title: Group modified constraint-induced movement therapy (mCIMT) in a clinical setting.
abstract: OBJECTIVE
  We evaluated the effectiveness of a modified constraint-induced movement therapy (mCIMT) program delivered in a group format.
  
  
  METHODS
  Thirteen subacute or chronic stroke and two subacute brain injured participants attended a group mCIMT program for 3.5 h daily for 10 treatment days. The groups consisted of three participants supervised by two staff. Motor recovery, functional arm use, and participation were evaluated by an independent assessor at five time points (baseline, immediately preprogram, immediately postprogram, 1 and 3-month postprogram).
  
  
  RESULTS
  Participants achieved statistical and clinically significant improvements in motor recovery (Wolf Motor Function Test), functional use (Motor Activity Log) and participation (Canadian Occupational Performance Measure). These improvements were maintained over a 3-month follow-up period.
  
  
  CONCLUSIONS
  Group delivery of mCIMT produces meaningful results and is a potentially effective way of extending availability of this program without placing overwhelming demands on health care resources.
authors.affiliation: Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada. cherie.henderson@albertahealthservices.ca
authors.forename: Cherie A
authors.initials: CA
authors.lastname: Henderson
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Manns
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009788:Occupational Therapy / Q000379:methods*; D020127:Recovery of Function; D012046:Rehabilitation / Q000379:methods; D012149:Restraint, Physical; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D013647:Task Performance and Analysis; D016896:Treatment Outcome