Affiliation:
1. Department of Physiotherapy, Bayero University Kano , 70001 Kano , Nigeria
2. Department of Physiotherapy, Ahmadu Bello University Teaching Hospital , Zaria , Nigeria
3. Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Movant , Wilrijk , Belgium
Abstract
Abstract
Objective
The aim of this study is to determine the factors that affect patients’ ability to carry out high dose of massed practice.
Methods
Patients with stroke were included in the study if they had no severe impairment in motor and cognitive functions. Dose of massed practice, motor function, perceived amount and quality of use of the arm in the real world, wrist and elbow flexors spasticity, dominant hand stroke, presence of shoulder pain, and central post-stroke pain were assessed on the first day. Dose of massed practice was assessed again on the second day. The data were analyzed using descriptive statistics and linear multiple regression.
Results
Only motor function (β
= –0.310, r = 0.787, P < 0.001), perceived amount of use (β
= 0.300, r = 0.823; 95% CI = 0.34–107.224, P = 0.049), severity of shoulder pain (β
= –0.155, r = –0.472, P = 0.019), wrist flexors spasticity (β
= –0.154, r = –0.421, P = 0.002), age (β
= –0.129, r = –0.366, P = 0.018), dominant hand stroke (β
= –0.091, r = –0.075, P = 0.041), and sex (β
= –0.090, r = –0.161, P = 0.036) significantly influenced patients’ ability to carry out high dose of massed practice.
Conclusion
Many factors affect patients’ ability to carry out high dose of massed practice. Understanding these factors can help in designing appropriate rehabilitation.