Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis : an exploratory study

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2002
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Sterr, Annette
Berthold, Irina
Kölbel, Sabine
Taub, Edward
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Objective: To evaluate and compare the effects of 3-hour versus 6-hour daily training sessions in constraint-induced movement therapy (CIMT).
Design: Intervention study, 2-group randomized trial; baseline, pretreatment, and posttreatment measures; 1-month follow-up (weekly measures).
Setting: University department of psychology in Germany.
Participants: A convenience sample of 15 adults with chronic hemiparesis (13 stroke, 2 traumatic brain injury).
Intervention: CIMT (14 consecutive days; constraint of unaffected hand for a target of 90% of waking hours) with either 6 hours (6h/d group, n=7) or 3 hours (3h/d group, n=8) of shaping training with the affected hand per day.
Main Outcome Measures: The Motor Activity Log and Wolf Motor Function Test.
Results: Significant improvements in motor function in the laboratory and increased use of the affected hand in the real-world environment were found in both groups. The beneficial effects were significantly greater in the 6h/d group than in the 3h/d group.
Conclusion: The 3-hour CIMT training schedule significantly improved motor function in chronic hemiparesis, but it was less effective than the 6-hour training schedule.

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Fachgebiet (DDC)
150 Psychologie
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Arm, Motor activity, Physical therapy, Rehabilitation, Stroke
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ISO 690STERR, Annette, Thomas ELBERT, Irina BERTHOLD, Sabine KÖLBEL, Brigitte ROCKSTROH, Edward TAUB, 2002. Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis : an exploratory study. In: Archives of Physical Medicine and Rehabilitation. 2002, 83, pp. 1374-1377. Available under: doi: 10.1053/apmr.2002.35108
BibTex
@article{Sterr2002Longe-10463,
  year={2002},
  doi={10.1053/apmr.2002.35108},
  title={Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis : an exploratory study},
  volume={83},
  journal={Archives of Physical Medicine and Rehabilitation},
  pages={1374--1377},
  author={Sterr, Annette and Elbert, Thomas and Berthold, Irina and Kölbel, Sabine and Rockstroh, Brigitte and Taub, Edward}
}
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