RESULTS Studies of task-related training showed benefits for functional outcome compared with traditional therapies .
Active use of task-oriented training with stroke survivors will lead to improvements in functional outcomes and overall health-related quality of life .
CONCLUSION Generally , task-oriented rehabilitation proved to be more effective .
Many interventions are feasible for nurses and can be performed in a ward or at home .
AIM This paper is a report of a review conducted to provide an overview of the evidence in the literature on task-oriented training of stroke survivors and its relevance in daily nursing practice .
BACKGROUND Stroke is the second leading cause of death and one of the leading causes of adult disability in the Western world .
The use of neurodevelopmental treatment in the daily nursing care of stroke survivors does not improve clinical outcomes .
Nurses are therefore exploring other forms of rehabilitation intervention , including task-oriented rehabilitation .
Despite the growing number of studies showing evidence on task-oriented interventions , recommendations for daily nursing practice are lacking .
Contribution of the shaping and restraint components of Constraint-Induced Movement therapy to treatment outcome.
Two important components of Constraint-Induced Movement therapy are thought to be intense training of the more-impaired arm and physical restraint of the less-impaired arm . This preliminary study examined the effects of type of training ( task- practice , shaping ) and restraint ( sling , half-glove , no restraint ) on treatment outcomes . Seventeen individuals at least 1-year post-stroke with mild/moderate upper extremity motor deficit were consecutively assigned to Sling and Task- practice , Sling and Shaping , Half-glove and Shaping , and Shaping Only groups . Task- practice involved repetitive more-impaired arm training on functional tasks for 6 hr/day for 10 consecutive weekdays . Shaping differed from task- practice in that task dem and s were progressively increased and immediate performance feedback was provided frequently and systematic ally . " Sling " groups placed the less-impaired arm in a resting h and -splint/sling assembly for most waking hours over the 2-week intervention , while the " Half-glove " group wore a modified gardening glove as a reminder not to use the more affected arm in the life situation . There were no between-group differences in outcome at post-treatment , although two-years afterwards Sling & Task- practice and Half-glove & Shaping participants showed larger and smaller retention of gains , respectively , than those in the Sling & Shaping group . Thus , long-term outcomes may have been affected by type of more-impaired arm motor training and less-impaired arm restraint . These variables , however , were confounded with between-group differences in training intensity , limiting confidence in this conclusion
RESULTS Studies of task-related training showed benefits for functional outcome compared with traditional therapies .
Active use of task-oriented training with stroke survivors will lead to improvements in functional outcomes and overall health-related quality of life .
CONCLUSION Generally , task-oriented rehabilitation proved to be more effective .
Many interventions are feasible for nurses and can be performed in a ward or at home .
AIM This paper is a report of a review conducted to provide an overview of the evidence in the literature on task-oriented training of stroke survivors and its relevance in daily nursing practice .
BACKGROUND Stroke is the second leading cause of death and one of the leading causes of adult disability in the Western world .
The use of neurodevelopmental treatment in the daily nursing care of stroke survivors does not improve clinical outcomes .
Nurses are therefore exploring other forms of rehabilitation intervention , including task-oriented rehabilitation .
Despite the growing number of studies showing evidence on task-oriented interventions , recommendations for daily nursing practice are lacking .