Effects of Constraint-Induced Movement Using Self-Efficacy Enhancing Strategies on the Upper Extremity Function of Chronic Hemiplegic Patients.
10.4040/jkan.2006.36.2.403
- Author:
Jiyeon KANG
1
Author Information
1. St. John Fisher College, Department of Nursing 3690 East Avenue, Rochester, NY 14618, USA. jiyeon_heo@urmc.rochester.edu
- Publication Type:Original Article ; English Abstract
- Keywords:
Constraint-induced movement;
Upper-extremities function;
Self-efficacy;
Hemiplegia
- MeSH:
Adult;
Aged;
Exercise Therapy/*methods;
Female;
Hemiplegia/*rehabilitation;
Humans;
Male;
Middle Aged;
Motor Skills;
Self Efficacy;
Treatment Outcome;
*Upper Extremity
- From:
Journal of Korean Academy of Nursing
2006;36(2):403-414
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to investigate the effects of constraint-induced (CI) movement using self-efficacy on U/E function of chronic hemiplegic patients. CI movement discourages the use of the unaffected U/E, combined with intensive training of the affected U/E. METHOD: A non-equivalent pretest-posttest design was used. Study subjects were 40 hemiplegic patients conveniently selected from 2 different community health centers. The experimental subjects participated in the CI movement program for 6 hours daily over a period of two weeks. The exercises for affected U/E consisted of warming up, main exercise and ADL practice. To encourage the participants' behaviors self-efficacy enhancing strategies were used, which included performance accomplishment, vicarious experience, verbal persuasion and emotional arousal. RESULT: After 2 weeks of treatment, the grip power, pinch power, wrist flexion/extension, elbow flexion, and shoulder flexion/extension were significantly higher in the experimental subjects than in the control subjects. However, there was no significant difference in hand functions of the two groups. CONCLUSION: The above results show that the constraint-induced movement using self-efficacy could be an effective nursing intervention for improving U/E function of chronic hemiplegic patients. Long term studies are needed to determine the lasting effects of constraint-induced movement.
