2024 年 20 巻 1 号 p. 49-58
Background: There is a paucity of reports on task-oriented training in adult day-care centers for patients with chronic stroke.
Purpose: This study aimed to compare upper-extremity performance pre-, post-implementation, and after 6 months of the program in patients with chronic stroke at our adult day-care center.
Methods: Ten patients with chronic stroke underwent a voluntary upper-extremity functional training program comprising task-oriented training and transfer package. The frequency of training was 3 hours per day, 1 day per week, for 6 months. Main outcome measures included the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), Box and Block Test (BBT), and Motor Activity Log (MAL). Repeated measures of one-way ANOVA were conducted for pre-, post-intervention, and after 6 months of upper-extremity functional assessments.
Results: There were significant improvements in all upper-extremity function assessments pre- and post-intervention (p < .05, effect size (f) = .75–1.04). Conversely, there was no significant improvement between post-intervention and after 6 months.
Conclusion: Our functional training program affected motor function, performance of the paralyzed upper-extremity, and participation status of the paralyzed upper-extremity in daily life. These results highlight the effectiveness of this program in patients with chronic stroke who are less affected by spontaneous recovery.
