Home based constraint induced movement therapy poststroke

Stephen ISBEL, Christine Chapparo, David McConnell, Judy Ranka

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)1-13
Number of pages13
JournalThe Open Journal of Occupational Therapy
Volume2
Issue number4
DOIs
Publication statusPublished - 2014

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Motor Activity
Aptitude
Therapeutics
Upper Extremity

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ISBEL, Stephen ; Chapparo, Christine ; McConnell, David ; Ranka, Judy. / Home based constraint induced movement therapy poststroke. In: The Open Journal of Occupational Therapy. 2014 ; Vol. 2, No. 4. pp. 1-13.
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Home based constraint induced movement therapy poststroke. / ISBEL, Stephen; Chapparo, Christine; McConnell, David; Ranka, Judy.

In: The Open Journal of Occupational Therapy, Vol. 2, No. 4, 2014, p. 1-13.

Research output: Contribution to journalArticle

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T1 - Home based constraint induced movement therapy poststroke

AU - ISBEL, Stephen

AU - Chapparo, Christine

AU - McConnell, David

AU - Ranka, Judy

PY - 2014

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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.

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KW - rehabilitation

KW - upper limb

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