Effects of task-oriented training combined with scapular stabilization exercise on stroke patients’ upper extremity functions and daily living activities

Abstract

Objective: The purpose of this study is to identify the effects of task-oriented training combined with scapular stabilization exercise on stroke patients’ upper extremity functions and daily living activities. Method: Twenty eight stroke patients were randomly assigned to three groups: a scapular stabilization exercise combined with task-oriented training group(n=9); a scapular stabilization exercise group (n=10); and a task-oriented training group(n=9). All three groups underwent respective intervention methods for 30 minute sessions, 5 times per week for 8 weeks. The upper extremity functions were evaluated via an inertia measurement unit(Point-to-point evaluation test and Circle evaluation test), scapular balance angles, grip strength, and the Fugl-Meyer Assessment of upper extremity; daily living activities were evaluated through the Korean version of the modified Barthel index and the Canadian Occupational Performance Measure. Results: The task-oriented training combined with scapular stabilization exercise group was more effective in the improvement of daily living activities than the simple scapular stabilization exercise (p<.05) was, and it was more effective in the improvement of upper extremity functions and daily living activities for simple task-oriented training(p<.05). Conclusion: If the stability of the proximal region of the upper extremities is secured through scapular stabilization exercise and efficient task-oriented training reflecting individuals’ characteristics is applied thereafter, synergy effects of the two interventions can be derived and such a program can be effective in the improvement of upper extremity functions and daily living activities.