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Volume 42 Number 6, November/December 2005
Pages 769 — 778

Abstract - Constraint-induced movement therapy for recovery of upper-limb function following traumatic brain injury

Sharon E. Shaw, DrPH, PT;1* David M. Morris, PhD, PT;1 Gitendra Uswatte, PhD;2 Staci McKay, BS;1
Jay M. Meythaler, MD;3 Edward Taub, PhD;2,4

Departments of 1Physical Therapy, 2Psychology, and 3Physical Medicine and Rehabilitation, University of Alabama
at Birmingham, Birmingham, AL; 4Department of Veterans Affairs (VA), Research Service, Birmingham VA Medical Center, Birmingham, AL
Abstract — A volunteer sample of 22 participants with chronic traumatic brain injury (TBI) (onset >1 year) and relative hemiplegia that revealed moderate disability in the more-affected upper limb (UL) participated. Constraint-induced (CI) movement therapy (CI therapy) was employed for a 2-week period; treatments included massed practice, shaping of the more-affected UL, behavioral contracts, and other behavioral techniques for affecting transfer to a real-world setting. We used the Wolf Motor Function Test, the Fugl-Meyer Motor Performance Assessment, and the Motor Activity Log to measure outcomes. All outcome measures improved significantly as a result of the intervention. More-adherent participants had more improvement compared with less-adherent participants. These preliminary results suggest that CI therapy may be effective for improving UL motor function following chronic TBI.
Key words: behavioral therapy, constraint-induced movement therapy, functional abilities, massed practice, motor function, motor impairment, neurological injury, physical rehabilitation, training, traumatic brain injury.

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