Exploring expectations for upper-extremity motor treatment in people after stroke: A secondary analysis

Eliza M. Prager, Rebecca L. Birkenmeier, Catherine E. Lang

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

OBJECTIVE: We explored expectations for outcomes during a research intervention for people with stroke. METHOD: Twelve people with chronic stroke participated in this secondary analysis from a pilot trial of a highrepetition, task-specific, upper-extremity intervention. First, we examined relationships between individual expectancy and session-by-session achievement of high numbers of repetitions. Second, we examined the relationship between expectancy for the intervention as a whole and improvements in upper-extremity motor function. We used Spearman rank-order correlation coefficients to evaluate the relationships. RESULTS: Correlations between individual expectancy and session-by-session achievement ranged from 0 to.84. Expectancy for improvement from the intervention was good (average 5 7 of 10) but had a low correlation (.17) with actual improvement. CONCLUSION: Individual expectancy ratings were inconsistently related to session-by-session achievement. Expectancy for the invention as a whole was not related to improvement in upper-extremity motor function.

Original languageEnglish
Pages (from-to)437-444
Number of pages8
JournalAmerican Journal of Occupational Therapy
Volume65
Issue number4
DOIs
StatePublished - Jul 1 2011

Keywords

  • Achievement
  • Aspirations (psychology)
  • Motor skills
  • Stroke
  • Task performance and analysis
  • Treatment outcome

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