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Longer Versus Shorter Daily Constraint-Induced Movement Therapy of Chronic Hemiparesis: An Exploratory Study

Sterr, Annette, Elbert, Thomas, Berthold, Irina, Köhlbel, Sabine, Rockstroh, Brigitte and Taub, Edward (2002) Longer Versus Shorter Daily Constraint-Induced Movement Therapy of Chronic Hemiparesis: An Exploratory Study Archives of Physical Medicine and Rehabilitation, 83. pp. 1374-1377.

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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 realworld 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. Key Words: Arm; Motor activity; Physical therapy; Rehabilitation; Stroke.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
Sterr, Annette
Elbert, Thomas
Berthold, Irina
Köhlbel, Sabine
Rockstroh, Brigitte
Taub, Edward
Date : 2002
Additional Information : © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Depositing User : Annette Sterr
Date Deposited : 28 Mar 2017 14:40
Last Modified : 31 Oct 2017 14:29

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