Modified constraint-induced movement therapy for clients with chronic stroke: interrupted time series (ITS) design.
[Purpose] The purpose of this study was to investigate the impact that modified constraint-induced movement therapy has on upper extremity function and the daily life of chronic stroke patients. [Subjects and Methods] Modified constraint-induced movement therapy was conduct for 2 stroke patients with hemiplegia. It was performed 5 days a week for 2 weeks, and the participants performed their daily living activities wearing mittens for 6 hours a day, including the 2 hours of the therapy program. The assessment was conducted 5 times in 3 weeks before and after intervention. The upper extremity function was measured using the box and block test and a dynamometer, and performance daily of living activities was assessed using the modified Barthel index. The results were analyzed using a scatterplot and linear regression. [Results] All the upper extremity functions of the participants all improved after the modified constraint-induced movement therapy. Performance of daily living activities by participant 1 showed no change, but the results of participant 2 had improved after the intervention. [Conclusion] Through the results of this research, it was identified that modified constraint-induced movement therapy is effective at improving the upper extremity functions and the performance of daily living activities of chronic stroke patients.
Department of Occupational Therapy, Kyungbuk College, Republic of Korea ; Department of Rehabilitation Science, Graduate School, Inje University, Republic of Korea.
JuHyung
J
Park
Department of Occupational Therapy, Kyungbuk College, Republic of Korea ; Department of Rehabilitation Science, Graduate School, Inje University, Republic of Korea.
NaYun
N
Lee
Department of Physical Therapy, Daegu Haany University, Republic of Korea.
YongHo
Y
Cho
Department of Occupational Therapy, College of Biomedical Science and Engineering, Inje University, Republic of Korea.
YeongAe
Y
Yang
Constraint-induced movement therapy; Interrupted time series design; Stroke