title: Eclectic/mixed model method for upper extremity functional recovery in stroke rehabilitation: A pilot study.
abstract: BACKGROUND
  Eclectic treatment method is a flexible approach that uses techniques drawn from various schools of thought involving several treatment methods and allows the therapist to adapt to each client's individual needs. Wider application for eclectic approach is however limited in stroke rehabilitation.
  
  
  OBJECTIVE
  The objective is to find out whether eclectic approach improves upper extremity (UE) functional recovery in acute stroke rehabilitation.
  
  
  METHODS
  Twenty-five postacute unilateral supratentorial stroke subjects recruited from tertiary care hospitals recovered with Stage 2-5 in Brunnstorm stage of UE motor recovery (BRS-UE) underwent 45 min of eclectic approach for UE every day involving seven different treatment methods (5 min for each method) for 6 days consecutively. The outcome was UE subscale of the Fugl-Meyer Motor test (UE-FM), UE subscale of the Stroke Rehabilitation Assessment of Movement (UE-STREAM), Wolf Motor Function test (WMFT-FAS), and Stroke Impact Scale-16 (SIS-16) was collected at the end of the sixth session.
  
  
  RESULTS
  All the participants showed significant improvement in all the outcome measures. The Stage 2 and 3 subjects showed UE-STREAM (P= 0.007) WMFT-FAS (P< 0.001), SIS (P= 0.023) respectively and for Stage 4 and 5 the subjects have shown UE FM (P< 0.001), WMFT-FAS (P< 0.001), SIS (P= 0.004) with large magnitude of treatment effect for all stages of BRS-UE.
  
  
  CONCLUSIONS
  Our study findings are in favor of integrating eclectic approach than single intervention/approach in clinical practice to improve the UE functional recovery for motor rehabilitation when the stroke occurs.
authors.affiliation: Department of Physiotherapy, Center for Basic Sciences, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India.
authors.forename: K Vijaya
authors.initials: KV
authors.lastname: Kumar
authors.affiliation: Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India.
authors.forename: Abraham M
authors.initials: AM
authors.lastname: Joshua
authors.affiliation: Department of Neurology, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India.
authors.forename: Rakshith
authors.initials: R
authors.lastname: Kedambadi
authors.affiliation: Department of Community Medicine, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India.
authors.forename: P Prasanna
authors.initials: PP
authors.lastname: Mithra
keywords: Eclectic approach; stroke; upper extremity interventions