e30 Stroke

Main Outcome Measure(s): UL motor recovery, determined by the Fugl-

Meyer scale scores; UL function, assessed by the Wolf Motor Function

Test (WMFT); grip strength, evaluated by the hand-grip dynamometer,

manual dexterity, using the Box and Blocks Test (BBT), and quality of

life, measured by the stroke-specific quality of life (SSQOL) scores were

obtained at baseline and after 15, 30, and 40 sessions of VRT.

Results: The significant improvements observed in all outcome measures

depended upon the doses of the intervention. The improvements in the

Fugl-Meyer were observed after 15 sessions and were continuous over

time. For the WMFT, grip strength and BBT, significant gains were

observed only after 30 sessions and the addition of more therapy did not

result in further benefits. For the SSQOL, significant improvements were

found only after 40 sessions.

Conclusions: Although previous studies reported the benefits of 15

hours of VRT, the findings of the present study demonstrated that

higher doses of VRT were required to result in significant improvements

in UL function, grip strength, dexterity, and QOL in subjects with

chronic stroke.

Key Words: Upper limb, Stroke, Virtual-reality therapy, Motor function,

Quality of life

Disclosure(s): None disclosed.

Poster 67

Measurement Properties of the Lower Extremity Motor CoordinationTest in Stroke Survivors

Tania Lucia Hirochi (Universidade Federal de Minas Gerais),Kenia Kiefer Parreiras Menezes, Patrick Roberto Avelino,Marluce Lopes Basılio, Iza Faria-Fortini, Aline Alvim Scianni,Luci Fuscaldi Teixeira-Salmela

Objective: To evaluate the measurement properties Lower Extremity

Motor Coordination Test (LEMOCOT) and the predictors of the LEMO-

COT scores in stroke subjects.

Design: Methodological study.

Setting: Research laboratory.

Participants: Thirty-six stroke subjects, 18 sub-acute and 18 chronic, weredivided into three subgroups, according to their functional levels, based

upon their gait speeds.

Interventions: Not applicable.Main Outcome Measure(s): Lower limb motor coordination (LEMO-

COT), motor recovery, sensory information, tonus of the knee extensors

and plantar flexor muscles, strength of the major muscle groups of the

paretic lower limb, and gait speed.

Results: For the intra-, inter-rater, and test-retest reliabilities, excellent andsignificant coefficients were found for both the paretic and non-paretic

lower limbs for both the sub-acute and chronic groups (ICC>0.93,

p<0.0001). The standard error of the measurement mean values

aVhaVhfound for the paretic and non-paretic lower limbs were acceptable

(<15%), as well as minimal detectable change values. The LEMOCOT

was able to discriminate individuals with and without hemiparesis and

between the paretic and non-paretic lower limbs for both sub-acute and

chronic groups. The regression analyses revealed that motor recovery and

tonus of the plantar flexor muscles were able to explain 50% of the vari-

ance of the LEMOCOT scores.

Conclusions: The findings demonstrated that the LEMOCOT demon-

strated adequate measurement properties in stroke subjects and, therefore,

could be an appropriate measure for research and clinical purposes. The

stage of motor recovery and the tonus of the plantar flexor muscles were

the only predictors of LEMOCOT scores.

Key Words: Lower limb coordination, Stroke, Assessment, Psychometric

properties

Disclosure(s): None disclosed

Poster 68

Touch Sensation of the Hand and Performance of Valued Activities inStroke

Valerie Ann Hill (University of Southern California), Arlene A. Schmid,Stephen Page

Objective: To investigate the association between touch sensation of the

affected hand and performance of valued activities in individuals with

chronic stroke.

Design: Cross-sectional correlational design.Setting: Rehabilitation hospital outpatient research laboratory.

Participants: A convenience sample of 50 community-dwelling in-

dividuals with chronic stroke in the Midwest. Inclusion criteria were: 1)

between 18-90 years of age; 2) able to feel deep pressure on the affected

hand; 3) only 1 stroke or multiple strokes with similar effects; and 4) had

stroke more than 6 months prior to study enrollment.

Interventions: N/AMain Outcome Measure(s): Touch-Test� Evaluators were used to

determine individuals’ level of touch sensation of the affected hand.

Canadian Occupational Performance Measure was used to identify valued

activities.

Results: Data analyses were conducted on 49 participants. There was a

good to excellent relationship between sensation and performance of

valued activities for individuals with intact touch sensation of the affected

hand that scored higher on the COPM (X2Z9.800, p< .05). There was

little to no relationship between touch sensation of the affected hand and

performance of valued activities for individuals with impaired sensation

(X2Z.523, pZ.97).

Conclusions: This is the first study to relate touch sensation of the affected

hand and performance of valued activities in individuals with stroke. The

findings suggest rehabilitation therapists need to continue to address sensory

function in evaluation and intervention as it relates to performance in valued

activities. This study serves as a foundation for future research in sensation

and performance of valued activities in individuals with chronic stroke.

Key Words: activities of daily living, somatosensory disorder, stroke

Disclosure(s): None Disclosed.

Poster 69

Healthy Eating and Lifestyle after Stroke: A Pilot LifestyleIntervention

Valerie Ann Hill (University of Southern California), Amy Towfighi

Objective: To conduct a pilot test of an outpatient post-stroke lifestyle

intervention in a safety-net healthcare system to estimate and compare

effect sizes for short-term changes in BMI, diet, and physical activity.

Design: Randomized control trial

Setting: Rehabilitation hospital outpatient therapy clinic.

Participants: Partial referred sample from the SUSTAIN trial. Inclusion

criteria: Adults (�40 years) with ischemic stroke or TIA �90 days prior;

English- or Spanish-speaking. Randomization stratified by SUSTAIN

randomization arm and language (English vs. Spanish).

Interventions: Weekly 2-hour small group sessions led by an OT for 6

weeks focusing on nutrition, physical activity, and self-management.

Approach included: didactic presentation; peer exchange; activity partic-

ipation; and personal exploration. Key elements included: activity-based

setting; client goal setting; overcoming potential obstacles; participation in

activities; everyday routine; self-efficacy and self-management skills.

Main Outcome Measure(s): BMI: 18.5-24.9 kg/m2; 5% weight reduction;

change in BMI. Diet: great than 5 servings of fruits/vegetables per day;

change in number of servings of fruits/vegetables per day. Physical ac-

tivity:90 minutes per week of moderate activity; change in minutes of

physical activity per week.

Results: Phase 1 completed. Total number enrolled as of January 2014: 41

(41% of target). 15 English speakers and 26 Spanish Speakers. 6 group

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