Computer-based rhythm and timing training in severe, stroke-induced arm hemiparesis

We pilot tested the efficacy of computer-based training implementing rhythm and timing in chronic, severe, stroke-induced hemiparesis. Two chronic stroke patients were administered the upper-extremity section of the Fugl-Meyer Impairment Scale (FM), the Arm Motor Ability Test (AMAT), Stroke Impact S...

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Bibliographic Details
Published in:The American journal of occupational therapy 2011-01, Vol.65 (1), p.96-100
Main Authors: Beckelhimer, Sarah C, Dalton, Ann E, Richter, Charissa A, Hermann, Valerie, Page, Stephen J
Format: Article
Language:English
Subjects:
Aged
Attention Deficit Hyperactivity Disorder
Care and treatment
Chronic Disease
Computers
Diagnosis
Efficacy
Hemiplegia
Humans
Male
Motor Skills
Occupational therapy
Occupational Therapy - methods
Outcome Measures
Paresis - etiology
Paresis - physiopathology
Paresis - rehabilitation
Psychomotor Skills
Quality of life
Recovery
Rehabilitation technology
Resistance (Psychology)
Rhythm
Stroke - complications
Stroke patients
Strokes
Therapy, Computer-Assisted - methods
Timing
Upper Extremity
Volunteers
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Summary:We pilot tested the efficacy of computer-based training implementing rhythm and timing in chronic, severe, stroke-induced hemiparesis. Two chronic stroke patients were administered the upper-extremity section of the Fugl-Meyer Impairment Scale (FM), the Arm Motor Ability Test (AMAT), Stroke Impact Scale (SIS), and Canadian Occupational Performance Measure (COPM). We then administered the computer-based intervention for 60 min, 3 days/wk for 4 wk. One week after intervention, we administered the FM, AMAT, COPM, and SIS. After intervention, participants exhibited reduced arm impairment (indicated by FM scores of + 2.0 and +4.0) and increases in average functional ability (+0.85 and +1.1 points on the AMAT), perceived quality of life (+2.0 and +32.0 points on the SIS), and perception of overall recovery (+10.0 points for each participant on the SIS). This study provides preliminary evidence suggesting efficacy of computer-based rhythm and timing in chronic stroke.
ISSN:0272-9490
1943-7676
DOI:10.5014/ajot.2011.09158