Chronic stroke longitudinal motor improvements: Cumulative learning evidence found in the upper extremity
- Authors
- Cauraugh, James H.; Kim, Sang-Bum; Summers, Jeffery J.
- Issue Date
- Feb-2008
- Publisher
- KARGER
- Keywords
- chronic stroke; neurological rehabilitation; motor recovery; longitudinal study; EMG-triggered neuromuscular stimulation; bilateral movement training
- Citation
- CEREBROVASCULAR DISEASES, v.25, no.1-2, pp 115 - 121
- Pages
- 7
- Journal Title
- CEREBROVASCULAR DISEASES
- Volume
- 25
- Number
- 1-2
- Start Page
- 115
- End Page
- 121
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/15290
- DOI
- 10.1159/000112321
- ISSN
- 1015-9770
1421-9786
- Abstract
- Background: The purpose was to determine the cumulative longitudinal effects of upper extremity distributed practice with variable treatment protocols involving EMG-triggered neuromuscular stimulation and coupled bilateral movements. Methods: Sixteen chronic stroke subjects were randomly selected to complete 5 effective upper extremity treatment protocols over 12 months. The subjects were randomly assigned to 1 of 2 treatment orders. Consistent across the orders and protocols, the participants completed 90 min of training per day for 4 days during separate 2-week rehabilitation periods. Results: Data for the 5 primary outcome measures were analyzed in separate mixed design ANOVAs ( treatment order x test session: 2 x 6). The analyses revealed distinct cumulative treatment evidence later in training in comparison to the baseline motor capabilities: (1) higher number of blocks moved; (2) higher percentage of blocks moved by the impaired hand; (3) faster motor reaction time (peripheral component), and (4) faster total reaction time. Conclusions: These chronic stroke patients displayed robust cumulative motor improvement effects from the longitudinally distributed practice of active neuromuscular stimulation and coupled bilateral movements. Copyright (C) 2007 S. Karger AG, Basel.
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Collections - College of Sport Science > School of Sports Sciences > 1. Journal Articles
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