Archives of Physical Medicine and Rehabilitation journal homepage: www.archives-pmr.org Archives of Physical Medicine and Rehabilitation 2014;-:-------
ORIGINAL ARTICLE
Pilot Randomized Controlled Trial of Self-Regulation in Promoting Function in Acute Poststroke Patients Karen P.Y. Liu, PhD,a Chetwyn C.H. Chan, PhDb From the aUniversity of Western Sydney, Penrith, NSW, Australia; and bApplied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
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 (NZ44) after a cerebral infarction aged 60 years. Interventions: Patients were randomly assigned to the SR (nZ24) or functional rehabilitation (control; nZ20) 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, 1e2; effect size [r]Z.74e.89) versus none (median difference, 0e0.5) in the control group. Results of the FIM (P
ORIGINAL ARTICLE
Pilot Randomized Controlled Trial of Self-Regulation in Promoting Function in Acute Poststroke Patients Karen P.Y. Liu, PhD,a Chetwyn C.H. Chan, PhDb From the aUniversity of Western Sydney, Penrith, NSW, Australia; and bApplied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
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 (NZ44) after a cerebral infarction aged 60 years. Interventions: Patients were randomly assigned to the SR (nZ24) or functional rehabilitation (control; nZ20) 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, 1e2; effect size [r]Z.74e.89) versus none (median difference, 0e0.5) in the control group. Results of the FIM (P
