Opinions of Constraint-Induced Movement Therapy Among Therapists in Southwestern Ohio

Abstract

Findings were consistent with CIMT trials and surveys regarding client compliance difficulties and therapist misgivings. Findings argue for continued refinement of modified CIMT regimens as well as greater educational efforts regarding CIMT for therapists.

Exercise Training Inhibits the Nogo-A/NgR1/Rho-A Signals in the Cortical Peri-infarct Area in Hypertensive Stroke Rats

“…40Y45 There are some concerns that the CIMT approach is a very challenging regimen that requires constraining the normal limb for a long period. 46 Many stroke patients have difficulty performing the task and have poor compliance at home. Hayner et al 47 found that CIMT and bilateral treatment with equal intensity can improve upper limb function without a difference between groups, which indicated that treatment intensity rather than restraint may be the essential therapeutic factor.…”

Training model for promoting translation from research to clinical settings: University of Alabama at Birmingham training for constraint-induced movement therapy

“…However, the approach has not been widely applied to routine clinical practice [19]. Evidence suggests that both clinicians and patients express concern about its clinical feasibility and that they poorly understand the intervention protocol [20][21][22][23]. To add to their confusion, even the scientific literature inconsistently describes the approach.…”

Norwegian constraint-induced therapy multisite trial: Adherence to treatment protocol applied early after stroke

“…During the last 20 years, constraint-induced movement therapy (CIMT) has evolved as a treatment aiming to improve upperlimb function in patients after a stroke (1). The feasibility of the high-intensity treatment has been questioned by patients and therapists (2)(3)(4)(5). Although several meta-analyses (6)(7)(8)(9) have found evidence that CIMT applied during the chronic phase is effective, the effect in the early phase after stroke is uncertain (10), and there is limited information about adherence to the treatment (11,12).…”