Cognitive oriented strategy training augmented rehabilitation (COSTAR) for ischemic stroke: a pilot exploratory randomized controlled study

Wolf, Timothy; Doherty, Meghan; Boone, Anna; Rios, Jorge; Polatajko, Helene J.; Baum, Carolyn; McEwen, Sara

doi:10.1080/09638288.2019.1620877

Cited by 10 publications

(8 citation statements)

References 33 publications

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Section: Discussionmentioning

confidence: 99%

“…Given this design, it is not possible to tease apart the unique contribution of each component to the positive outcomes. However, it is possible that combining two interventions may have had a synergistic effect, as suggested by Wolf et al (2019), who combined CO-OP with task-specific training. We suggest that with therapeutic guidance, the CCT can be harnessed as a client-centred treatment tool which may promote selfefficacy and self-awareness, that in turn has the potential to enhance goal attainment and strategy use.…”

Section: Acceptabilitymentioning

confidence: 99%

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The feasibility of a combined model of online interventions for adults with cancer-related cognitive impairment

Maeir

Nahum

Makranz

et al. 2020

British Journal of Occupational Therapy

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Introduction The purpose of this study was to test the feasibility of a telehealth intervention combining computerised cognitive training and occupation-based treatment among adult cancer survivors experiencing cancer-related cognitive impairment. Method This was a single-arm study including six cancer survivors with cancer-related cognitive impairment. Participants completed the computerised retraining and functional treatment intervention consisting of 10 hours of computerised cognitive training (BrainHQ) and approximately 10 1:1 remote sessions with an occupational therapist using an occupation-based approach. Feasibility was measured in terms of recruitment, adherence, acceptability and potential effectiveness. Assessments were administered at baseline, post-intervention and at 3-month follow-up and included measures of occupational performance, objective cognitive functions, quality of life and mood questionnaires. Results From the nine participants enrolled in the study, six completed 8–13 weeks of computerised retraining and functional treatment intervention and reported high satisfaction levels. Positive and significant improvements were found in occupational performance, useful field of view and social quality of life (all P < 0.05). The positive gains were maintained at the 3-month follow-up. Conclusion A combined model of computerised cognitive training and occupation-based treatment delivered remotely to adults with cancer-related cognitive impairment was found feasible and may improve occupational performance, cognitive functions and quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Acceptabilitymentioning

confidence: 99%

The feasibility of a combined model of online interventions for adults with cancer-related cognitive impairment

Maeir

Nahum

Makranz

et al. 2020

British Journal of Occupational Therapy

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“…The increased VAS scores after treatment and the highest scores observed in the joint group suggested that the combined treatment better alleviated the pain during rehabilitation training. A study by Wolf et al [ 23 ] used the MET in rehabilitation training for patients after anterior cruciate ligament reconstruction, and the scoring of knee pain found that the inclusion of the MET in rehabilitation training reduced pain and facilitated the functional rehabilitation of patients. The significantly higher elevation of BBS scores and Tinetti scores of the joint group after treatment indicates that the combination treatment can improve the patient's balance, increase the stability of walking, and reduce the risk of falling.…”

Section: Discussionmentioning

confidence: 99%

Muscle Energy Technique plus Neurac Method in Stroke Patients with Hemiplegia Complicated by Diabetes Mellitus and Assessment of Quality of Life

