[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.5762/KAIS.2011.12.12.5684

The Effect of Constraint-Induced Movement Therapy(CIMT) With Cognitive-Perceptual Training on Upper Extremity Function of Stroke Patients With Mild Cognitive Impairment

Kim, Hun-Ju (Department of Occupational Therapy, Dongju College)
Shin, Joong-Il (Department of Occupational Therapy, Choonhae College of Health Science)
Kam, Kyung-Yoon (Department of Occupational Therapy Graduate School, FIRST research group, Institute of Aged Life Redesign, U-Healthcare Research Center, Inje University)

Publication Information

Journal of the Korea Academia-Industrial cooperation Society / v.12, no.12, 2011 , pp. 5684-5691 More about this Journal

Abstract

The purpose of this study is to examine effects of constraint-induced movement therapy(CIMT) and/or cognitive-perceptual training(CPT) on the change of hand function in cerebrovascular accident(CVA) patients and to evaluate the change in the amount and quality of use of the affected upper extremity in performing daily living tasks. The subjects of study were 10 patients who had been under rehabilitation for more than three months after CVA onset. They were all determined as mild cognition impairment according to NCSE or MVPT test. For CIMT group, to restrict the movement of the unaffected hand the subjects had been worn modified resting arm-splint in daytime for 4 weeks. For CIMT+CPT group, the subjects were performed CPT with CIMT and control group had been under conventional occupational therapy for the same period. CIMT+CPT group showed significant improvement in simulated feeding, lifting large light objects, and lifting large heavy objects of Jebsen-Taylor Hand Function Test. CIMT group also showed significant improvement compared with control group. The mean changes of the amount of use(AOU) of the affected arm had a statistically significant difference among groups (p<.05). While CIMT+CPT group had the biggest change in the quality of movement(QOM) of upper extremity of the affected side, CTL group showed the smallest change. Both CIMT and CIMT+CPT groups had statistically significant difference in the change in the quality of movement in upper extremity of affected side with CTL group(p<.05), but there was not significant difference between CIMT group and CIMT+CPT group. CIMT performed to the patients of stroke, with mild impairment in cognitive perceptual abilities showed the improvement in hand movement and AOU and QOM of upper extremity in the affected side and the combination of CIMT with CPT showed synergic effects.

Keywords

CIMT; cognitive-perceptual training; stroke; Motor Activity Log;

Citations & Related Records

Reference

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