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 .
A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life.
OBJECTIVE To examine the benefits of modified constraint-induced movement therapy ( mCIMT ) on motor function , daily function , and health-related quality of life ( HRQOL ) in elderly stroke survivors . DESIGN Two-group r and omized controlled trial , with pretreatment and posttreatment measures . SETTING Rehabilitation clinics . PARTICIPANTS Twenty-six elderly stroke patients ( mean age , 72 y ) with 0.5 to 31 months postonset of a first-ever cerebrovascular accident . INTERVENTIONS Twenty-six patients received either mCIMT ( restraint of the unaffected limb combined with intensive training of the affected limb ) or traditional rehabilitation for a period of 3 weeks . MAIN OUTCOME MEASURES Outcome measures included the Fugl-Meyer Assessment ( FMA ) , FIM instrument , Motor Activity Log ( MAL ) , and Stroke Impact Scale ( SIS ) . The FMA evaluated the severity of motor impairment ; the FIM instrument and MAL reported daily function ; and the SIS detected HRQOL . RESULTS The mCIMT group exhibited significantly greater improvements in motor function , daily function , and the physical domain of HRQOL than the traditional rehabilitation group . Patients in the mCIMT group perceived significantly greater percent of recovery after treatment than patients in the traditional rehabilitation group . CONCLUSIONS These findings suggest mCIMT is a promising intervention for improving motor function , daily function , and physical aspects of HRQOL in elderly patients with stroke . The mCIMT was well tolerated by the elderly patients even though it is a rigorous training program
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 .