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Effects of Constraint-Induced Movement Using Self-Efficacy Enhancing Strategies on the Upper Extremity Function of Chronic Hemiplegic Patients  

Kang, Ji-Yeon (University of Rochester School of Nursing, Department of Nursing, St. John Fisher College)
Publication Information
Journal of Korean Academy of Nursing / v.36, no.2, 2006 , pp. 403-414 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effects of constraint-induced (CI) movement using self-efficacy on U/E function of chronic hemiplegic patients. CI movement discourages the use of the unaffected U/E, combined with intensive training of the affected U/E. Method: A non-equivalent pretest-posttest design was used. Study subjects were 40 hemiplegic patients conveniently selected from 2 different community health centers. The experimental subjects participated in the CI movement program for 6 hours daily over a period of two weeks. The exercises for affected U/E consisted of warming up, main exercise and ADL practice. To encourage the participants' behaviors self-efficacy enhancing strategies were used, which included performance accomplishment, vicarious experience, verbal persuasion and emotional arousal. Result: After 2 weeks of treatment, the grip power, pinch power, wrist flexion/extension, elbow flexion, and shoulder flexion/extension were significantly higher in the experimental subjects than in the control subjects. However, there was no significant difference in hand functions of the two groups. Conclusion: The above results show that the constraint-induced movement using self-efficacy could be an effective nursing intervention for improving U/E function of chronic hemiplegic patients. Long term studies are needed to determine the lasting effects of constraint-induced movement.
Keywords
Constraint-induced movement; Upper-extremities function; Self-efficacy; Hemiplegia;
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1 Gu, M. (1996). The effect of a self regulation education program for the promotion & maintenance of self care behavior in the chronically ill patients -for diabetic patients-, J Korean Acad Nurs, 26(2), 413-417
2 Kim, J., Kim, M., Park, S., Lee, S., & Jang, S. (1999). Jebsen hand function test in rheumatoid arthritis patients. J Korean Acad Rehab Med, 23(2), 632-641
3 Kim, K., Lee, S., Choe, M., Yi, M., & Kim, E. (2001). Effects of biofeedback exercise training in hemiplegic patients after stroke, J Korean Acad Nurs, 31(5), 432-442   DOI
4 Miltner, W., Bauder, H., Sommer, M., Dettmer, C. & Taub, E. (1999). Effect of constraint-induced movement therapy on chronic stroke patients: a replication. Stroke, 30, 586-592   DOI   ScienceOn
5 Page, S., & Sisto, S. (2002). Constraint-induced therapy: ready for prime time? Retrieved May 6, 2002, from www.rehabtrials.org/fa/fa_spage061300.shtml
6 Page, S., Sisto, S., Levine, P., Johnson, M., & Hughes, M. (2001). Modified constraint induced therapy and efficacy study. J Rehabil Res Dev, 38(5), 585-590
7 Taub, E., Uswatte, G., & Pidikiti, R. (1999). Constraint-induced movement therapy: a new family of techniques with broad application to physical rehabilitation-a clinical review. J Rehabil Res Dev, 36(3), 237-251
8 Chang, A., & Markenzie, A. (1998). Self-esteem following stroke. Stroke, 29(11), 2325-2328   DOI   ScienceOn
9 Wolf, S., Lecraw, D., Barton, L., & Jann, B. (1989). Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head -injured patients. Exp Neurol, 104, 125-132   DOI   ScienceOn
10 Nam, M., Kim, J., & Oh, Y. (1997). The Relationship between Health Belief.Self-efficacy and Exercise.Diet Compliance in Coronary Heart Disease Patients. J Korean Acad Community Health Nurs, 8(2), 262-275   과학기술학회마을
