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 - Funding Information:
This study was supported by the National Institutes of Health (Grants UL1 RR024153, UL1 TR000005, UL1 TR000448, and R01 HD068290) and the University of Pittsburgh’s School of Health and Rehabilitation Science (Research Development Fund). We certify that we do not have a direct interest in the results of the research supporting this article and have identified all financial support for this research.
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.
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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 -