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UBC Theses and Dissertations

Studies of upper limb function in indivduals with subacute stroke : a multi-site single blind randomized controlled trial Harris, Jocelyn Ellen

Abstract

Introduction Approximately 70% of individuals with stroke have upper limb impairment. Inability to use the upper limb can lead to difficulties in activities of daily living. Increased time spent in therapy improves outcome of the upper limb post stroke however, length of stay in rehabilitation has decreased. Innovative ways of increasing therapy intensity need to be explored. Purpose 1) To undertake a meta-analysis to determine the treatment effect of upper limb strengthening on strength, function and activities of daily living. 2) To determine the effectiveness of a four week self-administered in-patient homework exercise program (GRASP) on upper limb function and depressive symptoms in individuals in the sub-acute stage of stroke recovery. 3) To determine modifiable predictors of upper limb function in individuals in the sub-acute stage of stroke recovery. Methods Design: Chapter 2 is a meta-analysis of upper limb strength training in individuals with stroke. Electronic databases were searched from 1950-September 2008. 14 articles were reviewed. Chapter 3-5 involved a four week multi-site single blind randomized controlled trial of a self-administered upper limb exercise program (GRASP) compared to control. Subjects: 103 individuals with stroke were recruited from four rehabilitation units. Results Chapter 2: The meta-analysis showed strength training is effective in increasing paretic upper limb strength and function but not performance in activities of daily living. Chapters 3-5: The GRASP program improved upper limb function significantly more than the control group (p

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Attribution-NonCommercial-NoDerivatives 4.0 International

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