{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:57:08Z","timestamp":1791485828107,"version":"4.3.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Aerobic intensity is well supported in poststroke gait rehabilitation, but its role in upper extremity rehabilitation is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Examine whether aerobic intensity is associated with upper extremity recovery and self-care performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>121 individuals admitted to an inpatient rehabilitation hospital after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Arm therapy targeting increased cardiovascular demand using advanced arm rehabilitation technology and body weight support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Arm recovery and self-care performance were assessed using the Fugl-Meyer Assessment for the Upper Extremity and Section GG Medicare Functional Assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      More than half of participants reached \u226570% heart rate (HR) maximum in at least one session. Achieving \u226570% HR maximum (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.04) and use of body weight support (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.02) were each associated with greater improvement in self-care performance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Achieving \u226570% HR maximum during arm training was feasible and associated with greater self-care independence. Strategies to increase cardiovascular demand such as a more challenging body position or the use of body weight support (BWS) may support functional performance in individuals poststroke.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261481403","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:57:56Z","timestamp":1789556276000},"page":"1133-1142","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and Outcomes of High Intensity Arm Training in Stroke"],"prefix":"10.1177","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7848-5928","authenticated-orcid":false,"given":"Madeline","family":"Runyen","sequence":"first","affiliation":[{"name":"Sheltering Arms Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4750-2117","authenticated-orcid":false,"given":"Charmi","family":"Kanani","sequence":"additional","affiliation":[{"name":"Sheltering Arms Institute"},{"name":"Department of Physical Medicine and Rehabilitation, and Center for Rehabilitation Science and Engineering, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristin","family":"Beazley","sequence":"additional","affiliation":[{"name":"Sheltering Arms Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol M.","family":"Karmarkar","sequence":"additional","affiliation":[{"name":"Sheltering Arms Institute"},{"name":"Department of Physical Medicine and Rehabilitation, and Center for Rehabilitation Science and Engineering, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221087082"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.122.039919"},{"issue":"2","key":"e_1_3_3_4_1","article-title":"Estimating the minimally clinically important difference of the upper extremity scale of the Fugl-Meyer assessment in chronic, severe stroke","volume":"77","author":"Barden E.","year":"2023","unstructured":"Barden E., Plow E., Knutson J., Wang X., Perlic K., O\u2019Laughlin K. 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