Thursday, November 30, 2023

Autonomy support encourages use of more-affected arm post-stroke

This is only useful for higher functioning survivors. For me with dead brain in what used to control the arm and hand this is totally useless. I need dead brain rehab and I see nothing out there that will help me recover.

 Autonomy support encourages use of more-affected arm post-stroke

Journal of NeuroEngineering and Rehabilitation. Volume 20(116)

NARIC Accession Number: J92739. What's this?
Author(s): Kim, Sujin, Shin, Yumi, Jeong, Yeonwoo, Na, Seungyoung, Han, Cheol E..
Publication Year: 2023.
Abstract: Study investigated whether autonomy support combined with an information technology device facilitated success in using the more-affected arm during training in individuals with stroke. Autonomy support, which involves providing individuals the ability to control their own behavior, is associated with improved motor control and learning in various populations in clinical and non-clinical settings. Twenty-six participants with stroke were assigned to the autonomy support or control group. Over a 5-week period, training and test sessions were conducted using the Individualized Motivation Enhancement System (IMES), a device developed specifically for this study. In the autonomy-support group, participants were able to adjust the task difficulty parameter, which controlled the time limit for reaching targets. The control group did not receive this option. The evaluation of the more-affected arm's use, performance, and impairment was conducted through clinical tests and the IMES. These data were then analyzed using mixed-effect models. In the IMES test, both groups showed a significant improvement in performance after the training period, without any significant intergroup differences. However only the autonomy-support group demonstrated a significant increase in the use of the more-affected arm following the training. Additionally, during the training period, the autonomy support group showed a significant increase in successful experiences with using the more-affected arm, while the control group did not exhibit the same level of improvement. Also, in the autonomy-support group, the increase in the use of the more-affected arm was associated with the increase in the successful experience significantly.
Descriptor Terms: ASSISTIVE TECHNOLOGY, HEMIPLEGIA, LIMBS, MOTIVATION, MOTOR SKILLS, SELF CONCEPT, STROKE, THERAPEUTIC TRAINING.


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Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01238-0(link is external).

Citation: Kim, Sujin, Shin, Yumi, Jeong, Yeonwoo, Na, Seungyoung, Han, Cheol E.. (2023.) Autonomy support encourages use of more-affected arm post-stroke. Journal of NeuroEngineering and Rehabilitation., 20(116) Retrieved 11/30/2023, from REHABDATA database.

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