|
KMID : 1003620090010020023
|
|
Journal of Korean Aging Health Friendly Policy Association
2009 Volume.1 No. 2 p.23 ~ p.34
|
|
|
The Effect of Constraint-Induced Movement Therapy on Upper Extremity Function and Cortical Re-organization of Stroke Patient : A Single Case Study Research Design
|
|
Park Ju-Hyung
Yang Yeong-Ae
Song Min-Young
Park Su-Jong
Kim Woo-Taek
|
|
|
Abstract
|
|
|
Objective : This study is about the effect of constraint-induced movement therapy for the function improvement
of arms whose patient is suffering from stroke and its impacts on re-organization of the cerebral cortex.
Methods : The object of this study is the stroke patient who has hemiplegia. It has been processed from May.04th to 29th, 2009 for 4 weeks with using ABA, one of single case study research design. The CIMT consisted of a restraint of movement of the unaffected upper extremity by placing it in a resting splint for 90% of walking hours for 10 consecutive days, combined with 6 hours/day of intensive training of affected upper extremity. The functions of arms have been measured with initial baseline phase(5times), experimental phase(10times) and second baseline phase(5times) using Box and Block Test. Before and after CIMT, Motor Activity Log and for checking re-organization cerebral cortex, inspection with fMRI has been done.
Results : The arms functions have been improved during experimental phase more than initial baseline phase remarkably. This improvement has been shown during second baseline phase. AOU (Amount of Use) and QOM (Quality of Movement) of Motor Activity Log which has been processed before and after CIMT has also showed improving results and in case of the re-organization the of cerebral cortex, comprehensive activations of cerebral cortex has been reduced
partially.
Conclusion : This study shows constraint-induced movement therapy can help stroke patients suffering from
hemiplegia improve their arms functions and give meaningful impacts on the re-organization the of cerebral cortex.
|
|
|
KEYWORD
|
|
|
CIMT, fMRI, Stroke
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|