ABSTRACT
Modified constraint-induced movement therapy (mCIMT), which is modified from constraint-induced movement therapy (CIMT), is used in hemiplegics for rehabilitation. It may be used in the selected patients in certain function and age. mCIMT is more flexible than CIMT, which is mainly consisted of intervention movement, intensity, and the time of training and limitation. mCIMT is also used with other rehabilitation methods. There are various assessment for the evaluation of upper extremity motor function. By using Contract and Mo-tor Activity Log, researchers can better guarantee the curative effect.
ABSTRACT
Hemiplegia is a common type of physical disability in children with brain damage. For many kinds of reasons, the outcome of rehabilitation of the affected upper limb is not good enough, especially in the affected hand. Recently, many studies engaged in the modi-fied Constraint-induced Movement Therapy (mCIMT) to explore the child-friendly way of restraint to improve hand function in hemiplegic children, and were summarized in this paper.
ABSTRACT
@#Hemiplegia is a common type of physical disability in children with brain damage. For many kinds of reasons, the outcome of rehabilitation of the affected upper limb is not good enough, especially in the affected hand. Recently, many studies engaged in the modified Constraint-induced Movement Therapy (mCIMT) to explore the child-friendly way of restraint to improve hand function in hemiplegic children, and were summarized in this paper.
ABSTRACT
Objective To observe the clinical effect of a modified version of constraint-induced movement therapy(MCIMT)on motor recovery in the upper extremities of stroke patients. Methods Twenty-seven stroke patients were randomly divided into a treatment group(n=14)and a routine group(n=13).The Bobath approach and functional arm exercise were administered to the patients in the routine group(2 h/d,5 times a week)for ten weeks.The MCIMT administered to the treatment group involved restriction of the functional arm by a sling during 90%of waking time and during training(by shaping)of the affected extremity(1 hour per day,three times a week)in addition to activities of daily living exercise for at least 2 hours every day.The main outcome measures were the ten items of the simplified test for evaluating hand function(STEF)and Wolf's Motor Function Test(WMFT). Results No significant difference was observed between the 2 groups with regard to WMFT and STEF scores before treatment.After treatment,both groups had improved their WMFT and STEF scores significantly,but there was a significant difference between the treatment and the control groups with regard to WMFT scores and 7 items of the STEF test. Conclusion Modified constraint-induced movement therapy is effective not only for promoting motor recovery of the upper extremity,but also for improving the flexibility and velocity of movement instroke patients.