The Effects of Modified Constraint-Induced Movement Therapy on Unilateral Neglect and Activities of Daily Living in Stroke Patients
2009, 17(3), pp.27-40
Publisher : Korean Society Of Occupational Therapy
Research Area : Working Therapeutics
-
Objective : The purpose of this study is to investigate the effects of modified Constraint-Induced Movement Therapy (mCIMT) on the unilateral neglect and Activities of Daily Living (ADL) of stroke patients. Methods : A case study was utilized for four stoke patients with unilateral neglect. Unilateral neglect was measured using a Motor-free Visual Perception Test (MVPT), Line Bisection Test, Star Cancellation, and Catherine Bergego Scale. ADL was also measured using a Canadian Occupational Performance Measure (COPM) and Motor Activity Log (MAL). Results : The MVPT pre-mCIMT raw score was 22, and the left response behavior score was 14, increasing to 26 and 17 post-mCIMT, respectively. For the Line Bisection Test, the mean length of the error distance was improved from 35.2mm pre-mCIMT, and 18.5mm post-mCIMT. The Star Cancellation and Catherine Bergego Scale showed decreased mean error scores of post-mCIMT. For the patients in mCIMT, improvements of mean Amount Of Use (AOU) and Quality Of Movement (QOM) of MAL were 123% and 44%, and improvements of mean COPM satisfaction and performance scores were 3.90 and 3.05, respectively. However, the results showed no statistically significant improvement between pre- and post-mCIMT (p>.05). Conclusion : As the results of this study, while mCIMT showed a positive effect on the reduction of unilateral neglect, and also improved ADL for stroke patients, it failed to show a statistically significant improvement. It will be very useful to do a clinical intervention if mCIMT is proven as an effective application throughout more case-control studies with greater sample sizes.
-
[thesis] 강지연 / 2002 / 자기효능증진전략을 이용한 건측억제유도운동이 편마비 환자의 상지기능에 미치는 효과 / 박사 / 서울대학교
[thesis] 고명숙 / 2005 / 수정된 건측 상지 운동 제한 치료가 편마비 아동의 손 기능 향상에 미치는 효과 / 석사 / 연세대학교
[journal] 권용철 / 1989 / 노인용 한국판 Mini-Mental State Examination(MMSE-K)의 표준화 연구-제 1편: MMSE-K의 개발 / 신경정신의학 28 (1) : 125~135
[journal] 김금순 / 2003 / Effects of Upper Extremity Exercise Training Using Biefeedback and Constraint-induced Movement on the Upper Extremity Function of Hemiplegic Patients / Journal of Korean Academy of Nursing / 한국간호과학회 33 (5) : 591~600
[journal] 김덕용 / 2003 / Effect of Constraint-Induced Movement Therapy in Chronic Hemiplegic Patients / Annals of Rehabilitation Medicine / 대한재활의학회 27 (6) : 1~818
[thesis] 김세연 / 2007 / 기능적 활동 중심의 수정된 건측 상지운동 제한 중재가 편마비형 뇌성마비 유아의 손기능과 손사용에 미치는 효과 / 석사 / 이화여자대학교
[thesis] 김영미 / 2005 / 건측억제유도운동이 뇌졸중 환자의 손기능과 일상생활능력에 미치는 영향 / 석사 / 대구대학교
[thesis] 김정란 / 2008 / 뇌졸중 환자를 대상으로 한 강제유도운동치료와 건측제한의 효과 비교 / 석사 / 연세대학교
[confproc] 전병진 / 2005 / 건측상지 제한치료(CIT)가 성인 뇌졸중 환자의 상지 회복에 미치는 효과: 사례연구 / 건양자연과학논문집 : 11~18
[journal] 전혜선 / 2005 / The Effects of Modified Constraint-Induced Therapy on Upper Extremity Sensory and Motor Functions of Children With Hemiparesis / 대한작업치료학회지 / 대한작업치료학회 13 (1) : 63~78
[journal] 정민예 / 2006 / Effect of Constraint-Induced Movement Therapy on persons with Hemiparesis evaluated by using 3D motion analysis and client-centered analysis of Activities of Daily Living / Mycobiology / 한국장애인재활협회 10 (2) : 156~176
[journal] 최수원 / 2008 / The Importance of Motivation and Dropping Out from Treatment in Constraint-induced Movement Therapy for Stroke Patients / Annals of Rehabilitation Medicine / 대한재활의학회 32 (1) : 20~25
