Perceptions and Experiences of Two Survivors of Stroke Who Participated in Constraint-Induced Movement Therapy Home Programs

Gillot, Amanda; Holder-Walls, Anna; Kurtz, Jennifer R.; Varley, Nolina C.

doi:10.5014/ajot.57.2.168

Cited by 32 publications

(29 citation statements)

References 21 publications

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“…This finding supports and extends the findings of the three other studies that have investigated participation as an outcome (Dettmers et al, 2005;Gillot, Holder-Walls, Hurtz, & Varley, 2003;Roberts,Vegher, Gilewski, Bender, & Riggs, 2005).…”

Section: Using Modified Cimt In An Elderly Populationsupporting

confidence: 90%

Modified Constraint-Induced Movement Therapy for Elderly Clients With Subacute Stroke

McCall

McEwen

Colantonio

et al. 2011

The American Journal of Occupational Therapy

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A growing body of research, including evidence from numerous randomized controlled trials, suggests that constraint-induced movement therapy (CIMT) reduces impairment. The mean age of participants in most studies has been <65 yr, even though most stroke survivors are older than that. We investigated the efficacy of a modified CIMT protocol on participation, activity, and impairment in a population of older adults experiencing subacute stroke. Using an interrupted time series design, 4 older adults (mean age 5 82) were assessed before and after intervention. Although none of the participants adhered to the 6-hr per day self-practice aspect of the CIMT protocol, considerable improvements were noted in participation, as measured using the Canadian Occupational Performance Measure. Some improvements were also noted at the level of impairment and activity. This work accords with previous literature on CIMT and has important implications for the evolution of stroke rehabilitation in elderly people.

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Section: Using Modified Cimt In An Elderly Populationsupporting

confidence: 90%

Modified Constraint-Induced Movement Therapy for Elderly Clients With Subacute Stroke

McCall

McEwen

Colantonio

et al. 2011

The American Journal of Occupational Therapy

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“…Many traditional therapeutic approaches have been used to treat those with hemiparesis, including proprioceptive neuromuscular facilitation, movement therapy, neurophysiological-sensorimotor treatment, and neurodevelopmental interventions (Schultz-Krohn et al, 2006). However, contemporary interdisciplinary studies have suggested that modified constraint-induced movement therapy (mCIMT) is a highly effective rehabilitation approach for use with people with chronic impairment and disability of the upper extremity (Gillot, Holder-Walls, Kurtz, & Varley, 2003;Kunkel et al, 1999;Page, Sisto, Johnston, & Levine, 2002;Page, Sisto, Levine, Johnston, & Hughes, 2001;Pierce et al, 2003;Porter & Lord, 2004;Van der Lee et al, 1999;Wolf et al, 2006). This case report demonstrates how therapeutic occupations and activities were used within a mCIMT approach to address upper-extremity motor control impairments in a 52-yr-old female violinist 4 yr after ischemic stroke.…”

mentioning

confidence: 99%

Use of Occupations and Activities in a Modified Constraint-Induced Movement Therapy Program: A Musician’s Triumphs Over Chronic Hemiparesis From Stroke

Earley

Herlache

Skelton

2010

The American Journal of Occupational Therapy

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OBJECTIVE. This case report addresses the use of therapeutic occupations and activities within a modified constraint-induced movement therapy (mCIMT) approach for a 52-yr-old female violinist 4 yr after ischemic stroke. METHOD. Analysis of occupational performance was completed before and after intervention using a modified version of the Fugl-Meyer Sensorimotor Evaluation, the Motor Functioning Assessment, the Arm Improvement and Movement Checklist, and information obtained from a client journal maintained throughout treatment. The mCIMT protocol included use of constraint of the affected arm, with emphasis placed on participation in meaningful occupations and activities. RESULTS. Improved function in the affected extremity was noted at the conclusion of mCIMT. After completion of therapy, the client reported a return to playing violin. DISCUSSION. The findings from this case report suggest that use of meaningful occupations and activities integrated into a mCIMT protocol may be effective in addressing skills deficits for clients with upper-extremity chronic hemiparesis.

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“…These data are consistent with those of 2 other studies that described perceptions and experiences of parents, therapists, and children who participated in intensive therapy programs, reporting increased stress but perceived benefit including improved motor function and goal attainment. 32, 33 …”

Section: Discussionmentioning

confidence: 99%

Constraint-Induced Movement Therapy for Children With Brain Tumors

Sparrow

Zhu

Gajjar

et al. 2017

Pediatric Physical Therapy

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Purpose The purpose of this pilot study was to investigate the feasibility of a 3-week constraint-induced movement therapy program in children with brain tumors and upper extremity hemiplegia and to describe change in extremity use. Methods Affected arm use, health-related quality of life, and parent-reported feasibility of program participation were measured before and after the intervention and at a 3-month follow-up visit. Results All 9 participants completed the entire study. The quality and amount of affected arm use improved significantly; gains were maintained at the 3-month follow-up evaluation. Some parents (44%) reported that program participation was difficult; however, all reported satisfaction with the program. Participants did not experience negative changes in health-related quality of life during the intervention, indicating that the program was well tolerated. Conclusions Findings suggest that a child with hemiplegia as a result of a brain tumor can adhere to and benefit from a CIMT program.

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Perceptions and Experiences of Two Survivors of Stroke Who Participated in Constraint-Induced Movement Therapy Home Programs

Cited by 32 publications

References 21 publications

Modified Constraint-Induced Movement Therapy for Elderly Clients With Subacute Stroke

Modified Constraint-Induced Movement Therapy for Elderly Clients With Subacute Stroke

Use of Occupations and Activities in a Modified Constraint-Induced Movement Therapy Program: A Musician’s Triumphs Over Chronic Hemiparesis From Stroke

Constraint-Induced Movement Therapy for Children With Brain Tumors

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