TY - JOUR
T1 - Combined Cognitive-Strategy and Task-Specific Training Affects Cognition and Upper-Extremity Function in Subacute Stroke
T2 - An Exploratory Randomized Controlled Trial
AU - Wolf, Timothy J.
AU - Polatajko, Helene
AU - Baum, Carolyn
AU - Rios, Jorge
AU - Cirone, Dianne
AU - Doherty, Meghan
AU - McEwen, Sara
N1 - Publisher Copyright:
Copyright © 2016 by the American Occupational Therapy Association, Inc.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - The purpose of this study was to estimate the effect of Cognitive Orientation to Daily Occupational Performance (CO-OP) compared with usual occupational therapy on upper-extremity movement, cognitive flexibility, and stroke impact in people less than 3 mo after stroke. An exploratory, single-blind randomized controlled trial was conducted with people referred to outpatient occupational therapy services at two rehabilitation centers. Arm movement was measured with the Action Research Arm Test, cognitive flexibility with the Delis-Kaplan Executive Function System Trail Making subtest, and stroke impact with subscales of the Stroke Impact Scale. A total of 35 participants were randomized, and 26 completed the intervention. CO-OP demonstrated measurable effects over usual care on all measures. These data provide early support for the use of CO-OP to improve performance and remediate cognitive and arm movement impairments after stroke over usual care; however, future study is warranted to confirm the effects observed in this trial.
AB - The purpose of this study was to estimate the effect of Cognitive Orientation to Daily Occupational Performance (CO-OP) compared with usual occupational therapy on upper-extremity movement, cognitive flexibility, and stroke impact in people less than 3 mo after stroke. An exploratory, single-blind randomized controlled trial was conducted with people referred to outpatient occupational therapy services at two rehabilitation centers. Arm movement was measured with the Action Research Arm Test, cognitive flexibility with the Delis-Kaplan Executive Function System Trail Making subtest, and stroke impact with subscales of the Stroke Impact Scale. A total of 35 participants were randomized, and 26 completed the intervention. CO-OP demonstrated measurable effects over usual care on all measures. These data provide early support for the use of CO-OP to improve performance and remediate cognitive and arm movement impairments after stroke over usual care; however, future study is warranted to confirm the effects observed in this trial.
UR - http://www.scopus.com/inward/record.url?scp=84994861090&partnerID=8YFLogxK
U2 - 10.5014/ajot.2016.017293
DO - 10.5014/ajot.2016.017293
M3 - Article
C2 - 26943113
AN - SCOPUS:84994861090
SN - 0272-9490
VL - 70
SP - p1-7002290010
JO - The American journal of occupational therapy : official publication of the American Occupational Therapy Association
JF - The American journal of occupational therapy : official publication of the American Occupational Therapy Association
IS - 2
ER -