學院

醫學院

系所

職能治療學系

題名

Kinematic and clinical analyses of upper extremity movements following constraint-induced movement therapy in patients with stroke: A randomized controlled trial

作者

Ching-yi Wu, Chia-ling Chen, Simon F. Tang, Keh-chung Lin and Ya-ying Huang

期刊名稱

Archives of Physical Medicine and Rehabilitation(SCI 期刊) 88(8) 964-970

發表日期

2007年8月

著作性質

原始論著

語文

英文

關鍵字

Controlled clinical trials; Kinematics; Occupational therapy; Rehabilitation; Stroke.

摘要

Objective: To study the effects of constraint-induced movement therapy (CIMT) relative to traditional intervention on motor-control strategies for upper-arm reaching and motor performance at the impairment and functional levels in stroke patients. Design: Two-group randomized controlled trial (RCT); pretreatment and posttreatment measures. Setting: Rehabilitation clinics. Participants: Forty-seven stroke patients (mean age, 55y) 3 weeks to 37 months postonset of a first-ever cerebrovascular accident. Interventions: Forty-seven patients received either CIMT (restraint of the less affected hand combined with intensive training of the more affected upper extremity) or traditional intervention (control treatment) during the study. The treatment intensity was matched between the 2 groups (2h/d, 5d/wk for 3wk). Main Outcome Measures: Outcomes were evaluated using (1) kinematic variables of reaching movement used to describe the control strategies for reaching, (2) the Fugl-Meyer Assessment (FMA) of motor-impairment severity, and (3) the Motor Activity Log (MAL) evaluating the functional ability of the upper extremity. Results: After treatment, the CIMT group showed better strategies of reaching control than the control group (P<.03). The CIMT group also showed less motor impairment on the FMA (P=.019) and higher functional ability on the MAL (P<.001).