Article

The purpose of this study was to examine the effect of modified
constraint-induced movement therapy on hand and arm functions in people with
Parkinson disease. DESIGN: Twenty individuals with Parkinson disease participated
in the study. The experimental group (ten subjects) performed modified
constraint-induced movement therapy for 4 wks (3 hrs/day, 5 days/wk), whereas the
control group performed general upper limb exercises on the same schedule. The
outcome measures both pretest and posttest were the box and block test,
Fugl-Meyer assessment, and action research arm test. RESULTS: The scores for the
box and block test in the experimental group increased from 35.8 +/- 2.6 to 44.8
+/- 3.4 after training. Total scores for the Fugl-Meyer assessment in the
experimental group significantly increased from 33.6 +/- 1.5 to 53.7 +/- 3.1
after training. Greater improvement in action research arm test scores were
observed in the experimental group (from 35.1 +/- 4.9 to 50.8 +/- 3.6) than in
the general exercise group (from 33.1 +/- 2.2 to 34.8 +/- 2.7). CONCLUSIONS:
Modified constraint-induced movement therapy improves fine and gross motor
performances of the upper limb in people with Parkinson disease. Therefore, the
therapy would be recommended as an effective treatment for them.

Langue : ANGLAIS