open access

Vol 49, No 3 (2015)
Original research articles
Submitted: 2015-01-22
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The effect of differential training-based occupational therapy on hand and arm function in patients after stroke: Results of the pilot study

Viktorija Repšaitė, Alfonsas Vainoras, Kristina Berškienė, Daiva Baltaduonienė, Algė Daunoravičienė, Ernesta Sendžikaitė
DOI: 10.1016/j.pjnns.2015.04.001
·
Neurol Neurochir Pol 2015;49(3):150-155.

open access

Vol 49, No 3 (2015)
Original research articles
Submitted: 2015-01-22

Abstract

Objective

The aim of this study was to evaluate the effect of differential training-based occupational therapy on the recovery of arm function and to compare these data with the results obtained after conventional occupational therapy.

Methods

A total of 27 patients who had suffered a cerebral infarction in the left brain hemisphere were recruited for the study. There were 9 men (33.33%) and 18 women (66.67%). All the patients had paresis of the right arm. The patients were divided into 2 groups: the control group comprised 15 patients who were given conventional occupational therapy (5 times per week) and the study group consisted of 12 patients who underwent conventional occupational therapy (3 times per week) along with occupational therapy based on differential training (2 times per week).

Results

In the control group, the mean performance time of only 2 tasks, i.e., flip cards and fold towel, improved significantly (P<0.05), while significant deterioration in the mean performance time of the task “lift can” was observed (P<0.05). In the study group, the mean performance time of all the tasks except for forearm to box (side), hand to box (front), and lift paperclip improved significantly (P<0.05), and no deterioration in arm function was observed.

Conclusion

Both patients’ groups improved arm function after occupational therapy sessions, but the patients who underwent conventional occupational therapy along with differential training-based occupational therapy recovered their arm function more effectively than their counterparts after conventional occupational therapy.

Abstract

Objective

The aim of this study was to evaluate the effect of differential training-based occupational therapy on the recovery of arm function and to compare these data with the results obtained after conventional occupational therapy.

Methods

A total of 27 patients who had suffered a cerebral infarction in the left brain hemisphere were recruited for the study. There were 9 men (33.33%) and 18 women (66.67%). All the patients had paresis of the right arm. The patients were divided into 2 groups: the control group comprised 15 patients who were given conventional occupational therapy (5 times per week) and the study group consisted of 12 patients who underwent conventional occupational therapy (3 times per week) along with occupational therapy based on differential training (2 times per week).

Results

In the control group, the mean performance time of only 2 tasks, i.e., flip cards and fold towel, improved significantly (P<0.05), while significant deterioration in the mean performance time of the task “lift can” was observed (P<0.05). In the study group, the mean performance time of all the tasks except for forearm to box (side), hand to box (front), and lift paperclip improved significantly (P<0.05), and no deterioration in arm function was observed.

Conclusion

Both patients’ groups improved arm function after occupational therapy sessions, but the patients who underwent conventional occupational therapy along with differential training-based occupational therapy recovered their arm function more effectively than their counterparts after conventional occupational therapy.

Get Citation

Keywords

Stroke, Cerebral infarction, Occupational therapy, Arm function, Differential training

About this article
Title

The effect of differential training-based occupational therapy on hand and arm function in patients after stroke: Results of the pilot study

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 3 (2015)

Pages

150-155

DOI

10.1016/j.pjnns.2015.04.001

Bibliographic record

Neurol Neurochir Pol 2015;49(3):150-155.

Keywords

Stroke
Cerebral infarction
Occupational therapy
Arm function
Differential training

Authors

Viktorija Repšaitė
Alfonsas Vainoras
Kristina Berškienė
Daiva Baltaduonienė
Algė Daunoravičienė
Ernesta Sendžikaitė

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