title: Effects of modified constraint-induced movement therapy and functional bimanual training on upper extremity function and daily activities in a patient with incomplete spinal cord injury: a case study.
abstract: [Purpose] In this study, we examined effects of modified constraint-induced movement therapy (m-CIMT) and functional bimanual training, when applied to a patient with incomplete spinal cord injury, on upper extremity function and daily activities. [Subject and Methods] One patient, diagnosed with C4 incomplete spinal cord injury, underwent physical therapy with constraint-induced movement therapy for 3 hours and task-oriented bimanual training for 1 hour, per day. This combined 4-hour session was performed five times a week, for 3 weeks, totaling 15 sessions. Upper extremity function was measured using the Manual Function Test (MFT) and Box & Block Test (BBT). Additionally, Spinal Cord Independence Measure Version III (SCIM-III) and Short Form 36 Health Survey (SF-36) were used to assess functional outcomes. [Results] Mobility of the hand and overall function of upper extremities were enhanced following intervention. Moreover, the subject's quality of life and ability to carry out daily activities also improved. [Conclusion] Modified constraint-induced movement therapy and bimanual training was effective in enhancing upper extremity function and performance of daily routines in a patient with incomplete spinal cord injury. Further studies, recruiting multiple subjects, should focus on m-CIMT using diverse methods, performed during the course of daily activities.
authors.affiliation: Department of Occupational Therapy, Dawoori Medical Center, Republic of Korea.
authors.forename: Yeon-Ju
authors.initials: YJ
authors.lastname: Kim
authors.affiliation: Department of Occupational Therapy, College of Health Science, Hanseo University, Republic of Korea.
authors.forename: Jin-Kyung
authors.initials: JK
authors.lastname: Kim
authors.affiliation: Department of Occupational Therapy, College of Health Science, Hanseo University, Republic of Korea.
authors.forename: So-Yeon
authors.initials: SY
authors.lastname: Park
keywords: Incomplete spinal cord injury; Modified constraint-induced movement therapy; Upper extremity function
references.citation: J Rehabil Med. 2009 Jun;41(7):497-505
references.pmid: 19543659
references.citation: J Mot Behav. 2004 Jun;36(2):174-88
references.pmid: 15130868
references.citation: Hum Mov Sci. 2010 Oct;29(5):853-70
references.pmid: 19926154
references.citation: Arch Phys Med Rehabil. 2007 Mar;88(3):273-8
references.pmid: 17321816
references.citation: Chang Gung Med J. 2010 Nov-Dec;33(6):628-38
references.pmid: 21199608
references.citation: Brain. 2007 Nov;130(Pt 11):2993-3003
references.pmid: 17928316
references.citation: Occup Ther Int. 2009;16(3-4):175-89
references.pmid: 19504501
references.citation: J Phys Ther Sci. 2014 Jun;26(6):951-3
references.pmid: 25013303
references.citation: J Rehabil Res Dev. 2001 Sep-Oct;38(5):583-90
references.pmid: 11732835
references.citation: Acta Neurol Taiwan. 2005 Mar;14(1):16-20
references.pmid: 15835284
references.citation: J Phys Ther Sci. 2014 Jan;26(1):67-71
references.pmid: 24567678
references.citation: Clin Rehabil. 2007 Dec;21(12 ):1075-86
references.pmid: 18042603