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 .
Task-Specific Training With Trunk Restraint on Arm Recovery in Stroke: Randomized Control Trial
Background and Purpose — Task-specific training improves functional outcomes after stroke . However , gains may be accompanied by increases in movements compensating for motor impairments . We hypothesized that restriction of compensatory trunk movements may encourage recovery of premorbid movement patterns leading to better functional outcomes . The goal was to determine whether task-specific training with trunk-restraint ( TR ) produces greater improvements in arm impairment and function than training without TR in patients with chronic hemiparesis . Methods — Double-blind r and omized control trial of a therapist-supervised home program ( 3 times per week , 5 weeks ) in 30 patients with chronic hemiparesis stratified by arm impairment level ( Fugl-Meyer ) was performed . Intervention group ( TR group ) received progressive object-related reach-to-grasp training with prevention of trunk movements . Control group ( C ) practice d tasks without TR . Main outcome measures were upper limb impairment ( Fugl-Meyer Arm Section ) and function ( TEMPA ) and movement kinematics ( trunk displacement , elbow extension ; Optotrak , 10 trials ) of a reach-to-grasp movement . Evaluations were repeated before , immediately after , and 1 month postintervention by blind evaluators . Results — TR training led to greater improvements in impairment and function compared with C. Improvements were accompanied by increased active joint range and were greater in initially more severe patients . In these patients , TR decreased trunk movement and increased elbow extension , whereas C had opposite effects ( increased compensatory movements ) . In TR , changes in arm function were correlated with changes in arm and trunk kinematics . Conclusions — Treatment should be tailored to arm impairment severity with particular attention to controlling excessive trunk movements if the goal is to improve arm movement quality and function
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 .