Response to intensive upper extremity therapy by individuals with ataxia from stroke

Lone Richards, Claudia Senesac, Theresa McGuirk, Michelle Woodbury, Dena Howland, Sandra Davis, Tara Patterson

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: This study investigated whether or not individuals with ataxia from stroke improve their upper extremity motor function with intense motor practice. Method: Three individuals with ataxia from chronic stroke completed modified constraint-induced movement therapy (CIMT) protocols. Stroke Participants 1 and 2 completed 60 hours and Stroke Participant 3 completed 30 hours of graded task practice while being asked to wear a mitt on the nonparetic arm for 90% of waking hours. Outcome measures were the upper extremity subscale of the Fugl-Meyer Motor Assessment, Wolf Motor Function Test, Motor Activity Log, and kinematics of reaching. Results: All stroke participants improved on either the Fugl-Meyer or the Wolf tests and increased their daily use of the paretic upper extremity. Participants 1 and 2 also improved on all kinematic measures: maximum velocity and time to maximum velocity increased, while index of curvature, number of peaks in the velocity profile, and trunk movement decreased. Participant 3 improved on some kinematic measures (smoother velocity profile, increased time to maximum velocity, decreased number of peaks in the velocity profile) but not all (decreased maximum velocity, increased index of curvature). Conclusion: Individuals with ataxia from stroke can improve their motor function with intense motor practice.

Original languageEnglish (US)
Pages (from-to)262-271
Number of pages10
JournalTopics in Stroke Rehabilitation
Volume15
Issue number3
DOIs
StatePublished - May 2008
Externally publishedYes

Fingerprint

Ataxia
Upper Extremity
Stroke
Biomechanical Phenomena
Therapeutics
Motor Activity
Arm
Outcome Assessment (Health Care)

Keywords

  • Ataxia
  • Motor skills
  • Rehabilitation
  • Stroke
  • Upper extremity

ASJC Scopus subject areas

  • Clinical Neurology
  • Rehabilitation

Cite this

Richards, L., Senesac, C., McGuirk, T., Woodbury, M., Howland, D., Davis, S., & Patterson, T. (2008). Response to intensive upper extremity therapy by individuals with ataxia from stroke. Topics in Stroke Rehabilitation, 15(3), 262-271. https://doi.org/10.1310/tsr1503-262

Response to intensive upper extremity therapy by individuals with ataxia from stroke. / Richards, Lone; Senesac, Claudia; McGuirk, Theresa; Woodbury, Michelle; Howland, Dena; Davis, Sandra; Patterson, Tara.

In: Topics in Stroke Rehabilitation, Vol. 15, No. 3, 05.2008, p. 262-271.

Research output: Contribution to journalArticle

Richards, L, Senesac, C, McGuirk, T, Woodbury, M, Howland, D, Davis, S & Patterson, T 2008, 'Response to intensive upper extremity therapy by individuals with ataxia from stroke', Topics in Stroke Rehabilitation, vol. 15, no. 3, pp. 262-271. https://doi.org/10.1310/tsr1503-262
Richards L, Senesac C, McGuirk T, Woodbury M, Howland D, Davis S et al. Response to intensive upper extremity therapy by individuals with ataxia from stroke. Topics in Stroke Rehabilitation. 2008 May;15(3):262-271. https://doi.org/10.1310/tsr1503-262
Richards, Lone ; Senesac, Claudia ; McGuirk, Theresa ; Woodbury, Michelle ; Howland, Dena ; Davis, Sandra ; Patterson, Tara. / Response to intensive upper extremity therapy by individuals with ataxia from stroke. In: Topics in Stroke Rehabilitation. 2008 ; Vol. 15, No. 3. pp. 262-271.
@article{4997fc0670f348a8a2be52b5503690eb,
title = "Response to intensive upper extremity therapy by individuals with ataxia from stroke",
abstract = "Objective: This study investigated whether or not individuals with ataxia from stroke improve their upper extremity motor function with intense motor practice. Method: Three individuals with ataxia from chronic stroke completed modified constraint-induced movement therapy (CIMT) protocols. Stroke Participants 1 and 2 completed 60 hours and Stroke Participant 3 completed 30 hours of graded task practice while being asked to wear a mitt on the nonparetic arm for 90{\%} of waking hours. Outcome measures were the upper extremity subscale of the Fugl-Meyer Motor Assessment, Wolf Motor Function Test, Motor Activity Log, and kinematics of reaching. Results: All stroke participants improved on either the Fugl-Meyer or the Wolf tests and increased their daily use of the paretic upper extremity. Participants 1 and 2 also improved on all kinematic measures: maximum velocity and time to maximum velocity increased, while index of curvature, number of peaks in the velocity profile, and trunk movement decreased. Participant 3 improved on some kinematic measures (smoother velocity profile, increased time to maximum velocity, decreased number of peaks in the velocity profile) but not all (decreased maximum velocity, increased index of curvature). Conclusion: Individuals with ataxia from stroke can improve their motor function with intense motor practice.",
keywords = "Ataxia, Motor skills, Rehabilitation, Stroke, Upper extremity",
author = "Lone Richards and Claudia Senesac and Theresa McGuirk and Michelle Woodbury and Dena Howland and Sandra Davis and Tara Patterson",
year = "2008",
month = "5",
doi = "10.1310/tsr1503-262",
language = "English (US)",
volume = "15",
pages = "262--271",
journal = "Topics in Stroke Rehabilitation",
issn = "1074-9357",
publisher = "Thomas Land Publishers Inc.",
number = "3",

