The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients
Objective: To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. Design: Pilot randomized controlled trial. Setting: Inpatient stroke rehabilitation service. Subjects: Seventy consecutive stroke patients with per...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
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SAGE
2012
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| Online Access: | https://eprints.nottingham.ac.uk/3180/ |
| _version_ | 1848790971665350656 |
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| author | Walker, Marion F. Sunderland, Alan Fletcher-Smith, Joanne Drummond, Avril E.R. Logan, Pip Edmans, Judi A. Garvey, Katherine Dineen, Robert A. Ince, Paul Horne, Jane Fisher, Rebecca J. Taylor, Jenny L. |
| author_facet | Walker, Marion F. Sunderland, Alan Fletcher-Smith, Joanne Drummond, Avril E.R. Logan, Pip Edmans, Judi A. Garvey, Katherine Dineen, Robert A. Ince, Paul Horne, Jane Fisher, Rebecca J. Taylor, Jenny L. |
| author_sort | Walker, Marion F. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objective: To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke.
Design: Pilot randomized controlled trial.
Setting: Inpatient stroke rehabilitation service.
Subjects: Seventy consecutive stroke patients with persistent dressing problems and accompanying cognitive difficulties at two weeks after their stroke.
Interventions: Patients were randomly allocated to six weeks of either a systematic neuropsychological approach, based on analysis of dressing problems and further cognitive testing, or to the control group who received conventional (functional) dressing practice. Both groups received treatment three times a week in accordance with two separately prepared manuals.
Main measures: Nottingham Stroke Dressing Assessment (NSDA), Line Cancellation, 10-hole peg transfer test, Object Decision, Gesture Imitation. Patients were assessed at six weeks after randomization by an independent assessor masked to group allocation.
Results: Both neuropsychological and functional groups improved performance on the NSDA over the treatment period (31% and 22%, respectively) but there was no significant difference between groups at six weeks. However, the neuropsychological group showed a significantly greater improvement on a line cancellation test of visual neglect (t(62) = 2.1, P < 0.05) and a planned subanalysis for those with right hemisphere damage showed a trend towards better dressing outcome (P = 0.07, one-tailed).
Conclusions: Results demonstrate the potential benefits of a systematic neuropsychological approach to dressing therapy, particularly for patients with right hemisphere damage. This study suggests the need for a phase III study evaluating the efficacy of a systematic neuropsychological approach in treating dressing difficulties, targeting patients with right hemisphere stroke and visuospatial impairments. |
| first_indexed | 2025-11-14T18:21:06Z |
| format | Article |
| id | nottingham-3180 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T18:21:06Z |
| publishDate | 2012 |
| publisher | SAGE |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-31802020-05-04T20:21:29Z https://eprints.nottingham.ac.uk/3180/ The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients Walker, Marion F. Sunderland, Alan Fletcher-Smith, Joanne Drummond, Avril E.R. Logan, Pip Edmans, Judi A. Garvey, Katherine Dineen, Robert A. Ince, Paul Horne, Jane Fisher, Rebecca J. Taylor, Jenny L. Objective: To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. Design: Pilot randomized controlled trial. Setting: Inpatient stroke rehabilitation service. Subjects: Seventy consecutive stroke patients with persistent dressing problems and accompanying cognitive difficulties at two weeks after their stroke. Interventions: Patients were randomly allocated to six weeks of either a systematic neuropsychological approach, based on analysis of dressing problems and further cognitive testing, or to the control group who received conventional (functional) dressing practice. Both groups received treatment three times a week in accordance with two separately prepared manuals. Main measures: Nottingham Stroke Dressing Assessment (NSDA), Line Cancellation, 10-hole peg transfer test, Object Decision, Gesture Imitation. Patients were assessed at six weeks after randomization by an independent assessor masked to group allocation. Results: Both neuropsychological and functional groups improved performance on the NSDA over the treatment period (31% and 22%, respectively) but there was no significant difference between groups at six weeks. However, the neuropsychological group showed a significantly greater improvement on a line cancellation test of visual neglect (t(62) = 2.1, P < 0.05) and a planned subanalysis for those with right hemisphere damage showed a trend towards better dressing outcome (P = 0.07, one-tailed). Conclusions: Results demonstrate the potential benefits of a systematic neuropsychological approach to dressing therapy, particularly for patients with right hemisphere damage. This study suggests the need for a phase III study evaluating the efficacy of a systematic neuropsychological approach in treating dressing difficulties, targeting patients with right hemisphere stroke and visuospatial impairments. SAGE 2012-08 Article PeerReviewed Walker, Marion F., Sunderland, Alan, Fletcher-Smith, Joanne, Drummond, Avril E.R., Logan, Pip, Edmans, Judi A., Garvey, Katherine, Dineen, Robert A., Ince, Paul, Horne, Jane, Fisher, Rebecca J. and Taylor, Jenny L. (2012) The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients. Clinical Rehabilitation, 26 (8). pp. 675-685. ISSN 0269-2155 Stroke Rehabilitation Activities of daily living Cognitive impairment Occupational therapy http://cre.sagepub.com/content/26/8/675 doi:10.1177/0269215511431089 doi:10.1177/0269215511431089 |
| spellingShingle | Stroke Rehabilitation Activities of daily living Cognitive impairment Occupational therapy Walker, Marion F. Sunderland, Alan Fletcher-Smith, Joanne Drummond, Avril E.R. Logan, Pip Edmans, Judi A. Garvey, Katherine Dineen, Robert A. Ince, Paul Horne, Jane Fisher, Rebecca J. Taylor, Jenny L. The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients |
| title | The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients |
| title_full | The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients |
| title_fullStr | The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients |
| title_full_unstemmed | The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients |
| title_short | The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients |
| title_sort | dress trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients |
| topic | Stroke Rehabilitation Activities of daily living Cognitive impairment Occupational therapy |
| url | https://eprints.nottingham.ac.uk/3180/ https://eprints.nottingham.ac.uk/3180/ https://eprints.nottingham.ac.uk/3180/ |