TY - JOUR
T1 - Behavioral, neurophysiological, and descriptive changes after occupation-based intervention
AU - Skubik-Peplaski, Camille
AU - Carrico, Cheryl
AU - Nichols, Laurel
AU - Chelette, Kenneth
AU - Sawaki, Lumy
PY - 2012/11
Y1 - 2012/11
N2 - OBJECTIVE. We evaluated the effects of occupation-based intervention on poststroke upper-extremity (UE) motor recovery, neuroplastic change, and occupational performance in 1 research participant. METHOD. A 55-yr-old man with chronic stroke and moderately impaired UE motor function participated in 15 sessions of occupation-based intervention in a hospital setting designed to simulate a home environment. We tested behavioral motor function (Fugl-Meyer Assessment, Stroke Impact Scale, Canadian Occupational Performance Measure) and neuroplasticity (transcranial magnetic stimulation [TMS]) at baseline and at completion of intervention. We collected descriptive data on occupational participation throughout the study. RESULTS. All behavioral outcomes indicated clinically relevant improvement. TMS revealed bihemispheric corticomotor reorganization. Descriptive data revealed enhanced occupational performance. CONCLUSION. Occupation-based intervention delivered in a hospital-based, homelike environment can lead to poststroke neuroplastic change, increased functional use of the affected UE, and improved occupational performance.
AB - OBJECTIVE. We evaluated the effects of occupation-based intervention on poststroke upper-extremity (UE) motor recovery, neuroplastic change, and occupational performance in 1 research participant. METHOD. A 55-yr-old man with chronic stroke and moderately impaired UE motor function participated in 15 sessions of occupation-based intervention in a hospital setting designed to simulate a home environment. We tested behavioral motor function (Fugl-Meyer Assessment, Stroke Impact Scale, Canadian Occupational Performance Measure) and neuroplasticity (transcranial magnetic stimulation [TMS]) at baseline and at completion of intervention. We collected descriptive data on occupational participation throughout the study. RESULTS. All behavioral outcomes indicated clinically relevant improvement. TMS revealed bihemispheric corticomotor reorganization. Descriptive data revealed enhanced occupational performance. CONCLUSION. Occupation-based intervention delivered in a hospital-based, homelike environment can lead to poststroke neuroplastic change, increased functional use of the affected UE, and improved occupational performance.
KW - Activities of daily living
KW - Motor skills
KW - Neuronal plasticity
KW - Recovery of function
KW - Stroke
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U2 - 10.5014/ajot.2012.003590
DO - 10.5014/ajot.2012.003590
M3 - Article
C2 - 23106995
AN - SCOPUS:84869146022
SN - 0272-9490
VL - 66
SP - e107-e113
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 6
ER -