The feasibility of a mental practice protocol for severe upper extremity hemiparesis

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dc.contributor.advisorVas, Asha
dc.contributor.committeeMemberNeville, Marsha
dc.contributor.committeeMemberHay, Catherine Cooper
dc.contributor.committeeMemberFromm, Nicole
dc.creatorGreen, Teresa M 1982-
dc.creator.orcid0000-0001-6692-9718
dc.date.accessioned2023-10-06T19:54:47Z
dc.date.available2023-10-06T19:54:47Z
dc.date.created2023-08
dc.date.issuedAugust 2023
dc.date.submittedAugust 2023
dc.date.updated2023-10-06T19:54:48Z
dc.description.abstractObjective: To increase the efficacy of mental practice (MP) with severe upper extremity (UE) hemiparesis following a stroke and examine the feasibility of following a MP protocol in the acute inpatient rehabilitation setting. Design: single-group, pretest-posttest Setting: acute inpatient rehabilitation Subjects: 11 patients, less than 1-month post-stroke with severe UE hemiparesis and 17 occupational therapists working in acute inpatient rehabilitation Intervention: Patients completed a MP protocol of MP 5 days/week for 2 weeks of wiping a table and picking up a cup. Outcome Measures: Wolf Motor Function Test (WMFT) and Fugl Meyer Assessment-UE (FMA-UE) assessed UE functional abilities and impairments. The Acceptability of Intervention Measure (AIM), the Intervention Appropriateness Measure (IAM), and the Feasibility of Intervention Measure (FIM) measured perceptions of MP. Results: Wilcoxon signed-rank test demonstrated completing MP showed a statistically significant difference in FMA-UE scores from pretest (Mdn = 7.00, M = 8.36, SD =5.46) to posttest (Mdn = 13.00, M = 16.27, SD =11.11), n = 11, Z= 2.70, p= .007, r = .57. There was no statistically significant change in WMFT time scores from pretest (Mdn = 120.00, M = 114.48, SD = 18.32) to posttest (Mdn = 120; M = 81.25, SD = 54.72), Z = 1.82, p =.068, r = .39. There was a statistically significant change in WMFT-FAS from pretest (Mdn = 1.00, M = .91, SD = .831) to posttest (Mdn = 1.00, M = 1.55, SD = 1.29), Z = 2.07, p =.041, r = .44. MP improved UE impairments with less effect on UE functional abilities. Mean AIM scores demonstrated 72.7% of patient responses and 70.6% of therapist responses were agreeable to the acceptability of MP as a treatment. Mean IAM and FIM scores for therapists and patients demonstrate >80% of patient responses were agreeable to MP as an appropriate and feasible intervention. Conclusions: Although there is less acceptability of patients and therapist toward MP as an intervention, MP is a feasible and effective treatment for acute UE hemiparesis following a stroke.
dc.format.mimetypeapplication/pdf
dc.identifier.uri
dc.identifier.urihttps://hdl.handle.net/11274/15489
dc.language.isoEnglish
dc.subjectHealth Sciences, Rehabilitation and Therapy
dc.subject.otherStroke
dc.subject.otherHemiparesis
dc.subject.otherUpper extremity
dc.subject.otherOccupational therapy
dc.titleThe feasibility of a mental practice protocol for severe upper extremity hemiparesis
dc.typeThesis
dc.type.materialtext
thesis.degree.collegeCollege of Health Sciences
thesis.degree.departmentSchool of Occupational Therapy
thesis.degree.disciplineOccupational Therapy
thesis.degree.grantorTexas Woman's University
thesis.degree.nameDoctor of Philosophy
thesis.degree.programAPA 7th edition
thesis.degree.schoolTexas Woman's University

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