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.