Role of instruction adherence during highly structured robotic arm training on motor outcomes for individuals after chronic stroke

Grace J. Kim, Peii Chen

Research output: Contribution to journalArticle

Abstract

The aim of this study was to examine the effects of instruction adherence on upper limb motor outcomes after highly structured intervention. A secondary data analysis was completed using mixed linear modeling design. Thirty chronic stroke survivors with moderate-to-severe arm impairment were assigned explicit movement instructions and completed 12 robotic therapy sessions for 4 wks. Instruction adherence was measured weekly using the Manipulation Check Questionnaire. Motor outcomes were measured at baseline, discharge, and at 4-wk follow-up using the Fugl-Meyer Assessment–Upper Extremity and Wolf Motor Function Test–Functional Ability Scale. There were no effects of adherence-related variables on upper limb motor outcomes (P > 0.2). Participant scores improved for both Fugl-Meyer Assessment–Upper Extremity and Wolf Motor Function Test–Functional Ability Scale from baseline to follow-up (P < 0.001). Participants improved motor function after 12 wks of robotic training; however, instruction adherence did not affect motor improvement. Adherence to explicit information may play a limited role in motor learning for stroke survivors with moderate-to-severe arm impairment during highly structured training protocols.

Original languageEnglish (US)
Pages (from-to)353-356
Number of pages4
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume99
Issue number4
DOIs
StatePublished - Apr 1 2020

Keywords

  • Adherence
  • Explicit Instruction
  • Motor Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Fingerprint Dive into the research topics of 'Role of instruction adherence during highly structured robotic arm training on motor outcomes for individuals after chronic stroke'. Together they form a unique fingerprint.

Cite this