scholarly journals Efficacy of Constraint-Induced Movement Therapy for Post-Stroke Upper Extremity Hemiparesis Patients Attending a Day-Care Center

2009 ◽  
Vol 24 (6) ◽  
pp. 929-933
Author(s):  
Taichi KURAYAMA ◽  
Anna WATANABE ◽  
Minami TAKAMOTO ◽  
Nami SHIGETA ◽  
Yuki HASEGAWA ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Day Care ◽  
Care Center ◽  
Movement Therapy ◽  
Day Care Center ◽  
Post Stroke ◽  
Constraint Induced Movement Therapy

Tele-rehabilitation of upper-extremity hemiparesis after stroke: Proof-of-concept randomized controlled trial of in-home constraint-induced movement therapy

2021 ◽  
pp. 1-16
Author(s):  
Gitendra Uswatte ◽  
Edward Taub ◽  
Peter Lum ◽  
David Brennan ◽  
Joydip Barman ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Controlled Trial ◽  
Movement Therapy ◽  
Proof Of Concept ◽  
Upper Arm ◽  
Long Term Outcome ◽  
Post Stroke ◽  
Constraint Induced Movement Therapy ◽  
Health Group ◽  
One Year

Background: Although Constraint-Induced Movement therapy (CIMT) has been deemed efficacious for adults with persistent, mild-to-moderate, post-stroke upper-extremity hemiparesis, CIMT is not available on a widespread clinical basis. Impediments include its cost and travel to multiple therapy appointments. To overcome these barriers, we developed an automated, tele-health form of CIMT. Objective: Determine whether in-home, tele-health CIMT has outcomes as good as in-clinic, face-to-face CIMT in adults ≥1-year post-stroke with mild-to-moderate upper-extremity hemiparesis. Methods: Twenty-four stroke patients with chronic upper-arm extremity hemiparesis were randomly assigned to tele-health CIMT (Tele-AutoCITE) or in-lab CIMT. All received 35 hours of treatment. In the tele-health group, an automated, upper-extremity workstation with built-in sensors and video cameras was set-up in participants’ homes. Internet-based audio-visual and data links permitted supervision of treatment by a trainer in the lab. Results: Ten patients in each group completed treatment. All twenty, on average, showed very large improvements immediately afterwards in everyday use of the more-affected arm (mean change on Motor Activity Log Arm Use scale = 2.5 points, p <  0.001, d’ = 3.1). After one-year, a large improvement from baseline was still present (mean change = 1.8, p <  0.001, d’ = 2). Post-treatment outcomes in the tele-health group were not inferior to those in the in-lab group. Neither were participants’ perceptions of satisfaction with and difficulty of the interventions. Although everyday arm use was similar in the two groups after one-year (mean difference = –0.1, 95%CI = –1.3–1.0), reductions in the precision of the estimates of this parameter due to drop-out over follow-up did not permit ruling out that the tele-health group had an inferior long-term outcome. Conclusions: This proof-of-concept study suggests that Tele-AutoCITE produces immediate benefits that are equivalent to those after in-lab CIMT in stroke survivors with chronic upper-arm extremity hemiparesis. Cost savings possible with this tele-health approach remain to be evaluated.

Modified Constraint-Induced Movement Therapy for Upper Extremity Recovery Post Stroke: What Is the Evidence?

2014 ◽  
Vol 21 (4) ◽  
pp. 319-331 ◽  
Author(s):  
Alana Fleet ◽  
Stephen J. Page ◽  
Marilyn MacKay-Lyons ◽  
Shaun G. Boe
Keyword(s):  
Upper Extremity ◽  
Movement Therapy ◽  
Post Stroke ◽  
Constraint Induced Movement Therapy

Systematic Review and Meta-Analysis of Constraint-Induced Movement Therapy in the Hemiparetic Upper Extremity More Than Six Months Post Stroke

2012 ◽  
Vol 19 (6) ◽  
pp. 499-513 ◽  
Author(s):  
Amanda McIntyre ◽  
Ricardo Viana ◽  
Shannon Janzen ◽  
Swati Mehta ◽  
Shelialah Pereira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Upper Extremity ◽  
Meta Analysis ◽  
Movement Therapy ◽  
Post Stroke ◽  
Constraint Induced Movement Therapy

A Qualitative Study on the Experiences of Home Day Care Center Directors

2019 ◽  
Vol 26 (3) ◽  
pp. 117-137
Author(s):  
Mi-Sook Kang ◽  
Seung-Eun Lee ◽  
Seung-Min Song ◽  
Soo-Jee Kim
Keyword(s):  
Qualitative Study ◽  
Day Care ◽  
Care Center ◽  
Day Care Center ◽  
Home Day Care
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