Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: An exploratory study
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Objective To evaluate and compare the effects of 3-hour versus 6-hour daily training sessions in constraint-induced movement therapy (CIMT).Design Intervention study, 2-group randomized trial; baseline, pretreatment, and posttreatment measures; 1-month follow-up (weekly measures).Setting University department of psychology in Germany.Participants A convenience sample of 15 adults with chronic hemiparesis (13 stroke, 2 traumatic brain injury).Intervention CIMT (14 consecutive days; constraint of unaffected hand for a target of 90% of waking hours) with either 6 hours (6h/d group, n=7) or 3 hours (3h/d group, n=8) of shaping training with the affected hand per day.Main outcome measures The Motor Activity Log and Wolf Motor Function Test.Results Significant improvements in motor function in the laboratory and increased use of the affected hand in the real-world environment were found in both groups. The beneficial effects were significantly greater in the 6h/d group than in the 3h/d group.Conclusion The 3-hour CIMT training schedule significantly improved motor function in chronic hemiparesis, but it was less effective than the 6-hour training schedule.
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Restraining movements of nonimpaired limbs may reduce hyperreliance on healthy limbs and improve impaired limbs.
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- Authors
- Sterr, A., Elbert, T., Berthold, I., Kölbel, S., Rockstroh, B., & Taub, E.
- Affiliations
- University of Liverpool (GB)
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2002-10
- Volume
- 83
- Issue
- 10
- Pages
- 1374-1377
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2063865263
- Cited by
- 276
- References
- 21
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 3 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 9 · 2014: 16 · 2013: 17 · 2012: 29
- FWCI
- 13.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Open Research (University of Surrey) (submittedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- KOPS (University of Konstanz) (submittedVersion, cc-by-nc-nd)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Keywords
- constraint-induced movement therapy, chronic hemiparesis, stroke, traumatic brain injury, training duration, motor recovery, hand use, Motor Activity Log, Wolf Motor Function Test
- MeSH terms
- Stroke Rehabilitation, Adult, Aged, Brain Injuries, Chronic Disease, Female, Humans, Male, Middle Aged, Paresis, Task Performance and Analysis, Physical Therapy Modalities
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