11 American Heart association. (2006). Heart Disease and Stroke Statistics Update. Retrieved February 2, 2006, from http://www. americanheart.org/presenter.jhtml?identifier=1928
12 Lipert, J., Bauder, H., Miltner, W., TAub, E., & Weiller, C. (2000). Treatment-induced massive cortical reorganization after stroke in humans. Stroke, 31, 1210-1216   DOI   ScienceOn
13 Morris, D., & Taub, E. (2001). Constraint-induced therapy approach to restoring function after neurological injury. Top Stroke Rehabil, 8(3), 16-30   DOI   ScienceOn
14 Kopp, B., Kunkle, A., Muehlnickel, W., Villringer, K., Taub, E., & Flor, H. (1999). Plasticity in the motoe system related to therapy-induced improvement of movement after stroke. Neuroreport, 10, 807-810   DOI   ScienceOn
15 Chon, J. (1998). Special rehabilitation treatment of stroke. Korean Journal of Nursing Query, 7(1), 43-63
16 Ahn, J., & Kim N. (2000). The effects of the self efficacy promotion and exercise program on the weight, body fat rate, exercise time and cardiopulmonary function of kidney transplant recipients. J Korean Acad Adult Nurs, 12(3), 452-462
17 Duncan, P., Richard, L., Wallace, D., Stroker, Y., Pohl, P., Luchies, C., Ogle, A., & Studenski, S. (1998). A randomized controlled pilot study of a home-based exercise program for individual with mild and moderate stroke. Stroke, 29(10), 2055-2060   DOI   ScienceOn
18 Hanckel. M., Wolfe, G., Bang, S., & Canfield, J. (1992). Changes in hand function in the aging adult as determined by the Jebson test of hand function. Phys Ther, 72(5), 373-377   DOI
19 Hesse, S., Bertelt, C., Jahnke, M., Schaffrin, A., Malezic, M., & Mauritz, K. (1994). Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiplegic stroke patient. Stroke, 26, 976-981
20 Lipert, J., Miltner, W., Bauder, H., Sommer, M., Dettmer, C., Taub, E., & Weiller, C. (1998). Motor cortex plasticity during constraint-induced movement therapy in chronic stroke patients. Neurosci Lett, 250(1), 5-8   DOI   ScienceOn
21 DeGeest, S., Bogermans, L., Gemoets, H., Evers, G., & Vanrenterghem, Y. (1995). Incedence, determinants and consequences of subclinical noncompliance with immunosuppressive therapy in renal transplant recipients. Transplantation, 59, 340-347   DOI
22 Blanton, S., & Wolf. S. (1999). An application of upper-extremity constraint-induced movement therapy in a patient with subacute stroke. Phys Ther, 79(9), 847-853
23 Kim, Y., Park, R., & Kim, J. (1994). The age - related change of hand function. The Journal of Korean Society of Physical Therapy, 6(1), 121-132
24 Chung, J., Oh, M. (1999). The effect of hand function training program on upper extremity and ADL of cerebral palsy. The Educational Journal of Physical and Multiple Disabilities, 34, 85-100
25 Kim, K. Seo, H., Kim, E., Jeong, I., Choe, E., Jeong, S. & Kang, J. (2000). Effect of 5 weeks of self-help management program on reducing depression and promoting activity of daily livings, grasping power, hope and self-efficacy. Korean J Rehab Nurs, 3(2), 140-155
26 Duncan, P. (1997). Synthesis of intervention trials to improve motor recovery following stroke. Top Stroke Rehabil, 3, 1-20   DOI
27 Hymen, M. (1971). The stigma of stroke. Geriatrics, May, 132-141
28 van der Lee, J., Wagenaar, R., Lankhorst, G., Vogelaar, T., Deville, W., & Bouter, L. (1999). Forced use of the upper extremity in chronic stroke patients: results from a single-blind randomized clinical trial. Stroke, 30(11), 2269-2375
29 Taub, E., Crago, J., & Uswatte, G. (1998). Constraint-induced movement therapy: a new approach to treatment in physical rehabilitation. Rehabil Psychol, 43, 152-170   DOI   ScienceOn
30 Taub, E., & Uswatte, G. (2000). Constraint-induced movement therapy and massed practice. Stroke, 31(4), 986-988