Modified Constraint-Induced Therapy in Chronic Stroke: Results of a Single-Blinded Randomized Controlled Trial
- 1 March 2008
- journal article
- research article
- Published by Oxford University Press (OUP) in PTJ: Physical Therapy & Rehabilitation Journal
- Vol. 88 (3), 333-340
- https://doi.org/10.2522/ptj.20060029
Abstract
Background and Purpose This single-blinded randomized controlled trial compared the efficacy of a reimbursable, outpatient, modified constraint-induced therapy (mCIT) protocol (half-hour therapy sessions occurring 3 days per week in which subjects used the more affected arm combined with less affected arm restriction 5 days per week for 5 hours; both of these regimens were administered during a 10-week period) with that of a time-matched exercise program for the more affected arm or a no-treatment control regimen. Subjects Thirty-five subjects with chronic stroke participated in the study. Methods The Action Research Arm Test (ARAT), Fugl-Meyer Assessment of Motor Recovery After Stroke (FM), and Motor Activity Log (MAL) were administered to the subjects. Results After intervention, significant differences were observed on the ARAT and MAL Amount of Use and Quality of Movement scales, all in favor of the mCIT group. Discussion and Conclusion The data affirm previous findings suggesting that this reimbursable, outpatient protocol increases more affected arm use and function. Magnitude of changes was consistent with those reported in more intense protocols, such as constraint-induced therapy.Keywords
This publication has 33 references indexed in Scilit:
- Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After StrokeJama-Journal Of The American Medical Association, 2006
- Modified Constraint-Induced Therapy in Acute Stroke: A Randomized Controlled Pilot StudyNeurorehabilitation and Neural Repair, 2005
- Home Forced Use in an Outpatient Rehabilitation Program for Adults with Hemiplegia: A Pilot StudyNeurorehabilitation and Neural Repair, 2003
- Modified Constraint-Induced Therapy and Botulinum Toxin AAmerican Journal of Physical Medicine & Rehabilitation, 2003
- Modified Constraint-Induced Therapy after Subacute Stroke: A Preliminary StudyNeurorehabilitation and Neural Repair, 2002
- Forced Use of the Upper Extremity in Chronic Stroke PatientsStroke, 1999
- Effects of Constraint-Induced Movement Therapy on Patients With Chronic Motor Deficits After StrokeStroke, 1999
- Evaluation of stroke rehabilitation by randomized controlled studies: a reviewActa Neurologica Scandinavica, 1992
- Loss of arm function after stroke: measurement, frequency, and recoveryInternational Rehabilitation Medicine, 1986
- A performance test for assessment of upper limb function in physical rehabilitation treatment and researchInternational Journal of Rehabilitation Research, 1981