Effects of strength training combined with task-oriented training on upper extremity recovery and enjoyment of individuals with chronic stroke
โอฬาร อิสริยะพันธุ์, จีราวรรณ เกิดสวัสดิ์มงคล, ณัฐชยา ชนแดน, น้อมจิตต์ นวลเนตร์, ดวงนภา รุ่งพิบูลโสภิษฐ์, วรุณนภา ศรีโสภาพ*Department of Physical Therapy, Faculty of Allied Health Sciences, Naresuan University Muang District, Phitsanulok 65000, Thailand. E-mail address: waroonnapas@nu.ac.th
บทคัดย่อ
Only little evidence has assessed the impact of strength training combined with task-oriented training (TOT) on the upper extremity function of patients with chronic stroke. This study investigated the effects of adding strength training to TOT on the upper extremity recovery and enjoyment of individuals with chronic stroke. Nineteen chronic stroke patients were randomly allocated to either a strength training combined with TOT program (experimental group, n = 10) or a TOT-only program (control group, n = 9). Both groups received a 70-minute training program, 5 times a week for 4 weeks-with a total of 3,600 repetitions for all tasks in the training. The outcomes were assessed in terms of upper extremity functions, grip strength, upper extremity motor impairment, shoulder flexion active range of motion (AROM), muscle tone, and physical activity enjoyment as assessed using the Physical Activity Enjoyment Scale (PACES) at baseline and post-intervention. The upper extremity function, upper extremity motor impairment and shoulder flexion AROM of the participants in both groups improved significantly (p-value < 0.05) post-intervention without increasing spasticity. There were no statistically significant differences between the two groups. Grip muscle strength was improved in the experimental group only (p-value < 0.05). The PACES score of the experimental group and the control group were 105.0 (89.0, 118.2) and 91.0 (83.5, 106.0), respectively. The findings suggest benefit of 4-week strength training combined with TOT program on the improvement of upper extremity functions, upper extremity motor impairment and shoulder flexion AROM of the participants similar to the improvement witnessed in the participants of the TOT-only program. However, only the strength training combined with TOT program improved muscle strength. The post-chronic stroke patients seemed to enjoy the strength training combined with TOT program more than the TOT-only program.
ที่มา
Archives of Allied Health Sciences ปี 2566, January-April
ปีที่: 35 ฉบับที่ 1 หน้า 58-70
คำสำคัญ
Rehabilitation, Physiotherapy, Cerebrovascular disease, Arm, Muscle weakness