Wang

et al. 2022

Disease Markers

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Objective. To analyze the role of muscle energy technique (MET) plus Neurac method in stroke patients with hemiplegia complicated by diabetes mellitus and the impact on quality of life. Methods. From January 2021 to December 2021, 100 stroke patients with hemiplegia complicated by diabetes mellitus treated in our institution and assessed for eligibility were recruited and randomly assigned (1 : 3) via the random sampling method to either the conventional rehabilitation group or the experimental group. The patients in the experimental group were randomized (1 : 1 : 1) into either the MET group (receives MET), the Neurac group (receives Neurac), or the joint group (receives MET plus Neurac). The primary endpoint is the clinical efficacy, and the second endpoint is the quality of life. Results. The eligible patients had similar pretreatment Barthel index scores, Visual Analogue Scale (VAS) scores, Berg balance scale (BBS) scores, Tinetti scores, Fugl-Meyer scores, and quality of life (QoL) scores ( P > 0.05 ). The treatment herein achieved significant improvements in Barthel index scores, VAS scores ( 2.71 ± 0.28 ), BBS scores, Tinetti scores, Fugl-Meyer scores, and QoL scores ( 99.67 ± 10.62 ), and MET plus Neurac method obtained the best results versus both the conventional rehabilitation and monotherapy of either MET or Neurac ( P < 0.05 ). Conclusion. Neurac method plus MET improves the independent mobility of stroke patients with hemiplegia and diabetes, relieves pain, enhances balance and stability, mitigates limb dysfunction, and boosts patients’ quality of life, so it is worthy of clinical application.

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“…There was an increase in 12 activities after the intervention with hippotherapy, with reduction of chronic pain, improvement in functional balance, decreasing the risk of falling. The ACS detected an increase in the level of participation in instrumental, social, and leisure activities in individuals after a stroke, when using occupational therapy interventions based on occupations, with the specific training of activities (Wolf et al, 2019;Ahn, 2019), as well as cognitive orientations (COSTAR or CO-OP) (Henshaw et al, 2011;Wolf et al, 2019) or community rehabilitation (Hartman-Maeir et al, 2007a). However, these studies reinforce the need for research with a larger population to ensure the generalization of its outcomes.…”

Section: Risk Of Fallingmentioning

confidence: 92%

Activity card sort e o repertório ocupacional de idosos: uma revisão integrativa da literatura

Bernardo

Pontes

Souza

et al. 2021

Cad. Bras. Ter. Ocup.

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Resumo Introdução O Activity Card Sort (ACS) é uma ferramenta desenvolvida para avaliar a participação de idosos em atividades instrumentais de vida diária, sociais e de lazer de baixa e alta demanda. É considerado um instrumento de avaliação útil para o processo terapêutico ocupacional utilizando uma abordagem baseada nas ocupações e centrada no cliente. Objetivo Analisar as principais características da produção científica sobre a utilização do ACS na população de idosos. Método Foi realizada uma revisão integrativa da literatura. Para a seleção dos registros bibliográficos, foram selecionadas seis fontes de informação, sem recorte temporal. Na organização e análise dos dados, foi criada uma coleção dos registros bibliográficos para realizar a análise descritiva e, na construção e visualização de redes bibliométricas, foi aplicado o VOSviewer. Resultados A amostra foi composta por 67 artigos. Os objetivos das pesquisas eram direcionados a examinar as propriedades psicométricas do instrumento, utilizar o ACS para comprovar o impacto das deficiências na participação e engajamento em atividades ou usar o ACS como medida de desfecho em diferentes intervenções. Conclusão O instrumento se apresentou como uma opção que enriquece o processo avaliativo na terapia ocupacional, uma vez que apresentou boas propriedades psicométricas, foi capaz de capturar o nível de participação em diferentes populações, assim como pôde ser usado como medida de desfecho para intervenções que se preocupam com o engajamento em ocupações.

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Cognitive oriented strategy training augmented rehabilitation (COSTAR) for ischemic stroke: a pilot exploratory randomized controlled study

Cited by 10 publications

References 33 publications

The feasibility of a combined model of online interventions for adults with cancer-related cognitive impairment

The feasibility of a combined model of online interventions for adults with cancer-related cognitive impairment

Muscle Energy Technique plus Neurac Method in Stroke Patients with Hemiplegia Complicated by Diabetes Mellitus and Assessment of Quality of Life

Activity card sort e o repertório ocupacional de idosos: uma revisão integrativa da literatura

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