Home based constraint induced movement therapy poststroke

Stephen ISBEL; Christine Chapparo; David McConnell; Judy Ranka

doi:10.15453/2168-6408.1120

Home based constraint induced movement therapy poststroke

Stephen ISBEL, Christine Chapparo, David McConnell, Judy Ranka

Occupational Therapy

Research output: Contribution to journal › Article › peer-review

Abstract

Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy) protocol with eight poststroke survivors. Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL). Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]): Mean 7.28 seconds, SEM 1.41, 95% CI 4.40 – 10.18, p = 0.000; WMFT (Functional Ability): z = -4.63, p = 0.000). Seven out of the eight participants exceeded the minimal detectable change on both subscales of the MAL. Conclusion: This study offers positive preliminary data regarding the feasibility of a home-based CI Therapy protocol. This requires further study through an appropriately powered control trial.

Original language	English
Pages (from-to)	1-13
Number of pages	13
Journal	The Open Journal of Occupational Therapy
Volume	2
Issue number	4
DOIs	https://doi.org/10.15453/2168-6408.1120
Publication status	Published - 2014

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title = "Home based constraint induced movement therapy poststroke",

abstract = "Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy) protocol with eight poststroke survivors. Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL). Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]): Mean 7.28 seconds, SEM 1.41, 95% CI 4.40 – 10.18, p = 0.000; WMFT (Functional Ability): z = -4.63, p = 0.000). Seven out of the eight participants exceeded the minimal detectable change on both subscales of the MAL. Conclusion: This study offers positive preliminary data regarding the feasibility of a home-based CI Therapy protocol. This requires further study through an appropriately powered control trial.",

keywords = "stroke, rehabilitation, upper limb",

author = "Stephen ISBEL and Christine Chapparo and David McConnell and Judy Ranka",

year = "2014",

doi = "10.15453/2168-6408.1120",

language = "English",

volume = "2",

pages = "1--13",

journal = "The Open Journal of Occupational Therapy",

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TY - JOUR

T1 - Home based constraint induced movement therapy poststroke

AU - ISBEL, Stephen

AU - Chapparo, Christine

AU - McConnell, David

AU - Ranka, Judy

PY - 2014

Y1 - 2014

N2 - Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy) protocol with eight poststroke survivors. Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL). Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]): Mean 7.28 seconds, SEM 1.41, 95% CI 4.40 – 10.18, p = 0.000; WMFT (Functional Ability): z = -4.63, p = 0.000). Seven out of the eight participants exceeded the minimal detectable change on both subscales of the MAL. Conclusion: This study offers positive preliminary data regarding the feasibility of a home-based CI Therapy protocol. This requires further study through an appropriately powered control trial.

AB - Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy) protocol with eight poststroke survivors. Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL). Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]): Mean 7.28 seconds, SEM 1.41, 95% CI 4.40 – 10.18, p = 0.000; WMFT (Functional Ability): z = -4.63, p = 0.000). Seven out of the eight participants exceeded the minimal detectable change on both subscales of the MAL. Conclusion: This study offers positive preliminary data regarding the feasibility of a home-based CI Therapy protocol. This requires further study through an appropriately powered control trial.

KW - stroke

KW - rehabilitation

KW - upper limb

U2 - 10.15453/2168-6408.1120

DO - 10.15453/2168-6408.1120

M3 - Article

SN - 2168-6408

VL - 2

SP - 1

EP - 13

JO - The Open Journal of Occupational Therapy

JF - The Open Journal of Occupational Therapy

IS - 4

ER -

Home based constraint induced movement therapy poststroke

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