[thesis] 최유임 / 2005 / 강제유도운동치료가 뇌졸중 환자의 상지기능 및 일상생활활동에 미치는 영향 / 석사 / 연세대학교
[journal] 황수진 / 2009 / Modified Constraint-Induced Movement Therapy (CIMT) for the Elderly With Parkinson's Disease: A Preliminary Study / 한국전문물리치료학회지 / 한국전문물리치료학회 16 (1) : 70~78
[journal] Antonucci, G. / 1995 / Effectiveness of neglect rehabilitation in randomized group study / Journal of Clinical and Experimental Neuropsychology 17 (3) : 383~389
[journal] Azouvi, P. / 2003 / Behavioral assessment of unilateral neglect: Study of the psychometric properties of the Catherine Bergego Scale / Archives of Physical Medicine and Rehabilitation 84 (1) : 51~57
[journal] Bollea, L. / 2007 / Recovery from hemiparesis and unilateral spatial neglect after neonatal stroke: Case report and rehabilitation of an infant / Brain Injury 21 (1) : 81~91
[journal] Bonifer, N. / 2003 / Application of contraint-induced therapy for an individual with severe chronic upper-extremity hemiplegia / Physical Therapy 83 (4) : 384~398
[book] Bouska, M. J. / 1983 / Manual for the application of the Motor-free Visual Perception Test to the adult population / Temple University Rehabilitation Research and Training Center
[journal] Bowen, A. / 2005 / Developing functional outcome measure for unilateral neglect: A pilot study / Neuropsychological Rehabilitation 15 (2) : 97~113
[journal] Broeren, J. / 2004 / Virtual reality and haptics as a training device for movement rehabilitation after stroke: A single case study / Archives of Physical Medicine and Rehabilitation 85 (8) : 1247~1250
[book] Brunnstrom, S / 1970 / Movement therapy in hemiplegia / Harper & Row
[journal] Carpenter, L. / 2001 / The use of the Canadian Occupational Performance Measure as an outcome of a pain management program / Canadian Journal of Occupational Therapy 68 (1) : 16~22
[journal] Cherney, L. R. / 2001 / Recovery of functional status after right hemisphere stroke: Relationship with unilateral neglect / Archives of Physical Medicine and Rehabilitation 82 (3) : 322~328
[journal] Chokron, S. / 2007 / Experimental remission of unilateral spatial neglect / Neuropsychologia 45 (14) : 3127~3148
[journal] Cope, S. M. / 2008 / Modified constraint-induced movement therapy for a 12-month-old child with hemiplegia: A case report / American Journal of Occupational Therapy 62 (4) : 430~437
[journal] Dromerick, A. W. / 2000 / “Dose the application of constraint-induced movement therapy during acute rehabilitation reduce arm impairment after ischemic stroke?” / Stroke 31 (12) : 2984~2988
[journal] Gillen, R. / 2005 / Unilateral spatial neglect: Relation to rehabilitation outcomes in patients with right hemisphere stroke / Archives of Physical Medicine and Rehabilitation 86 (4) : 763~767
[book] Law, M. / 1998 / Canadian Occupational Performance Measure (3rd ed.) / CAOT Pubilication ACE
[journal] Lin, K. C. / 2007 / Effects of modified constraintinduced movement therapy on reach-to-grasp movements and functional performance after chronic stroke: A randomized controlled study / Clinical Rehabilitation 21 (12) : 1075~1086
[journal] Miltner, W. H. / 1999 / Effect of constraint-induced movement therapy on the chronic stroke patient: A replication / Stroke 30 (30) : 586~596
[journal] Page, S. J. / 2005 / Modified constraint-induced therapy in acute stroke: A randomized controlled pilot study / Neurorehabilitation and Neural Repair 19 (1) : 27~32
