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Journal of the Korean Academy of Rehabilitation Medicine 2007;31(1):56-62.
The Effect of Modified Constraint-induced Movement Therapy for the Stroke Patients in Inpatient Setting.
Son, Mi Ok , Kim, Eun Soo , Park, Si Woon , Kim, Kyong Mi , Jang, Soon Ja , Oh, Jae Keun
1Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. gracelife80@hotmail.com
2Department of Sports and Leisure, Korean National Sports University, Korea.
뇌졸중 입원환자를 대상으로 한 변형 건측 상지 운동 제한 치료법의 효과
손미옥, 김은수, 박시운, 김경미, 장순자, 오재근1
국립재활병원 재활의학과, 1한국체육대학교 건강관리학과
To evaluate the effectiveness of the modified constraint-induced movement therapy (CIMT) for inpatient rehabilitation of the stroke patients.
Twenty-four patients admitted by subacute or chronic stroke were enrolled and divided into two groups, experimental and control groups. The experimental group (n=13) received the CIMT five days a week for 2 weeks. Less affected arm was restrained for 14 hours a day, practicing purposeful activities with more affected arm for 6 hours a day in group setting. The control group (n=11) received conventional occupational therapy for the same period. The outcome was measured by Fugl-Meyer Motor Assessment (FMA), Brunnstrom stage, Jebsen hand function test, grip strength, Box and Block test, nine hole peg test, Functional Independence Measure (FIM), and Motor Activity Log (MAL).
The experimental group showed significantly higher improvements (p<0.05) in FMA, Brunnstorm stage, Jebsen hand function test, grip strength, Box and Block test, FIM, and MAL.
Modified CIMT delivered in group setting is considered to be an effective treatment to improve functional use of the hemiparetic arm of stroke patients in inpatient setting. (J Korean Acad Rehab Med 2007; 31: 56-62)
Key Words: Constraint-induced movement therapy, Hemiparesis, Arm function, Stroke


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