A Modified Constraint-Induced Movement Therapy Regimen for Individuals with Upper Extremity Hemiplegia

Abstract

Background. The Constraint-Induced Movement Therapy approach has been identified as a promising method to address deficits in upper limb function experienced by some stroke survivors. There is some question regarding whether the intervention administered in the research setting could be translated into clinical practice. Purpose. This paper describes the modified version of Constraint-Induced Movement Therapy developed at St. Boniface General Hospital, Winnipeg, Canada. Method. This modified regimen involves practice of upper limb tasks for four hours per day for 10 weekdays over two weeks, concurrent with participants attempting to wear a restraint mitten on the less involved hand for 90% of their waking hours. Results. The primary outcome measure was the Canadian Occupational Performance Measure. Two case reports illustrate how the regimen is administered. Implications. The need for further research of this regimen in terms of the selection of participants, the measurement tools, and the effectiveness is discussed.