[journal] Page, S. J. / 2002 / Stroke patients’ and therapists’ opinions of constraint-induced movement therapy / Clinical Rehabilitation 16 (1) : 55~60
[journal] Page, S. J. / 2002 / Modified constraint induced therapy after subacute stroke: A prelim inary study / Neurorehabilitation and Neural Repair 16 (3) : 290~295
[journal] Page, S. J. / 2002 / Modified constraint-induced therapy in chronic stroke / American Journal of Physical Medicine and Rehabilitation 81 (11) : 870~875
[journal] Page, S. J. / 2001 / Modified constraint induced therapy: A randomized, feasibility and efficacy study / Journal of Rehabilitation Research and Development 38 (5) : 583~590
[journal] Page, S. J. / 2004 / Efficacy of modified constraint-induced movement therapy in chronic stroke: A single blinded randomized controlled trial / Archives of Physical Medicine and Rehabilitation 85 (1) : 11~14
[journal] Pierce, S. R. / 2002 / Treatments of unilateral neglect: A review / Archives of Physical Medicine and Rehabilitation 83 (2) : 256~268
[journal] Pierce, S. R. / 2003 / Home forced use in an outpatient rehabilitation program for adults with hemiplegia: A pilot study / Neurorehabilitation and Neural Repair 17 (4) : 214~219
[journal] Punt, T. D. / 2006 / Motor neglect: Implications for movement and rehabilitation following stroke / Disability and Rehabilitation 28 (13-14) : 857~864
[journal] Ringman, J. M. / 2004 / Frequency, risk factors, anatomy, and course of unilateral neglect in an acute stroke cohort / Neurology 63 (3) : 468~474
[journal] Schenkenberg, T. / 1980 / Line bisection and unilateral visual neglect in patients with neurologic impairment / Neurology 30 (5) : 509~517
[journal] Sterr, A. / 2002 / Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: An exploratory study / Archives of Physical Medicine and Rehabilitation 83 (10) : 1374~1377
[journal] Steven, L. / 2006 / Effect of constraintinduced movement therapy on upper extremity function 3 to 9 months after stroke / Journal of American Medical Association 296 (17) : 2095~2104
[journal] Sunderland, A. / 2005 / Neuroplasticity, learning and recovery after stroke: A critical evaluation of constraint-induced therapy / Neuropsychological Rehabilitation 15 (2) : 81~96
[journal] Taub, E. / 1993 / Technique to improve chronic motor deficit after stroke / Archives of Physical Medicine and Rehabilitation 74 (4) : 347~354
[journal] Taub, E. / 2002 / New treatments in neurorehabilitation founded on basic research. Nature Reviews / Neuroscience 3 (3) : 228~236
[journal] Taub, E. / 1999 / Constraintinduced movement therapy: A new family / Journal of Rehabilitation Research and Development 36 (3) : 237~251
[journal] Van der Lee, J. H. / 1999 / Constraint induced movement therapy / Archives of Physical Medicine and Rehabilitation 80 (6) : 1606~1607
[journal] Wu, C. Y. / 2007 / A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: Changes in motor impairment, daily functioning, and quality of life / Archives of Physical Medicine and Rehabilitation 88 (3) : 273~278
[journal] Yen, J. G. / 2005 / Effectiveness of modified constraintinduced movement therapy on upper limb function in stroke subjects / Acta Neurologica Taiwanica 14 (1) : 16~20
[book] Zoltan, B / 1996 / Vision, perception, and cognition: A manual for the evaluation and treatment of the neurologically impaired adult (3rd ed.) / Slack
-
525
Viewed
Print this page
Search PDF