This Article Full Text (PDF) All Versions of this Article: 1545968308317752v1 23/2/177    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Orrell, A.J. Articles by Eves, F.F. Search for Related Content PubMed PubMed Citation Articles by Orrell, A.J. Articles by Eves, F.F. Pubmed/NCBI databases Medline Plus Health Information Movement Disorders Stroke Social Bookmarking                         What's this?

Reinvestment and Movement Disruption Following Stroke

Sheffield Institute for Studies on Ageing, University of Sheffield, Sheffield, UK, a.orrell{at}sheffield.ac.uk

R.S.W. Masters, DPhil

Institute of Human Performance, University of Hong Kong, Hong Kong SAR, China

F.F. Eves, PhD

School of Sport & Exercise Sciences, University of Birmingham, Edgbaston, Birmingham, UK

Background. Disruption of the automaticity of movement execution is commonly experienced by people with stroke and may result from the person consciously attempting to control the mechanics of his or her movements. This act of turning one's attention in toward the mechanics of an action is referred to as "reinvestment." Objectives. This study aimed to explore the hypothesis that people with stroke have a greater propensity for reinvestment than the nondisabled population and to examine the relationship between reinvestment, functional impairment from stroke, and aspects of rehabilitation. Methods. A cross-sectional questionnaire survey was used. A total of 148 people with stroke and 148 nondisabled adults completed the Movement Specific Reinvestment Scale. Correlational and multiple regression analyses were conducted to examine the relationship between functional impairment and various potential predictors. Results. Compared with controls, people with stroke had a greater propensity for reinvestment. Conscious motor processing and time spent in rehabilitation were significant predictors of functional impairment following stroke. Conclusions. The association between functional impairment, propensity for reinvestment, and time spent in rehabilitation indicates that exclusive reliance on conscious motor processing strategies in the rehabilitation setting may be an impediment to regaining functional independence. There is a need to develop motor learning strategies for rehabilitation that restrain the propensity for reinvestment.

Key Words: Reinvestment • Stroke • Movement disruption • Rehabilitation

This version was published on February 1, 2009

Neurorehabilitation and Neural Repair, Vol. 23, No. 2, 177-183 (2009)
DOI: 10.1177/1545968308317752


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				D. Hyndman, R. M. Pickering, and A. Ashburn Reduced Sway During Dual Task Balance Performance Among People With Stroke at 6 and 12 Months After Discharge From Hospital Neurorehabil Neural Repair, October 1, 2009; 23(8): 847 - 854. [Abstract] [PDF]