Assessment of Parietal Lobe Function in Hemiplegia

Gregory, Michael; Aitken, Judith A.

doi:10.1177/030802267103400705

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…Inclusion criteria included: (1) age 21-80, (2) one or more cerebral strokes, (3) a stroke at least six months prior to enrollment, (4) gait asymmetry greater than 2.5% step length or stance phase based on the pre-test, but able to walk either with or without a cane for at least five minutes, (5) no evidence of uncompensated hemianopsia, tested by using Pedretti's method [31], (6) no evidence of severe (less than 16 in the Folstein Mini-Mental Status Exam) cognitive impairment [32] or language dysfunction that would interfere with understanding the instructions, and (7) no evidence of neglect, tested by being asked to copy a simple drawing of a house [33]. Exclusion criteria included: (1) orthopedic or pain conditions, (2) uncontrolled seizures, (3) metal implants (e.g., stents, clips, pacemaker), (4) pregnancy, (5) any condition that makes balance unstable, and (6) uncorrected visual impairments.…”

Section: Participantsmentioning

confidence: 99%

Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study

Kim

Huizenga²,

Handžić

et al. 2019

J NeuroEngineering Rehabil

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Background: Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question: This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods: Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results: All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion: The results indicate that the presented device may help improve stroke patients' walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke.

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Section: Participantsmentioning

confidence: 99%

Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study

Kim

Huizenga²,

Handžić

et al. 2019

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

show abstract

“…Many therapists follow a remedial perceptual retraining approach for this aspect of treatment (Holzer, Stiassny, Senner-Hurley, & Lefkowitz, 1982;Hopkins & Smith, 1988;Prigitano, 1986;Trombly, 19R9;Van Deusen, 1988;Wahlstrom, 1983;Zoltan, Siev, & Freishtat, 1986). Remedial perceptual retraining involves using treatment tasks like construCtion of puzzles to give clients practice in impaired perceptual skills that contribute to poor functional performance (Anderson & Choy, 1970;Gregory & Aitken, 1971;Holzer et aI., 1982;Neistadt, 1990;Wahlstrom, 1983) Therapist teaching and client learning are inherent in perceptual retraining, hut occupational therapists have only recently hegun to exrlicitly analyze these treatment procedures from a learning theory perspective (Neistadt. 1990;Toglia, 1991;Warren, 1993) AnalyZing perceptual retraining as learning can yield insights into mexe effective ways to structure this type of treatment and more precise wavs to identify clients who might benefit from it.…”

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confidence: 99%

Perceptual Retraining for Adults With Diffuse Brain Injury

Neistadt

1994

The American Journal of Occupational Therapy

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Occupational therapy for adults with perceptual dysfunction secondary to diffuse acquired brain injury from trauma or anoxia often includes remedial retraining with treatment tasks, like construction of puzzles, to provide clients with practice in deficit perceptual skills. Therapists using this approach assume that adults with brain injury learn specific perceptual skills from retraining exercises and can transfer those skills across all activities (including self-care and community living activities) that require those skills. This review of outcome studies about remedial perceptual retraining for adults with diffuse acquired brain injury suggests that those learning assumptions hold true only for clients with localized lesions and preserved abstract reasoning who have been explicitly taught to transfer learning across a variety of treatment activities. Recommendations about ways to assess clients' learning potential and appropriateness for remedial retraining include keeping track of the number of repetitions clients need to relearn functional tasks and systematically varying functional tasks during training to see how easily clients can transfer learning across variations of the same task.

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“…This approach involves the use of tabletop perceptual drills or activities, such as par quetry block, pegboard, and puzzle assembly, to pro mote normal skill levels. Although the occupational therapy literature suggests specific drills or activities for specific perceptual deficits, it does not offer de tailed gUidelines and protocols for the use of those activities in treatment (Abreu & Toglia, 1987;Ander son & Choy, 1970;Gregory & Aitken, 1971;Holzer, Stiassny, Senner-Hurley, & Lefkowitz, 1982;Hopkins & Smith, 1983;Siev et al, 1986). Research is needed to establish such protocols so that perceptual deficits can be treated more systematically.…”

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confidence: 99%

Normal Adult Performance on Constructional Praxis Training Tasks

Neistadt

1989

The American Journal of Occupational Therapy

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This study used a balanced factorial design to examine the performance of normal young adults on a parquetry block assembly task that occupational therapists use to treat constructional deficits in adults. Ninety-six 18- to 34-year-old right-handed college students or college graduates (48 men and 48 women) were tested. Independent variables were subjects' sex, presence or absence of color on the model design card, and amount of detail on the model design card. Dependent variables were speed and accuracy of design construction. Results of a factorial analysis of variance with the three variables showed that the subjects' total time scores were significantly related to their sex and to the presence or absence of color and the amount of detail on the design card. Interaction effects were significant for sex by amount of detail and for color by amount of detail. The results were used to generate clinical performance criteria and graded levels of difficulty for this modality. The subjects' learning and test behaviors were examined to generate ideas for treatment and for future research.

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Assessment of Parietal Lobe Function in Hemiplegia

Cited by 4 publications

References 2 publications

Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study

Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study

Perceptual Retraining for Adults With Diffuse Brain Injury

Normal Adult Performance on Constructional Praxis Training Tasks

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