Repetitive Action Simulation Circuit Training to Reduce Arm Weakness After a Stroke

A Repetitive Action Simulation Program to Reduce Upper Extremity Hemiparesis: A Feasibility Study

This study aims to examine the effect of an action simulation circuit training for individuals who have experienced upper extremity weakness following a stroke. The study will also examine the feasibility of the intervention as an occupational therapy rehabilitation approach.

Participants will:

• Engage in four workstations within the circuit training format: mental practice, action observation, virtual reality, and repetitive task-specific practice.
• Participate in training 2x/week for 6 weeks (12 sessions).

Action simulation therapies are particularly advantageous for individuals with upper extremity hemiparesis, by providing opportunities for repetitive practice of functional tasks, that might otherwise be impossible to perform. This research will examine the use of upper extremity action simulation in a circuit training group, to address the unique therapeutic needs and therapy structure deficiencies for upper extremity hemiparesis following a stroke.

Project Objectives:

- Explore the effect of a six-week action simulation upper extremity circuit training group on upper extremity impairments and quality of life for individuals with upper extremity hemiparesis after a stroke.

Upper extremity impairments and quality of life will be assessed before the circuit training and after completion. Additionally, participants will provide information about their overall perceptions of each the intervention through a survey.

Inclusion Criteria:

• Diagnosis of stroke
• Hemiparesis of one upper extremity

Exclusion Criteria:

• Severe spasticity
• Severe aphasia
• Low English proficiency
• Severe hearing impairment
• History of severe upper extremity comorbidities (neurological and/or orthopedic)