title: Changes in Upper-Extremity Functional Capacity and Daily Performance During Outpatient Occupational Therapy for People With Stroke.
abstract: OBJECTIVE
  This study explored how upper-extremity (UE) functional capacity and daily performance change during the course of outpatient rehabilitation in people with stroke.
  
  
  METHODS
  Fifteen participants receiving outpatient occupational therapy services for UE paresis poststroke were enrolled. UE motor capacity was measured with the Action Research Arm Test (ARAT), and UE performance was measured using bilateral, wrist-worn accelerometers. Measurements were taken at or near the start of therapy, at every 10th visit or every 30 days throughout the duration of services, and at discharge.
  
  
  RESULTS
  Three patterns were observed: (1) increase in ARAT scores and more normalized accelerometry profiles, (2) increase in ARAT scores but no change in accelerometry profiles, and (3) no change in ARAT scores or in accelerometry profiles.
  
  
  CONCLUSIONS
  UE performance in daily life was highly variable, with inconsistencies between change in UE capacity and change in UE performance. UE capacity and performance are important constructs to assess separately during rehabilitation.
authors.affiliation: Caitlin A. Doman, MS, OTR/L, is Occupational Therapist, Rehabilitation Institute of Chicago, Chicago, IL.
authors.forename: Caitlin A
authors.initials: CA
authors.lastname: Doman
authors.affiliation: Kimberly J. Waddell, MS, OTR/L, is Graduate Student, Movement Science and Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO.
authors.forename: Kimberly J
authors.initials: KJ
authors.lastname: Waddell
authors.affiliation: Ryan R. Bailey, MSOT, MSCI, PhD, was Graduate Student, Movement Science Program and Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, at the time of the study.
authors.forename: Ryan R
authors.initials: RR
authors.lastname: Bailey
authors.affiliation: Jennifer L. Moore, PT, DHS, NCS, is Physical Therapist, Rehabilitation Institute of Chicago, Chicago, IL.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Moore
authors.affiliation: Catherine E. Lang, PT, PhD, is Professor, Program in Physical Therapy, Program in Occupational Therapy, and Department of Neurology, Washington University School of Medicine, St. Louis, MO; langc@wustl.edu.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Lang
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D010045:Outpatients / Q000706:statistics & numerical data; D010291:Paresis / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D010865:Pilot Projects; D011597:Psychomotor Performance / Q000502:physiology; D020127:Recovery of Function; D020521:Stroke / Q000150:complications / Q000175:diagnosis; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology