TY - JOUR
T1 - Examining the Feasibility, Tolerability, and Preliminary Efficacy of Repetitive Task-Specific Practice for People With Unilateral Spatial Neglect
AU - Grattan, Emily S.
AU - Lang, Catherine E.
AU - Birkenmeier, Rebecca
AU - Holm, Margo
AU - Rubinstein, Elaine
AU - Van Swearingen, Jessie
AU - Skidmore, Elizabeth R.
N1 - Publisher Copyright:
© 2016 American Occupational Therapy Association, Inc. All rights reserved.
PY - 2016/7
Y1 - 2016/7
N2 - 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 36 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 5 –2.1, p 5 .04, d 5 .30), function (t 5 –3.0, p < .01, d 5 .20), and attention (t 5 –3.4, p < .01, d 5 –.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.
AB - 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 36 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 5 –2.1, p 5 .04, d 5 .30), function (t 5 –3.0, p < .01, d 5 .20), and attention (t 5 –3.4, p < .01, d 5 –.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.
UR - http://www.scopus.com/inward/record.url?scp=85020319522&partnerID=8YFLogxK
U2 - 10.5014/ajot.2016.019471
DO - 10.5014/ajot.2016.019471
M3 - Article
C2 - 27294994
AN - SCOPUS:85020319522
SN - 0272-9490
VL - 70
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 4
M1 - 7004290020p1
ER -