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Am J Occup Ther. 2010 Sep-Oct;64(5):735-44.

Use of occupations and activities in a modified constraint-induced movement therapy program: a musician's triumphs over chronic hemiparesis from stroke.

Author information

  • 1Crystal Lange College of Health and Human Services, Saginaw Valley State University, 7400 Bay Road, University Center, MI 48710, USA. dwe@svsu.edu

Abstract

OBJECTIVE:

This case report addresses the use of therapeutic occupations and activities within a modified constraint-induced movement therapy (mCIMT) approach for a 52-yr-old female violinist 4 yr after ischemic stroke.

METHOD:

Analysis of occupational performance was completed before and after intervention using a modified version of the Fugl-Meyer Sensorimotor Evaluation, the Motor Functioning Assessment, the Arm Improvement and Movement Checklist, and information obtained from a client journal maintained throughout treatment. The mCIMT protocol included use of constraint of the affected arm, with emphasis placed on participation in meaningful occupations and activities.

RESULTS:

Improved function in the affected extremity was noted at the conclusion of mCIMT. After completion of therapy, the client reported a return to playing violin.

DISCUSSION:

The findings from this case report suggest that use of meaningful occupations and activities integrated into a mCIMT protocol may be effective in addressing skills deficits for clients with upper-extremity chronic hemiparesis.

PMID:
21073104
[PubMed - indexed for MEDLINE]
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