Pilot randomized controlled trial of self-regulation in promoting function in acute poststroke patients

Karen P. Y. LIU, Che Hin Chetwyn CHAN

Research output: Contribution to journalArticlespeer-review

24 Citations (Scopus)

Abstract

Objective: To test the efficacy of self-regulation (SR) for promoting task performance and motor and cognitive functions.

Design: Pilot randomized controlled trial.

Setting: Rehabilitation unit.

Participants: Inpatients with acute poststroke (N=44) after a cerebral infarction aged ≥60 years.

Interventions: Patients were randomly assigned to the SR (n=24) or functional rehabilitation (control; n=20) intervention. The SR intervention consisted of 1 week of therapist-supervised practices of daily tasks using SR of one's own performance (five 1-h sessions). Patients in the control intervention practiced the same daily tasks with a therapist's demonstration and guidance.

Main Outcome Measures: Performance of tasks, including household and monetary transaction tasks; FIM; Fugl-Meyer Assessment (FMA); and Color Trails Test (CTT).

Results: The SR group showed significant improvement in all tasks (median difference, 1–2; effect size [r]=.74–.89) versus none (median difference, 0–0.5) in the control group. Results of the FIM (P<.001, r=.87 in the motor subscale; P<.001, r=.49 in the cognitive subscale), FMA (P<.001, r=.84 for upper extremity motor function and r=.63 for lower extremity motor function), and CTT (P=.002, r=.72) of the SR group improved. The SR group outperformed their control counterparts in 4 of the 5 tasks (median difference, 1; r=.30–.52) and in the FIM motor subscale (P=.002, r=.47), but not in the cognitive subscale and motor and cognitive functions.

Conclusions: SR appears useful for improving task performance that demands both motor and cognitive abilities by promoting information processing and active learning. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Original languageEnglish
Pages (from-to)1262-1267
JournalArchives of Physical Medicine and Rehabilitation
Volume95
Issue number7
Early online dateApr 2014
DOIs
Publication statusPublished - Jul 2014

Citation

Liu, K. P. Y., & Chan, C. C. H. (2014). Pilot randomized controlled trial of self-regulation in promoting function in acute poststroke patients. Archives of Physical Medicine and Rehabilitation, 95(7), 1262-1267. doi: 10.1016/j.apmr.2014.03.018

Keywords

  • Occupational therapy
  • Randomized controlled trial as topic
  • Recovery of function
  • Rehabilitation

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