Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .
Portable upper extremity robotics is as efficacious as upper extremity rehabilitative therapy: a randomized controlled pilot trial
Objective : To compare the efficacy of a repetitive task-specific practice regimen integrating a portable , electromyography-controlled brace called the ‘ Myomo ’ versus usual care repetitive task-specific practice in subjects with chronic , moderate upper extremity impairment . Subjects : Sixteen subjects ( 7 males ; mean age 57.0 ± 11.02 years ; mean time post stroke 75.0 ± 87.63 months ; 5 left-sided strokes ) exhibiting chronic , stable , moderate upper extremity impairment . Interventions : Subjects were administered repetitive task-specific practice in which they participated in valued , functional tasks using their paretic upper extremities . Both groups were supervised by a therapist and were administered therapy targeting their paretic upper extremities that was 30 minutes in duration , occurring 3 days/week for eight weeks . One group participated in repetitive task-specific practice entirely while wearing the portable robotic , while the other performed the same activity regimen manually . Main outcome measures : The upper extremity Fugl-Meyer , Canadian Occupational Performance Measure and Stroke Impact Scale were administered on two occasions before intervention and once after intervention . Results : After intervention , groups exhibited nearly identical Fugl-Meyer score increases of ≈2.1 points ; the group using robotics exhibited larger score changes on all but one of the Canadian Occupational Performance Measure and Stroke Impact Scale subscales , including a 12.5-point increase on the Stroke Impact Scale recovery subscale . Conclusions : Findings suggest that therapist-supervised repetitive task-specific practice integrating robotics is as efficacious as manual practice in subjects with moderate upper extremity impairment
Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .