Effect of Constraint-Induced Movement Therapy in Chronic Hemiplegic Patients.

, Kim, Deog Young; , Park, Chang Il; , Chang, Won Hyuk; , Jang, Yong Won

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):813-818.

Kim, Deog Young , Park, Chang Il , Chang, Won Hyuk , Jang, Yong Won

¹Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. iamchangwh@dreamwiz.com
²Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.

만성 편마비 환자에서 건측 상지 운동 제한 치료법의 효과

김덕용.박창일.장원혁.장용원

연세대학교 의과대학 재활의학교실 및 재활의학연구소

Abstract

Objective
To evaluate the effectiveness of constraint-induced movement therapy (CIT) for chronic hemiplegic patients and to investigate the factors that influence on the effectiveness of CIT.

Method
Forty two chronic stroke patients were enrolled and classified into two groups, experimental and control group. The experimental group took CIT for 2 weeks. CIT consisted of restraint of the unaffected upper extremity with massive training of the affected upper extremity. The motor function of patient's upper extremity was assessed by Manual Function Test (MFT) and Jebsen Hand Function Test before treatment, at 2 weeks and at 8 weeks after the treatment.

Results
The withdrawal rate was 46.7% during CIT period. There was substantial significant improvements in MFT and Jebsen Hand Function Test after 2 weeks of treatment in the experimental group (p＜0.05). The effects in the experimental group were maintained at 6 weeks after cessation of the treatment.

Conclusion
CIT is considered to be an effective treatment for motor function of the chronic hemiplegic upper extremity motor function, and will be useful as an additional therapeutic tool. (J Korean Acad Rehab Med 2003; 27: 813-818)

Key Words: Stroke, Constraint-induced movement therapy, Hand function