Evaluation of a task-oriented client-centered upper extremity skilled performance training module in persons with tetraplegia

A. I. F. Spooren*, Y. J. M. Janssen-Potten, E. Kerckhofs, H.M.H. Bongers, H. A. M. Seelen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Study design: Clinical intervention study. Objective: Arm hand skilled performance (AHSP) has a major role in the rehabilitation of persons with cervical spinal cord injury (C-SCI). A task-oriented client-centered upper extremity skilled performance-training (ToCUEST) module was developed. The present study aims to evaluate effects of ToCUEST on specific and general AHSP in C-SCI, during and after rehabilitation. Setting: Adelante Rehabilitation Centre (The Netherlands). Methods: C-SCI persons, either during or after rehabilitation, completed the ToCUEST training; a control group of patients during rehabilitation received standard rehabilitation. The training module was focused on patient's individual needs, combining principles of motor learning and training physiology. Three self-selected goals were trained 3 days per week, in three sessions of 30 min per day for 8 weeks. Measures were taken at 3 months after the start of the active rehabilitation (T0), before training (T1), after training (T2), at follow-up (3 months post-training; T3) and at discharge. Results: For both ToCUEST groups during (n = 11) and after (n = 12) rehabilitation, an improvement (P
Original languageEnglish
Pages (from-to)1049-1054
JournalSpinal Cord
Issue number10
Publication statusPublished - Oct 2011


  • tetraplegia
  • task-oriented training
  • client-centered
  • upper extremity
  • individual outcome measures

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