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Related Experiment Video

Updated: Feb 23, 2026

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Task Oriented Training and Evaluation at Home.

Veronica T Rowe1, Marsha Neville2

  • 11 University of Central Arkansas, Conway, USA.

OTJR : Occupation, Participation and Health
|September 1, 2017
PubMed
Summary
This summary is machine-generated.

Task Oriented Training and Evaluation at Home (TOTE Home) improved motor function and confidence in stroke survivors. These gains in neurorehabilitation persisted one month post-intervention, showing lasting adaptive responses.

Keywords:
occupational therapyrehabilitationstroke

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Area of Science:

  • Neurorehabilitation
  • Motor Learning
  • Occupational Adaptation

Background:

  • Experience-dependent plasticity is key in neurorehabilitation.
  • Motor learning and Occupational Adaptation theories inform practice.
  • A translational model integrates these principles for neurorehabilitation.

Purpose of the Study:

  • To explore the effectiveness of the Task Oriented Training and Evaluation at Home (TOTE Home) program.
  • To assess if TOTE Home effects persist 1 month after training in subacute stroke patients.
  • To evaluate client-centered, salient tasks for neurorehabilitation.

Main Methods:

  • A single-subject design was employed.
  • Participants underwent a maximum of 30, 1-hour home-based training sessions.
  • Accelerometry and confidence levels measured arm movement and function during baseline, intervention, and follow-up.

Main Results:

  • All four participants demonstrated improved movement and confidence.
  • Outcome measures showed detectable changes, though individual results varied.
  • Continued improvement was observed beyond the intervention period.

Conclusions:

  • The TOTE Home program effectively improved motor function and confidence in subacute stroke survivors.
  • The program facilitated an adaptive response, leading to sustained functional improvements.
  • Home-based, client-centered training shows promise for neurorehabilitation.