Emily S. Grattan, Catherine E. Lang, Rebecca Birkenmeier, Margo Holm, Elaine Rubinstein, Jessie Van Swearingen, Elizabeth R. Skidmore; Examining the Feasibility, Tolerability, and Preliminary Efficacy of Repetitive Task-Specific Practice for People With Unilateral Spatial Neglect. Am J Occup Ther 2016;70(4):7004290020. https://doi.org/10.5014/ajot.2016.019471
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© 2021 American Occupational Therapy Association
OBJECTIVE. We examined the feasibility, tolerability, and preliminary efficacy of repetitive task-specific practice for people with unilateral spatial neglect (USN).
METHOD. People with USN ≥6 mo poststroke participated in a single-group, repeated-measures study. Attendance, total repetitions, and satisfaction indicated feasibility and pain indicated tolerability. Paired t tests and effect sizes were used to estimate changes in upper-extremity use (Motor Activity Log), function (Action Research Arm Test), and attention (Catherine Bergego Scale).
RESULTS. Twenty participants attended 99.4% of sessions and completed a high number of repetitions. Participants reported high satisfaction and low pain, and they demonstrated small, significant improvements in upper-extremity use (before Bonferroni corrections; t = –2.1, p = .04, d = .30), function (t = –3.0, p < .01, d = .20), and attention (t = –3.4, p < .01, d = –.44).
CONCLUSION. Repetitive task-specific practice is feasible and tolerable for people with USN. Improvements in upper-extremity use, function, and attention may be attainable.
Repetitive task-specific practice is feasible and tolerable for people with chronic USN and hemiparesis.
People with USN may benefit from participating in a repetitive task-specific practice program.
Occupational therapy practitioners may consider using an intensive, individualized repetitive task-specific practice program for people with USN.
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