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

Sterr, A, Elbert, T, Berthold, I, Kolbel, S, Rockstroh, B and Taub, E (2002) Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: An exploratory study Archives of Physical Medicine and Rehabilitation, 83 (10). 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 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.

Item Type: Article
Divisions : Surrey research (other units)
Authors :
Elbert, T
Berthold, I
Kolbel, S
Rockstroh, B
Taub, E
Date : 2002
DOI : 10.1016/0022-3956(75)90026-6
Uncontrolled Keywords : arm; motor activity; physical therapy; rehabilitation; stroke chronic stroke patients; physical rehabilitation; forced use; physiotherapy; recovery
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 09:09
Last Modified : 24 Jan 2020 16:09

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