}

TY - JOUR

T1 - Response to intensive upper extremity therapy by individuals with ataxia from stroke

AU - Richards, Lone

AU - Senesac, Claudia

AU - McGuirk, Theresa

AU - Woodbury, Michelle

AU - Howland, Dena

AU - Davis, Sandra

AU - Patterson, Tara

PY - 2008/5

Y1 - 2008/5

N2 - Objective: This study investigated whether or not individuals with ataxia from stroke improve their upper extremity motor function with intense motor practice. Method: Three individuals with ataxia from chronic stroke completed modified constraint-induced movement therapy (CIMT) protocols. Stroke Participants 1 and 2 completed 60 hours and Stroke Participant 3 completed 30 hours of graded task practice while being asked to wear a mitt on the nonparetic arm for 90% of waking hours. Outcome measures were the upper extremity subscale of the Fugl-Meyer Motor Assessment, Wolf Motor Function Test, Motor Activity Log, and kinematics of reaching. Results: All stroke participants improved on either the Fugl-Meyer or the Wolf tests and increased their daily use of the paretic upper extremity. Participants 1 and 2 also improved on all kinematic measures: maximum velocity and time to maximum velocity increased, while index of curvature, number of peaks in the velocity profile, and trunk movement decreased. Participant 3 improved on some kinematic measures (smoother velocity profile, increased time to maximum velocity, decreased number of peaks in the velocity profile) but not all (decreased maximum velocity, increased index of curvature). Conclusion: Individuals with ataxia from stroke can improve their motor function with intense motor practice.

AB - Objective: This study investigated whether or not individuals with ataxia from stroke improve their upper extremity motor function with intense motor practice. Method: Three individuals with ataxia from chronic stroke completed modified constraint-induced movement therapy (CIMT) protocols. Stroke Participants 1 and 2 completed 60 hours and Stroke Participant 3 completed 30 hours of graded task practice while being asked to wear a mitt on the nonparetic arm for 90% of waking hours. Outcome measures were the upper extremity subscale of the Fugl-Meyer Motor Assessment, Wolf Motor Function Test, Motor Activity Log, and kinematics of reaching. Results: All stroke participants improved on either the Fugl-Meyer or the Wolf tests and increased their daily use of the paretic upper extremity. Participants 1 and 2 also improved on all kinematic measures: maximum velocity and time to maximum velocity increased, while index of curvature, number of peaks in the velocity profile, and trunk movement decreased. Participant 3 improved on some kinematic measures (smoother velocity profile, increased time to maximum velocity, decreased number of peaks in the velocity profile) but not all (decreased maximum velocity, increased index of curvature). Conclusion: Individuals with ataxia from stroke can improve their motor function with intense motor practice.

KW - Ataxia

KW - Motor skills

KW - Rehabilitation

KW - Stroke

KW - Upper extremity

UR - http://www.scopus.com/inward/record.url?scp=48249158222&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48249158222&partnerID=8YFLogxK

U2 - 10.1310/tsr1503-262

DO - 10.1310/tsr1503-262

M3 - Article

C2 - 18647730

AN - SCOPUS:48249158222

VL - 15

SP - 262

EP - 271

JO - Topics in Stroke Rehabilitation

JF - Topics in Stroke Rehabilitation

SN - 1074-9357

IS - 3

ER -