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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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The cognitive augmented mobility program (CAMP): feasibility and preliminary efficacy.

Katherine Dittmann1, Kay-Ann Allen1, Ashley Bergner1

  • 1St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, ON, Canada.

Physiotherapy Theory and Practice
|August 5, 2020
PubMed
Summary
This summary is machine-generated.

The Cognitive Augmented Mobility Program (CAMP) is a feasible and effective intervention for improving mobility, balance, and goal attainment in persons with stroke. Combining physical and cognitive strategies enhances skill maintenance and transfer.

Keywords:
Strokebest evidencecognitive strategiesphysiotherapyrehabilitation

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Area of Science:

  • Neurorehabilitation
  • Physical Therapy
  • Cognitive Rehabilitation

Background:

  • Evidence supports task-specific training, aerobics, and strengthening for stroke mobility and gait.
  • Cognitive strategy training may improve skill maintenance and transfer in persons with stroke (PWS).

Purpose of the Study:

  • To examine the feasibility and preliminary outcomes of an evidence-based Cognitive Augmented Mobility Program (CAMP) for PWS.

Main Methods:

  • A single-arm, pre-post, follow-up study design (NCT03683160).
  • Participants engaged in an 8-week CAMP intervention with integrated cognitive strategy training and weekly physical therapist sessions.
  • Assessments were conducted pre-intervention, post-intervention, and at 4-5 week follow-up.

Main Results:

  • CAMP demonstrated high feasibility (96% attendance) and participant satisfaction.
  • Large effects were observed for endurance, balance, mobility, and goal attainment post-intervention, with sustained effects for balance, mobility, and goal attainment at follow-up.
  • Medium effects were noted for functional independence, gait speed, and balance confidence; small effects for participation and stroke recovery.

Conclusions:

  • The Cognitive Augmented Mobility Program (CAMP) is feasible and shows potential benefits by combining physical and cognitive strategies for persons with stroke.
  • Positive outcomes in skill maintenance and transfer warrant further investigation into CAMP's efficacy.