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KMID : 0361420070310010056
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Journal of Korean Academy of Rehabilitation Medicine
2007 Volume.31 No. 1 p.56 ~ p.62
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The Effect of Modified Constraint-induced Movement Therapy for the Stroke Patients in Inpatient Setting
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Son Mi-Ok
Kim Eun-Soo
Park Si-Woon
Kim Kyong-Mi
Jang Soon-Ja
Oh Jae-Keun
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Abstract
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Objective: To evaluate the effectiveness of the modified constraint-induced movement therapy (CIMT) for inpatient rehabilitation of the stroke patients.
Methods: Twenty-four patients admitted by subacute or chronic stroke were enrolled and divided into two groups, experimental and control groups. The experimental group (n=13) received the CIMT five days a week for 2 weeks. Less affected arm was restrained for 14 hours a day, practicing purposeful activities with more affected arm for 6 hours a day in group setting. The control group (n=11) received conventional occupational therapy for the same period. The outcome was measured by Fugl-Meyer MotorAssessment (FMA), Brunnstrom stage, Jebsen hand function test, grip strength, Box and Block test, nine hole peg test, Functional Independence Measure (FIM), and Motor Activity Log (MAL).
Results: The experimental group showed significantly higher improvements (p<0.05) in FMA, Brunnstorm stage, Jebsen hand function test, grip strength, Box and Block test, FIM, and MAL.
Conclusion: Modified CIMT delivered in group setting is considered to be an effective treatment to improve functional use of the hemiparetic arm of stroke patients in inpatient setting.
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KEYWORD
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Constraint-induced Movement Therapy, Hemiparesis, Arm function, Stroke
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