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
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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.
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