學院

醫學院

系所

職能治療學系

題名

Constraint-Induced Therapy Versus Dose-Matched Control Intervention to Improve Motor Ability, Basic/Extended Daily Functions, and Quality of Life in Stroke

作者

Keh-chung Lin, Ching-yi Wu, Jung-sen Liu, Yueh-tsen Chen, and Chen-jung Hsu

期刊名稱

Neurorehabilitation and Neural Repair(SCI 期刊) 23 160-165

發表日期

2009年

著作性質

原始論著

語文

英文

關鍵字

Rehabilitation, Stroke, Constraint-induced movement therapy, Instrumental activities of daily living, Quality of life

摘要

BACKGROUND: . Trials of constraint-induced movement therapy (CIT) to improve upper extremity function after stroke have usually not included an actively treated control group. OBJECTIVE: . This study compared a modified CIT intervention with a dose-matched control intervention that included restraint of the less affected hand and assessed for differences in motor and functional performance and health-related quality of life. METHODS: . This 2-group randomized controlled trial, using pretreatment and posttreatment measures, enrolled 32 patients within 6 to 40 months after onset of a first stroke (mean age, 55.7 years). They received either CIT (restraint of the less affected limb combined with intensive training of the affected limb for 2 hours daily 5 days per week for 3 weeks and restraint of the less affected hand for 5 hours outside of the rehabilitation training) or a conventional intervention with hand restraint for the same duration. Outcome measures were the Fugl-Meyer Assessment, Functional Independence Measure, Motor Activity Log, Nottingham Extended Activities of Daily Living Scale, and Stroke Impact Scale. RESULTS: . Compared with the control group, the CIT group exhibited significantly better performance in motor function, level of functional independence, mobility of extended activities during daily life, and health-related quality of life after treatment. CONCLUSIONS: . The robust effects of this form of CIT were demonstrated in various aspects of outcome, including motor function, basic and extended functional ability, and quality of life.