Modified Constraint-Induced Therapy

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Some recent studies showing that task specific trainingg => plasticity: Do you really need “lots and lots” “any technique that induces a patient to use an affected limb…should be considered therapeutically efficacious. This factor is likely to produce the use-dependent cortical reorganization.” Taub; J Rehabil Res Dev 1999: p. 243. Non-disabled humans Classen et al; J Neurophysiol 1998 – “15 or 30 min of continuous training (finger tapping) were required ed in most of the subjects and, on two occasions, as little as 5 or 10 minutes” Humans with stroke Butefisch et al; J Neurol Sci 1995 – 15 min./day; 2 times/day Dean & Shepherd; Stroke 1997 – 30 min/day; 10 weekdays over a 2 week period Luft et al; JAMA 2004 – 1 hour, 3 times a week, for 6 weeks Motor learning evidence – distributed practice > massed practice (clumping)
<strong>Modified</strong> constraint-induced induced therapy: Translating “basic research” to care <strong>Therapy</strong> 3 times/week for ½ an hour Practice with the more affected arm 5 hours/day 5 days/week – Tasks pts. choose Reimbursable Not taxing What patients are used to (i.e., consistent w. OP tx regimen)
Page 1 and 2: Modified Constraint-Induced Therapy
Page 3 and 4: So, recovery isn’t t just “in t
Page 5 and 6: Constraint-induced induced therapy
Page 7 and 8: ExCITE Trial
Page 9 and 10: But are we really here yet CONSTRAI
Page 11: Timing, Intensity, and Duration of
Page 15 and 16: Results Action Research Arm Test (p
Page 17 and 18: These findings are repeatable… -
Page 19 and 20: Some tips for administering mCIT In
Page 21 and 22: How much movement is needed to star
Page 23 and 24: Practical Application: Motor Criter
Page 25 and 26: Affected Limb Use- Motor Activity L
Page 27 and 28: Motor Activity Log (Amount of Use)
Page 29 and 30: Modified Ashworth 0 = No increase i
Page 31 and 32: mCIT Behavior contract Always put t
Page 33 and 34: mCIT: The First Day of Treatment -
Page 35 and 36: Scheduling Donning / Doffing of Mit
Page 37 and 38: Other easy therapies that can be in

Modified Constraint-Induced Therapy

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