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- Mark V Johnston
- Kessler Medical Rehabilitation Research and Education Corporation (KMRREC), West Orange, New Jersey, USA
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説明
<jats:p> Objective: To compare the feasibility and efficacy of a programme combining imagery and occupational therapy with a programme of therapy only. </jats:p><jats:p> Design: Randomized, controlled case series. </jats:p><jats:p> Setting: Subacute outpatient clinic. </jats:p><jats:p> Subjects: Thirteen consecutively admitted patients between four weeks and one year post stroke exhibiting stable motor deficits in their affected upper limbs. </jats:p><jats:p> Intervention: All patients received an hour of therapy three times a week for six weeks administered by the same physical and occupational therapists. During the same period, eight patients participated in 10-minute guided imagery sessions after each therapy session, as well as practising imagery at home twice each week. Five patients participated in a control intervention consisting of exposure to stroke information. </jats:p><jats:p> Main outcome measures: The Fugl-Meyer Assessment of Motor Recovery (Fugl-Meyer) and Action Research Arm Test (ARA). </jats:p><jats:p> Results: After intervention, Fugl-Meyer and ARA scores of patients in the therapy only group remained virtually the same; therapy plus imagery group scores improved by 13.8 and 16.4 points, respectively, on the Fugl-Meyer and ARA. </jats:p><jats:p> Conclusions: Imagery is a clinically feasible, cost-effective complement to therapy that may improve outcomes more than participation in therapy only. </jats:p>
収録刊行物
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- Clinical Rehabilitation
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Clinical Rehabilitation 15 (3), 233-240, 2001-06
SAGE Publications
