文章基本信息

标题：Application of Constraint-induced Movement Therapy for People with Severe Chronic Plegic Hand
本地全文：下载
作者：Hirofumi Tanabe ; Toru Nagao ; Rumi Tanemura 等
期刊名称：Asian Journal of Occupational Therapy
印刷版ISSN：1347-3476
电子版ISSN：1347-3484
出版年度：2011
卷号：9
期号：1
页码：7-14
DOI：10.11596/asiajot.9.7
出版社：Japanese Association of Occupational Therapists
摘要：Objective: To determine the efficacy of intense constraint-induced movement therapy (CIMT) for patients who cannot achieve finger extension due to a severe plegic hand after stroke. Design: Pre-post, pre-1 month follow-up, single-blinded, multi-baseline case. Participants: Fifteen participants who were all >12 months post-stroke. Interventions: Two weeks of CIMT including restraint of the nonparetic upper extremity and 6 hours of training each day. Outcome: There was a statistically significant effect of CIMT on upper extremity motor impairment assessed by the Fugl-Meyer Motor Assessment (FMA), the Motor Activity Log for low functioning patients (Grade 5 MAL) and Active Range of Motion (AROM). Post hoc analysis showed significant differences between pre- and post-treatment motor impairment scores, and the improvements in these scores were maintained at 1 month after completion of treatment. Improvements were mostly in the use of the involved upper extremity for bimanual activities. Conclusions: Intense CIMT conferred significant changes in objective measures in subjects with chronic severe plegic hand after stroke. Additional studies of the long-term benefits of this treatment on post-stroke motor impairments and related functional disabilities are warranted.
关键词：occupational therapy;hemiplegia;exercise training;rehabilitation;stroke