Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

Modified constraint-Induced Movement Therapy (CIMT) for the Elderly With Parkinson's Disease: A Preliminary Study

파킨슨병 노인을 위한 수정된 강제-유도운동치료: 사전연구

  • Hwang, Su-Jin (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University) ;
  • Hong, Young-Ju (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University) ;
  • Yoo, In-Gyu (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University) ;
  • Jeon, Hye-Seon (Dept. of physical Therapy, College of Health Science, Yonsei University, Institute of Health Science, Yonsei University)
  • 황수진 (연세대학교 대학원 재활학과) ;
  • 홍영주 (연세대학교 대학원 재활학과) ;
  • 유인규 (연세대학교 대학원 재활학과) ;
  • 전혜선 (연세대학교 보건과학대학 물리치료학과 및 보건과학연구소)
  • Received : 2008.02.16
  • Accepted : 2009.01.04
  • Published : 2009.02.19
Download PDF
⟨ Previous Next ⟩

Abstract

This study was designed to examine a 3-week modified constraint-induced movement therapy (CIMT) to the less-affected arm of patients with Parkinson's disease (PD) would improve function of the more-affected arm in PD. The subjects were 6 institutional older adults with PD and clients of the social welfare facilities. The subjects (2 men, 4 women) ranged in age from 66 to 90 years (mean age 77.2 yrs). Three clinical tests were used to determine the improvement of functional activity between before and after modified CIMT. The tests included Unified Parkinson's Disease Rating Scale (UPDRS). Wolf Motor Function Test (WMFT), and Action Research Arm Test (ARAT). There were significantly differences after the modified CIMT for time performance in WMFT and pinch in ARAT (p<.05), No significant difference was noted after the modified CIMT for UPDRS and functional ability scale in WMFT. Therefore, the modified CIMT might improve time performance and is available to therapeutic program helping them improve functional ability for upper extremity in Parkinson's disease.

Keywords

References

  1. 권용철, 박종한. 노인용 한국판 Mini-mental State Examination (MMSE-K)의 표준화 연구 제1편: MMSE-K 개발. 신경정신의학. 1989;28:125-135.
  2. Bennett KM, Marchetti M, Iovine R, et al. The drinking action of Parkinson's disease subjects. Brain. 1995;118(Pt. 4):959-970. https://doi.org/10.1093/brain/118.4.959
  3. Bloem BR, van Vugt JP, Beckley DJ. Postural instability and falls in Parkinson's disease. Adv Neurol. 2001;87:209-223.
  4. Bonaiutii D, Rebasti L, Sioli P. The constraint induced movement therapy: A systematic review of randomised controlled trials on the adult stroke patients. Eura Medicophys. 2007;43(2):139-146.
  5. Calne D. A definition of Parkinson's disease. Parkionism Relat Disord. 2005;11(Suppl 1):S39-40. https://doi.org/10.1016/j.parkreldis.2005.01.008
  6. Candia V, Elbert T, Altenmuller E, et al. Constraint-in-duced movement therapy for focal hand dystonia in musicians. Lancet. 1999;335(9145):42.
  7. Dietz V. Neurophysiology of gait disorders: Present and future applications. Eletroencephalogr Clin Neurophysiol. 1997;103(3):333-355. https://doi.org/10.1016/S0013-4694(97)00047-7
  8. Fahn S, Elton RL, Members of the UPDRS Development Committee. The unified Parkinson's Disease Rating Sale. In: Fahn S. Marsden CE, Goldstein M. eds. Recent Developments in Parkinson's Disease. 2nd ed. New York, Lippincott Williams & Wilkins, 1986:153-163.
  9. Fellows SJ, North J, Schwarz, M. Precision grip and Parkinson's disease. Brain. 1998;121:1771-1784. https://doi.org/10.1093/brain/121.9.1771
  10. Georgiou N, Iansek R, Bradshaw JL, et al. An evaluation of the role of internal cues in the pathogenesis of Parkinsonian hypokinesia. Brain. 1993;116(Pt 6):1575-1587. https://doi.org/10.1093/brain/116.6.1575
  11. Gordon AM, lngvarsson PE, Forssberg H. Anticipatory control of manipulative forces in Parkinson's disease. Exp Neurol. 1997;145(2 Pt 1):477-488. https://doi.org/10.1006/exnr.1997.6479