學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Effects of constraint-induced therapy versus bilateral arm training on motor performance, daily functions, and quality of life in stroke survivors |
作者 |
Lin, Keh-chung; Chang, Ya-fen; Wu, Ching-yi; Chen, Yi-an |
期刊名稱 |
Neurorehabilitation and Neural Repair(SCI 期刊) 23 441-448 |
發表日期 |
2009年 |
著作性質 |
原始論著 |
語文 |
英文 |
關鍵字 |
Controlled clinical trials, Stroke, Constraint-induced therapy, Bilateral arm training, Upper extremity, Quality of life |
摘要 |
Background and Objective. This study investigated the relative effects of distributed constraint-induced therapy (CIT) and bilateral arm training (BAT) on motor performance, daily function, functional use of the affected arm, and quality of life in patients with hemiparetic stroke. Methods. Sixty patients were randomized to distributed CIT, BAT or a control intervention of less specific but active therapy. Each group received intensive training for 2 hours/day, 5 days/week for 3 weeks. Pre8 and post-treatment measures included the Fugl-Meyer Assessment (FMA), Functional Independence Measure (FIM), Motor Activity Log (MAL), and Stroke Impact Scale (SIS). The proximal and distal scores of FMA were used to examine separate upper limb (UL) elements of movement. Results. The distributed CIT and BAT groups showed better performance in the overall and the distal part score of the FMA than the control group. The BAT group exhibited greater gains in the proximal part score of the FMA than the distributed CIT and control groups. Enhanced performance was found for the distributed CIT group in the MAL, the subtest of locomotion in the FIM, and certain domains of the SIS (e.g., ADL/IADL). Conclusions. BAT may uniquely improve proximal UL motor impairment. In contrast, distributed CIT may produce greater functional gains for the affected UL in subjects with mild to moderate chronic hemiparesis. |