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Arch Phys Med Rehabil. 1999 Jun;80(6):624-8.

Constraint-induced movement therapy for motor recovery in chronic stroke patients.

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  • 1Department of Psychology, Humboldt-University, Berlin, Germany.

Abstract

OBJECTIVE:

Assessment of the effectiveness of constraint-induced (CI) movement therapy and quantitative evaluation of the effects of CI therapy.

DESIGN:

Intervention study; case series; pretreatment to posttreatment measures and follow-up 3 months after intervention.

SETTING:

An outpatient department.

PATIENTS:

Five chronic stroke patients with moderate motor deficit; convenience sample.

INTERVENTIONS:

CI therapy consisting of restraint of the unaffected upper extremity in a sling for 14 days combined with 6 hours of training per weekday of the affected upper extremity.

MAIN OUTCOME MEASURES:

Actual Amount of Use Test (AAUT), Motor Activity Log (MAL), Wolf Motor Function Test (WMFT), and Arm Motor Ability Test (AMAT) RESULTS: There was a substantial improvement in the performance times of the laboratory tests (AMAT, WMFT, p < or = .039) and in the quality of movement (AMAT, WMFT, p < or = .049; MAL, p = .049), particularly in the use of the extremity in "real world" environments (AAUT, p = .020), supported by results of quantitative evaluation. The effect sizes were large and comparable to those found in previous studies of CI therapy.

CONCLUSIONS:

CI therapy is an efficacious treatment for chronic stroke patients, especially in terms of real world outcome.

Comment in

  • Constraint-induced movement therapy. [Arch Phys Med Rehabil. 1999]
PMID:
10378486
[PubMed - indexed for MEDLINE]
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