J Korean Acad Rehabil Med.  2007 Feb;31(1):56-62.

The Effect of Modified Constraint-induced Movement Therapy for the Stroke Patients in Inpatient Setting

• Son MO
• Kim ES
• Park SW
• Kim KM
• Jang SJ
• Oh JK

Abstract

OBJECTIVE
To evaluate the effectiveness of the modified constraint-induced movement therapy (CIMT) for inpatient rehabilitation of the stroke patients. METHOD: 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.

Keyword

Constraint-induced movement therapy; Hemiparesis; Arm function; Stroke

MeSH Terms

Arm
Hand
Hand Strength
Humans
Inpatients*
Motor Activity
Occupational Therapy
Paresis
Rehabilitation
Stroke*