title: Use of occupations and activities in a modified constraint-induced movement therapy program: a musician's triumphs over chronic hemiparesis from stroke.
abstract: OBJECTIVE
  This case report addresses the use of therapeutic occupations and activities within a modified constraint-induced movement therapy (mCIMT) approach for a 52-yr-old female violinist 4 yr after ischemic stroke.
  
  
  METHODS
  Analysis of occupational performance was completed before and after intervention using a modified version of the Fugl-Meyer Sensorimotor Evaluation, the Motor Functioning Assessment, the Arm Improvement and Movement Checklist, and information obtained from a client journal maintained throughout treatment. The mCIMT protocol included use of constraint of the affected arm, with emphasis placed on participation in meaningful occupations and activities.
  
  
  RESULTS
  Improved function in the affected extremity was noted at the conclusion of mCIMT. After completion of therapy, the client reported a return to playing violin.
  
  
  CONCLUSIONS
  The findings from this case report suggest that use of meaningful occupations and activities integrated into a mCIMT protocol may be effective in addressing skills deficits for clients with upper-extremity chronic hemiparesis.
authors.affiliation: Crystal Lange College of Health and Human Services, Saginaw Valley State University, 7400 Bay Road, University Center, MI 48710, USA. dwe@svsu.edu
authors.forename: Donald
authors.initials: D
authors.lastname: Earley
authors.forename: Ellen
authors.initials: E
authors.lastname: Herlache
authors.forename: Dana R
authors.initials: DR
authors.lastname: Skelton
mesh_terms: D020520:Brain Infarction / Q000534:rehabilitation*; D002908:Chronic Disease; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009146:Music; D016272:Occupational Health; D009788:Occupational Therapy / Q000379:methods*; D010291:Paresis / Q000209:etiology; D000071939:Stroke Rehabilitation