title: A follow-up study on the relationship among participation, activity and motor function in survivors of stroke following constraint-induced therapy.
abstract: OBJECTIVE
  The aim of this follow-up study was to examine the relationships among motor function, activity and participation following constraint-induced therapy (CIT).
  
  
  METHODS
  In this correlational study, 12 individuals who had previously participated in CIT completed the Fugl Meyer Assessment for the Upper Extremity and Wolf Motor Function Test (motor assessments), the Motor Activity Log (activity measure) and the Daily Experiences of Pleasure, Productivity and Restoration Profile (participation measure). Motor and activity changes over time were assessed using repeated measures ANOVA and Friedman's tests. Spearman's correlations were used to examine the associations between the participation measure and motor and activity measures were analyzed using Spearman's correlations.
  
  
  RESULTS
  No statistically significant correlations were found among motor and activity scores and the amount of time spent in activity categories (e.g. self-care, leisure). Yet, moderate to strong correlations were found between motor assessments and time spent with others versus alone.
  
  
  CONCLUSIONS
  The lack of significant correlations between motor, activity and participation measures challenges assumptions that improved motor abilities will translate to greater participation. Correlations found between motor and activity measures and the context of participation suggests participation post-stroke is complex, and survivors of stroke may benefit from rehabilitation practices that encompass more than motor therapy.
authors.affiliation: Occupational Therapy Department, Colorado State University , Fort Collins, CO , USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Atler
authors.forename: Matthew
authors.initials: M
authors.lastname: Malcolm
authors.forename: Catherine
authors.initials: C
authors.lastname: Greife
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009048:Motor Skills; D010291:Paresis / Q000534:rehabilitation*; D010358:Patient Participation / Q000706:statistics & numerical data*; D020127:Recovery of Function; D000071939:Stroke Rehabilitation; D017741:Survivors / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology*
keywords: Activities of daily living; constraint-induced therapy; motor skills; participation; stroke