Pilot randomized controlled trial of self-regulation in promoting function in acute poststroke patients

Karen P Y Liu, Che Hin Chan

Research output: Journal article publicationJournal articleAcademic researchpeer-review

24 Citations (Scopus)

Abstract

Objective To test the efficacy of self-regulation (SR) for promoting task performance and motor and cognitive functions. Design Pilot randomized controlled trial. Setting Rehabilitation unit. Participants Inpatients with acute poststroke (N=44) after a cerebral infarction aged ≥60 years. Interventions Patients were randomly assigned to the SR (n=24) or functional rehabilitation (control; n=20) intervention. The SR intervention consisted of 1 week of therapist-supervised practices of daily tasks using SR of one's own performance (five 1-h sessions). Patients in the control intervention practiced the same daily tasks with a therapist's demonstration and guidance. Main Outcome Measures Performance of tasks, including household and monetary transaction tasks; FIM; Fugl-Meyer Assessment (FMA); and Color Trails Test (CTT). Results The SR group showed significant improvement in all tasks (median difference, 1-2; effect size [r]=.74-.89) versus none (median difference, 0-0.5) in the control group. Results of the FIM (P<.001, r=.87 in the motor subscale; P<.001, r=.49 in the cognitive subscale), FMA (P<.001, r=.84 for upper extremity motor function and r=.63 for lower extremity motor function), and CTT (P=.002, r=.72) of the SR group improved. The SR group outperformed their control counterparts in 4 of the 5 tasks (median difference, 1; r=.30-.52) and in the FIM motor subscale (P=.002, r=.47), but not in the cognitive subscale and motor and cognitive functions. Conclusions SR appears useful for improving task performance that demands both motor and cognitive abilities by promoting information processing and active learning.
Original languageEnglish
Pages (from-to)1262-1267
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume95
Issue number7
DOIs
Publication statusPublished - 1 Jan 2014

Keywords

  • Occupational therapy
  • Randomized controlled trial as topic
  • Recovery of function
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this