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Evaluation of a task-oriented client-centered upper extremity skilled performance training module in persons with
A I F Spooren1, Y J M Janssen-Potten, E Kerckhofs
1Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands. a.spooren@adelante-zorggroep.nl
Spinal Cord
|June 8, 2011
Summary
The task-oriented client-centered upper extremity skilled performance-training (ToCUEST) module significantly improved arm hand skilled performance (AHSP) in individuals with cervical spinal cord injury (C-SCI). These positive effects on AHSP were sustained at follow-up.
Area of Science:
- Neurorehabilitation
- Occupational Therapy
- Motor Learning
Background:
- Arm hand skilled performance (AHSP) is crucial for individuals with cervical spinal cord injury (C-SCI).
- A novel task-oriented client-centered upper extremity skilled performance-training (ToCUEST) module was developed to address AHSP deficits.
- Evaluating the efficacy of ToCUEST during and after rehabilitation is essential for optimizing patient outcomes.
Observation:
- The study employed a clinical intervention design at the Adelante Rehabilitation Centre.
- Participants with C-SCI underwent the ToCUEST module, focusing on three self-selected goals.
- Training occurred three times weekly for eight weeks, with assessments at multiple time points.
Findings:
- The ToCUEST module demonstrated significant improvements in specific AHSP for C-SCI patients during and after rehabilitation.
- General AHSP also showed significant improvement in the ToCUEST group.
- No significant difference in general AHSP improvement was observed between the ToCUEST and standard rehabilitation control groups.
Implications:
- The ToCUEST module effectively enhances AHSP in individuals with C-SCI, both during and post-rehabilitation.
- The observed improvements in AHSP are maintained at a 3-month follow-up.
- This training approach offers a promising avenue for improving functional independence in C-SCI recovery.
