Article

OBJECTIVE: To investigate to what degree patients adhered to a modified
constraint-induced movement therapy protocol, and to explore factors associated
with the results. DESIGN: Prospective follow-up of the intervention arm in a
randomized controlled trial. SUBJECTS: Twenty-four patients within 28 days after
stroke. METHODS: The protocol specified 180 min of treatment/day for 10 days.
Therapy schedules were used to calculate the time spent in shaping, task practice
and transfer package, as well as movement quality, perceived exertion and
treatment progression. RESULTS: The participants spent a mean of 91.3% of the
intended time for treatment. Time spent practicing tasks was 30 min less than the
intended 150 min, whereas slightly more time than intended was spent on the
transfer package. Of the time spent in shaping, 33% was spent in pure activity.
The remainder was used on feedback, task set-up, and rests. Adherence was
positively associated with treatment progression (r = 0.74) and negatively
associated with age (r = -0.65). Women were less likely to use the mitt (r =
-0.55). CONCLUSION: Overall adherence was good; however, time spent in motor
activity was only one-third of total treatment time. The parameters in the
constraint-induced movement therapy protocol should be individually adjusted
early after stroke.

Langue : ANGLAIS