TY - JOUR
T1 - Feasibility of a home-based program to improve handwriting after stroke
T2 - A pilot study
AU - Simpson, Bronwyn
AU - McCluskey, Annie
AU - Lannin, Natasha
AU - Cordier, Reinie
PY - 2016/3/26
Y1 - 2016/3/26
N2 - Purpose: To test the feasibility of a handwriting retraining program with adults after stroke; specifically the feasibility of: (i) recruiting people with stroke to the study, (ii) delivering the handwriting retraining program and (iii) outcome measures of handwriting performance. Method: A quasi-experimental pre-test post-test design was used. A four-week, home-based handwriting retraining program was delivered by an occupational therapist using task-specific practice. Legibility, speed, pen control and self-perception of handwriting were measured at baseline and completion of the program. Legibility was scored by a blinded rater. Results: Seven adults with stroke were recruited (eligibility fraction 43% of those screened, and enrolment fraction 78% of those eligible). There were no dropouts. Although, recruitment was slow the intervention was feasible and acceptable to adults with stroke. No statistically or clinically significant changes in legibility were reported in this small sample, but a ceiling effect was evident for some outcome measures. The study was not powered to determine efficacy. Conclusions: Delivery of a four-week handwriting intervention with eight supervised sessions in the community was feasible; however, recruitment of an adequate sample size would require greater investment than the single site used in this pilot. ▸ Implications for Rehabilitation • Handwriting difficulty is common following hemiparesis after stroke, however research addressing handwriting retraining for adults with stroke is lacking. • A four-week home-based handwriting program using task-specific practice and feedback was feasible to deliver and appropriate for adults with stroke. • Improving handwriting legibility and neatness across a range of tasks were important goals for adults with handwriting impairment.
AB - Purpose: To test the feasibility of a handwriting retraining program with adults after stroke; specifically the feasibility of: (i) recruiting people with stroke to the study, (ii) delivering the handwriting retraining program and (iii) outcome measures of handwriting performance. Method: A quasi-experimental pre-test post-test design was used. A four-week, home-based handwriting retraining program was delivered by an occupational therapist using task-specific practice. Legibility, speed, pen control and self-perception of handwriting were measured at baseline and completion of the program. Legibility was scored by a blinded rater. Results: Seven adults with stroke were recruited (eligibility fraction 43% of those screened, and enrolment fraction 78% of those eligible). There were no dropouts. Although, recruitment was slow the intervention was feasible and acceptable to adults with stroke. No statistically or clinically significant changes in legibility were reported in this small sample, but a ceiling effect was evident for some outcome measures. The study was not powered to determine efficacy. Conclusions: Delivery of a four-week handwriting intervention with eight supervised sessions in the community was feasible; however, recruitment of an adequate sample size would require greater investment than the single site used in this pilot. ▸ Implications for Rehabilitation • Handwriting difficulty is common following hemiparesis after stroke, however research addressing handwriting retraining for adults with stroke is lacking. • A four-week home-based handwriting program using task-specific practice and feedback was feasible to deliver and appropriate for adults with stroke. • Improving handwriting legibility and neatness across a range of tasks were important goals for adults with handwriting impairment.
KW - Legibility
KW - occupational therapy
KW - rehabilitation
KW - task-specific practice
KW - task-specific training
KW - writing
UR - http://www.scopus.com/inward/record.url?scp=84954562332&partnerID=8YFLogxK
U2 - 10.3109/09638288.2015.1059495
DO - 10.3109/09638288.2015.1059495
M3 - Article
C2 - 26095817
AN - SCOPUS:84954562332
VL - 38
SP - 673
EP - 682
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
SN - 0963-8288
IS - 7
ER -