Kimberly J. Waddell, Rebecca L. Birkenmeier, Jennifer L. Moore, T. George Hornby, Catherine E. Lang; Feasibility of High-Repetition, Task-Specific Training for Individuals With Upper-Extremity Paresis. Am J Occup Ther 2014;68(4):444-453. doi: 10.5014/ajot.2014.011619.
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© 2019 American Occupational Therapy Association
OBJECTIVE. We investigated the feasibility of delivering an individualized, progressive, high-repetition upper-extremity (UE) task-specific training protocol for people with stroke in the inpatient rehabilitation setting.
METHOD. Fifteen patients with UE paresis participated in this study. Task-specific UE training was scheduled for 60 min/day, 4 days/wk, during occupational therapy for the duration of a participant’s inpatient stay. During each session, participants were challenged to complete ≥300 repetitions of various tasks.
RESULTS. Participants averaged 289 repetitions/session, spending 47 of 60 min in active training. Participants improved on impairment and activity level outcome measures.
CONCLUSION. People with stroke in an inpatient setting can achieve hundreds of repetitions of task-specific training in 1-hr sessions. As expected, all participants improved on functional outcome measures. Future studies are needed to determine whether this high-repetition training program results in better outcomes than current UE interventions.
Patients with UE paresis after a stroke, staying in an IRF, can achieve hundreds of repetitions of task-specific training.
As is expected at this level of rehabilitation, patients improved on all outcome measures after engaging in this intervention.
No additional occupational therapy sessions were added to the normal 3-hr/day therapy schedule for the IRF setting.
Engaging in a high-repetition, task-specific intervention does not detract from the critical inpatient priority of ADL retraining.
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