The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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The Effects of Modified Constraint-Induced Movement Therapy and Bilateral Arm Training on the Upper Extremity Performance of Individuals with Chronic Hemiparetic Stroke

수정된 강제-유도운동치료와 양측성 상지훈련이 만성 뇌졸중 환자의 상지 수행 능력에 미치는 영향

  • Yang, Sung-Hwa (Department of Physical Therapy, Gyeonggi-Incheon Medical Rehabilitation Center Hospital) ;
  • Lee, Wan-Hee (Department of Physical Therapy, SahmYook University (Korea Falls Prevention Institute)) ;
  • Lee, Kyoung-Suk (Department of Physical Therapy, Graduate school of SahmYook University)
  • 양성화 (경인의료재활센터병원 물리치료실) ;
  • 이완희 (삼육대학교 물리치료학과(한국낙상예방 연구소)) ;
  • 이경숙 (삼육대학교 대학원 물리치료학과)
  • Received : 2011.06.22
  • Accepted : 2011.10.10
  • Published : 2011.10.25
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Abstract

Purpose: The intention of this study was to investigate the effects of modified constraint-induced movement therapy (mCIMT) with bilateral arm training (BAT) on the motor performance and daily activity performance of individuals with chronic hemiparetic stroke. Methods: Sixteen subjects one year after stroke participated in this study with a control group; the pretest-posttest method was used. The subjects were randomly allocated into two groups: combination of bilateral arm training and modified constraint-induced movement therapy (n=8), and modified constraint-induced movement therapy (n=8). The mCIMT group received therapy for 90 minutes in 3 sessions per week over a period of 4 weeks. The patients receiving a combination of mCIMT and BAT were treated for the same period and frequency. The results were evaluated using the Fugl-Meyer Assessment, Action Research Arm Test (ARAT), and Motor Activity Log-Amount of Use, and Quality of Movement (MAL-AOU, QOM) assessment tools. Results: The Fugl-Meyer Assessment showed that hand and wrist performance improved significantly more in the mCIMT group than in the Combination group (p<0.05). Result from the ARAT assessment showed greater scores for gross movement in the combined group than in the mCIMT group (p<0.05). The MAL-AOU showed that there was greater improvement in the combined group than in the mCIMT group (p<0.05). Conclusion: The forced use of the more affected side can be important for the enhancement of upper extremity performance for chronic hemiparetic stroke patients during their daily activities.

Keywords

References

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