Modified Constraint-Induced Therapy

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Practice, Plasticity and Stroke Pt exhibits learned nonuse – Easier to use less affected than more affected Training =>Use- induced brain reorganization – Changes in cortical motor area sizes in the damaged hemisphere in abductor pollicis brevis (APB) muscle before and after training Liepert et al., 1999
<strong>Constraint</strong>-induced induced therapy is born… 2 components to induce repeated practice with the affected limb – Pts. Participate in 6 hour training sessions on 10 consecutive weekdays – Wear sling 90% of all waking hours during same 2 weeks Increases more affected limb use & function in acute & chronic CVA pts. Repeated practice => brain reorganization => improved motor function
Page 1 and 2: Modified Constraint-Induced Therapy
Page 3: So, recovery isn’t t just “in t
Page 7 and 8: ExCITE Trial
Page 9 and 10: But are we really here yet CONSTRAI
Page 11 and 12: Timing, Intensity, and Duration of
Page 13 and 14: Modified constraint-induced induced
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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