Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis : an exploratory study
Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis : an exploratory study
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2002
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Archives of Physical Medicine and Rehabilitation ; 83 (2002). - pp. 1374-1377
Abstract
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.
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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150 Psychology
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Arm,Motor activity,Physical therapy,Rehabilitation,Stroke
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STERR, 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. 83, pp. 1374-1377. Available under: doi: 10.1053/apmr.2002.35108BibTex
@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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