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A neurocognitive approach for recovering upper extremity movement following subacute stroke: A randomized controlled pilot study

dc.contributor.authorSallés L.
dc.contributor.authorMartín-Casas P.
dc.contributor.authorGironès X.
dc.contributor.authorDurà M.J.
dc.contributor.authorLafuente J.V.
dc.contributor.authorPerfetti C.
dc.date.accessioned2020-09-02T22:27:42Z
dc.date.available2020-09-02T22:27:42Z
dc.date.issued2017
dc.identifier10.1589/jpts.29.665
dc.identifier.citation29, 4, 665-672
dc.identifier.issn09155287
dc.identifier.urihttps://hdl.handle.net/20.500.12728/6164
dc.description[Purpose] This study aims to describe a protocol based on neurocognitive therapeutic exercises and determine its feasibility and usefulness for upper extremity functionality when compared with a conventional protocol. [Subjects and Methods] Eight subacute stroke patients were randomly assigned to a conventional (control group) or neurocognitive (experimental group) treatment protocol. Both lasted 30 minutes, 3 times a week for 10 weeks and assessments were blinded. Outcome measures included: Motor Evaluation Scale for Upper Extremity in Stroke Patients, Motricity Index, Revised Nottingham Sensory Assessment and Kinesthetic and Visual Imagery Questionnaire. Descriptive measures and nonparametric statistical tests were used for analysis. [Results] The results indicate a more favorable clinical progression in the neurocognitive group regarding upper extremity functional capacity with achievement of the minimal detectable change. The functionality results are related with improvements on muscle strength and sensory discrimination (tactile and kinesthetic). [Conclusion] Despite not showing significant group differences between pre and post-treatment, the neurocognitive approach could be a safe and useful strategy for recovering upper extremity movement following stroke, especially regarding affected hands, with better and longer lasting results. Although this work shows this protocol’s feasibility with the panel of scales proposed, larger studies are required to demonstrate its effectiveness. © 2017 The Society of Physical Therapy Science. Published by IPEC Inc.
dc.language.isoen
dc.publisherSociety of Physical Therapy Science (Rigaku Ryoho Kagakugakkai)
dc.subjectPhysical therapy
dc.subjectStroke
dc.subjectUpper extremity
dc.subjectachievement
dc.subjectclinical article
dc.subjectclinical protocol
dc.subjectclinical trial
dc.subjectcontrol group
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectdisease course
dc.subjectexperimental model
dc.subjectfeasibility study
dc.subjectfunctional status
dc.subjecthuman
dc.subjectimagery
dc.subjectkinesiotherapy
dc.subjectmuscle strength
dc.subjectphysiotherapy
dc.subjectpilot study
dc.subjectquestionnaire
dc.subjectrandomized controlled trial
dc.subjectsingle blind procedure
dc.subjectstatistical model
dc.subjectstroke patient
dc.subjectupper limb
dc.titleA neurocognitive approach for recovering upper extremity movement following subacute stroke: A randomized controlled pilot study
dc.typeArticle


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