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dc.contributor.authorAguilar Ferrandiz, María Encarnación 
dc.contributor.authorToledano-Moreno, Sonia
dc.contributor.authorGarcía Ríos, María Del Carmen 
dc.contributor.authorTapia Haro, Rosa María 
dc.contributor.authorBarrero Hernández, Francisco Javier 
dc.contributor.authorCasas Barragán, Antonio
dc.contributor.authorPérez Mármol, José Manuel 
dc.date.accessioned2024-04-18T09:51:21Z
dc.date.available2024-04-18T09:51:21Z
dc.date.issued2021-05
dc.identifier.citationAguilar-Ferrándiz ME, Toledano-Moreno S, García-Ríos MC, Tapia-Haro RM, Barrero-Hernández FJ, Casas-Barragán A, Pérez-Mármol JM. Effectiveness of a Functional Rehabilitation Program for Upper Limb Apraxia in Poststroke Patients: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021 May;102(5):940-950. Epub 2021 Jan 22. Erratum in: Arch Phys Med Rehabil. 2022 Jun;103(6):1245. PMID: 33485836. doi: 10.1016/j.apmr.2020.12.015es_ES
dc.identifier.urihttps://hdl.handle.net/10481/90876
dc.descriptionThis research was partially supported by grants CTS-526 from Fondo Social Europeo (European union)-Junta de Andalucía (Regional Government of Andalusia, Spain) youth employment initiative 2018-2019 and Plan Propio of University of Granada 2019-2020. S. Toledano-Moreno was supported by Programa operativo de Garantía Juvenil and a research initiation fellowship in the Department of Physical Therapy at the University of Granada (Spain). Research initiation grants for student of official masters degrees funded by "the Own Research Plan 2019" of the University of Granada [Beca de inicio a la investigación para estudiantes de másteres oficiales del plan propio 2019 de la Universidad de Granada.]es_ES
dc.description.abstractObjective: To analyze the effectiveness of a home-based restorative and compensatory upper limb apraxia (ULA) rehabilitation program. Design: Randomized controlled trial. Setting: Neurology Unit of San Cecilio Hospital and 2 private and specialized health care centers. Participants: Community dwelling participants (NZ38) between the ages of 25 and 95 years old (sex ratio, 1:1) with unilateral mild-to-moderate poststroke lesions (time of evolution since stroke, 12.03 8.98mo) and secondary ULA. Interventions: Participants were randomly assigned to an 8-week combined ULA functional rehabilitation group (nZ19) 3 days per week for 30 minutes or to a traditional health care education protocol group (nZ19) once a month for 8 weeks. Both interventions were conducted at home. Main Outcome Measures: Sociodemographic and clinical data, Barthel Index (primary outcome), Lawton and Brody Scale, observation and scoring activities of daily living, the De Renzi tests for ideational and ideomotor apraxia and imitating gestures test, recognition of gestures, test for upper limb apraxia , and stroke-specific quality of life scale were assessed at 3 time points: baseline, posttreatment (8wk), and follow-up (8wk). Results: There were statistically significant differences among the groups regarding ideomotor apraxia, imitating gestures, global recognition of gestures, intransitive gestures, and comprehension of gesture production (P<.05) in favor of the experimental group. However, no statistically significant differences were found between the groups regarding functionality or quality of life (P>.05). Regarding the within-group effect, statistically significant differences were found in all neuropsychological outcomes at posttreatment and follow-up (P<.05). Conclusion: A functional rehabilitation program was found to be superior to a traditional health care education program and resulted in improvements in neuropsychological functioning in ULA poststroke. Conventional education showed an insufficient effect on apraxia recovery. Further studies with larger sample sizes are needed to determine the effect of rehabilitation strategies on functionality and quality of life of poststroke ULA patients.es_ES
dc.description.sponsorshipFondo Social Europeo CTS-526es_ES
dc.description.sponsorshipJunta de Andalucíaes_ES
dc.description.sponsorshipUniversity of Granadaes_ES
dc.language.isoenges_ES
dc.publisherElservieres_ES
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivs 3.0 Licensees_ES
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectActivities of daily livinges_ES
dc.subjectApraxiases_ES
dc.subjectQuality of life es_ES
dc.subjectRehabilitation es_ES
dc.subjectStrokees_ES
dc.subjectUpper extremityes_ES
dc.titleEffectiveness of a Functional Rehabilitation Program for Upper Limb Apraxia in Poststroke Patients: A Randomized Controlled Trial.es_ES
dc.typejournal articlees_ES
dc.rights.accessRightsopen accesses_ES
dc.identifier.doi10.1016/j.apmr.2020.12.015
dc.type.hasVersionEvoRes_ES


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