Rehabilitation and Therapy Commons^™

Long-Dose Intensive Therapy Is Necessary For Strong, Clinically Significant, Upper Limb Functional Gains And Retained Gains In Severe/Moderate Chronic Stroke, Janis J. Daly, Jessica P. Mccabe, John P. Holcomb, Michelle Monkiewicz, Jennifer Gansen, Svetlana Pundik

Mathematics and Statistics Faculty Publications

Background. Effective treatment methods are needed for moderate/severely impairment chronic stroke. Objective. The questions were the following: (1) Is there need for long-dose therapy or is there a mid-treatment plateau? (2) Are the observed gains from the prior-studied protocol retained after treatment? Methods. Single-blind, stratified/randomized design, with 3 applied technology treatment groups, combined with motor learning, for long-duration treatment (300 hours of treatment). Measures were Arm Motor Ability Test time and coordination-function (AMAT-T, AMAT-F, respectively), acquired pre-/posttreatment and 3-month follow-up (3moF/U); Fugl-Meyer (FM), acquired similarly with addition of mid-treatment. Findings. There was no group difference in …