The Effect of Modified Constraint-induced Movement Therapy for the Stroke Patients in Inpatient Setting.
- Author:
Mi Ok SON
1
;
Eun Soo KIM
;
Si Woon PARK
;
Kyong Mi KIM
;
Soon Ja JANG
;
Jae Keun OH
Author Information
1. Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. gracelife80@hotmail.com
- Publication Type:Original Article
- Keywords:
Constraint-induced movement therapy;
Hemiparesis;
Arm function;
Stroke
- MeSH:
Arm;
Hand;
Hand Strength;
Humans;
Inpatients*;
Motor Activity;
Occupational Therapy;
Paresis;
Rehabilitation;
Stroke*
- From:Journal of the Korean Academy of Rehabilitation Medicine
2007;31(1):56-62
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the effectiveness of the modified constraint-induced movement therapy (CIMT) for inpatient rehabilitation of the stroke patients. METHOD: Twenty-four patients admitted by subacute or chronic stroke were enrolled and divided into two groups, experimental and control groups. The experimental group (n=13) received the CIMT five days a week for 2 weeks. Less affected arm was restrained for 14 hours a day, practicing purposeful activities with more affected arm for 6 hours a day in group setting. The control group (n=11) received conventional occupational therapy for the same period. The outcome was measured by Fugl-Meyer MotorAssessment (FMA), Brunnstrom stage, Jebsen hand function test, grip strength, Box and Block test, nine hole peg test, Functional Independence Measure (FIM), and Motor Activity Log (MAL). RESULTS: The experimental group showed significantly higher improvements (p<0.05) in FMA, Brunnstorm stage, Jebsen hand function test, grip strength, Box and Block test, FIM, and MAL. CONCLUSION: Modified CIMT delivered in group setting is considered to be an effective treatment to improve functional use of the hemiparetic arm of stroke patients in inpatient setting.
