Journal
CLINICAL REHABILITATION
Volume 26, Issue 12, Pages 1096-1104Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0269215512444631
Keywords
Arm; Perfetti; rehabilitation; sensory; stroke
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Funding
- foundation of Ramathibodi Hospital [01-46-07]
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Objective: The aim of this study was to evaluate the effectiveness of Cognitive Sensory Motor Training Therapy (Perfetti's method) vis-a-vis conventional occupational therapy in the recovery of arm function after acute stroke. Design: Prospective randomized controlled trial. Setting: Two rehabilitation centers in Bangkok, Thailand. Subjects: Forty first-time acute stroke patients without severe cognitive or language impairment. Intervention: All subjects were randomly divided into two groups; one was treated using Perfetti's method and the other using conventional occupational therapy. Each group underwent therapy for 30 minutes, five times a week for four weeks. Main measures: The primary variable was arm function as assessed by the Action Research Arm Test; secondary variables were the extended Barthel Index and the box and block test score. Results: The intention-to-treat analysis revealed no statistically significant differences between the two groups at the end of treatment for any variable. Conclusions: There was no evidence of a difference between Cognitive Sensory Motor Training Therapy of Perfetti's method and conventional occupational therapy with respect to the restoration of hand and arm function after a stroke.
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