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Logo for the Journal of Rehab R&D
Volume 42 Number 3, May/June 2005
Pages 263 — 276

Abstract - The social organization in constraint-induced movement therapy

Craig Boylstein, PhD;1* Maude Rittman, PhD, RN;1 Jaber Gubrium, PhD;2 Andrea Behrman, PhD, PT;3-4
Sandra Davis, MA, PT3

1Rehabilitation Outcomes Research Center, North Florida/South Georgia Veterans Health System, Gainesville, FL; 2Department of Sociology, University of Missouri-Columbia, Columbia, MO; 3Brain Rehabilitation Research Center, North Florida/South Georgia Veterans Health System, Gainesville, FL; 4Department of Rehabilitation Science,
Physical Therapy, University of Florida, Gainesville, FL

Abstract — Ethnographic data were collected at two rehabilitation facilities conducting ongoing research to evaluate functional and neurological outcomes of constraint-induced movement therapy (CIMT). Our findings indicate that several patterns of behavior occur during participant/therapist interaction in therapy sessions: coaching, cheerleading, reminding, changing, and contemplating. These interaction patterns indicate that learned nonuse of an affected limb does not exist in social isolation and that people who participate in CIMT routinely consider the balance of any improvement against the costs of using an affected limb that is still not fully functional. These patterns of social interaction that occur during therapy-which often influence a participant's hope for future physical progress-are an important part of CIMT that may not be fully acknowledged in the clinical training of therapists.

Key words: exercise movement techniques, induced movement, learned nonuse, musculoskeletal manipulations, physical therapy (specialty), physical therapy techniques, recovery of function, rehabilitation, therapy, upper limb.

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