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Cited by 30Stroke Rehabilitation and RecoveryCerebral Palsy and Movement DisordersDysphagia Assessment and Management

Effects of problem-oriented willed-movement therapy on motor abilities for people with poststroke cognitive deficits

Tang, Qing Ping, Yang, Qi Dong, Wu, Ying Hua, Wang, Gai Qing, Huang, Zhi Ling, Liu, Zun Jing, Huang, Xiao Song, Zhou, Lin +2 more·2005·Physical Therapy
DOI 10.1093/ptj/85.10.1020
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Abstract

BACKGROUND AND PURPOSE: Cognitive deficits after stroke are common and interfere with recovery. One purpose of this study was to determine whether the motor abilities of subjects who have poststroke cognitive deficits and who have received problem-oriented willed-movement (POWM) therapy will improve more than the motor abilities of subjects in the reference group who have received neurodevelopmental treatment (NDT). Another purpose of this study was to identify the relationship between cognitive function and motor abilities for both groups. SUBJECTS: The subjects recruited for this study were 36 men and 11 women with various degrees of poststroke cognitive deficits. METHODS: A randomized block design was used to assign the subjects to 2 groups. Cognitive function and motor ability were evaluated with the Mini-Mental State Examination and the Stroke Rehabilitation Assessment of Movement (STREAM). Both groups received physical therapy 5 or 6 times per week in 50-minute sessions. RESULTS: The STREAM scores improved after treatment in both groups. Main group effects were found for the lower-extremity (F=4.58, P< .05) and basic mobility (F=27.49, P< .01) subscales of the STREAM. Pretest cognitive function showed a positive relationship with posttest motor ability in the NDT group (r = .446, P< .05). However, the relationship between pretest cognitive function and posttest motor ability had no statistical significance in the POWM group (r = .101, P= .630). DISCUSSION AND CONCLUSION: These findings suggest that, regardless of a person's cognitive function, POWM intervention is effective in improving lower-extremity and basic mobilities and indicates the need to use relatively intact cognitive function or perceptual function, or both, to improve motor rehabilitation for people with cognitive function deficits.

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  • Only 7 studies in the review outlined the content of the Bobath Concept in more detail referring to specifically trained therapists who selected interventions from specifically designed treatment protocols.

    “There was a lack of description of the actual content of Bobath therapy; only 7 studies outlined the content of the Bobath Concept in more detail referring to specifically trained therapists, who selected interventions from specifically designed treatment protocols.39,43,46 -48,53,55”

    From The Effectiveness of the Bobath Concept in Stroke Rehabilitation: What is the Evidence? (2009) · cites this paper as [53]

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Authors
Tang, Q. P., Yang, Q. D., Wu, Y. H., Wang, G. Q., Huang, Z. L., Liu, Z. J., Huang, X. S., Zhou, L., Yang, P. M., & Fan, Z. Y.
Affiliations
  • Central South University (CN)
  • Xiangya Hospital Central South University (CN)
Corresponding author
Tang, Qing Ping
ORCID
Venue
Physical Therapy
Publisher
Oxford University Press (OUP)
Published
2005-10-01
Volume
85
Issue
10
Pages
1020-1033
ISSN
  • 0031-9023 (ISSN-L)
  • 1538-6724
DOI
10.1093/ptj/85.10.1020
OpenAlex
W2128815985
Cited by
30
References
68
Citations by year
2024: 2 · 2021: 1 · 2020: 2 · 2019: 2 · 2016: 3 · 2015: 1 · 2014: 2 · 2013: 4 · 2012: 4
FWCI
2.12
Type
journal article
Language
en
Open access
closed
Locations
  • Physical Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
Keywords
motor rehabilitation, neurodevelopmental treatment, motor abilities, lower extremity mobility, basic mobility, cognitive function, stroke rehabilitation, stream assessment
MeSH terms
Stroke Rehabilitation, Adult, Aged, China, Cognition Disorders, Female, Follow-Up Studies, Persons with Disabilities, Humans, Locomotion, Male, Middle Aged, Motor Skills, Severity of Illness Index, Time Factors, Volition, Recovery of Function, Stroke, Physical Therapy Modalities

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