean = 3.5,
SD = 1.4), p =.043, r =.63.
Conclusion:
Audio MP and traditional therapy appear to decrease impairment and increase the functional
abilities of the UE following stroke. Video MP and RTP does not have this effect.
Comments
The authors declare that they have no competing financial, professional, or personal interest that might
have influenced the performance or presentation of the work described in this manuscript
abilities of the UE following stroke. Video MP and RTP does not have this effect.
Comments
The authors declare that they have no competing financial, professional, or personal interest that might
have influenced the performance or presentation of the work described in this manuscript
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