https://scholars.lib.ntu.edu.tw/handle/123456789/479247
標題: | A Randomized Controlled Trial of Modified Constraint-Induced Movement Therapy for Elderly Stroke Survivors: Changes in Motor Impairment, Daily Functioning, and Quality of Life | 作者: | Wu C.-y. Chen C.-l. Tsai W.-c. KEH-CHUNG LIN Chou S.-h. |
公開日期: | 2007 | 卷: | 88 | 期: | 3 | 起(迄)頁: | 273-278 | 來源出版物: | Archives of Physical Medicine and Rehabilitation | 摘要: | Wu C-Y, Chen C-L, Tsai W-C, Lin K-C, Chou S-H. A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life. Objective: To examine the benefits of modified constraint-induced movement therapy (mCIMT) on motor function, daily function, and health-related quality of life (HRQOL) in elderly stroke survivors. Design: Two-group randomized controlled trial, with pretreatment and posttreatment measures. Setting: Rehabilitation clinics. Participants: Twenty-six elderly stroke patients (mean age, 72y) with 0.5 to 31 months postonset of a first-ever cerebrovascular accident. Interventions: Twenty-six patients received either mCIMT (restraint of the unaffected limb combined with intensive training of the affected limb) or traditional rehabilitation for a period of 3 weeks. Main Outcome Measures: Outcome measures included the Fugl-Meyer Assessment (FMA), FIM instrument, Motor Activity Log (MAL), and Stroke Impact Scale (SIS). The FMA evaluated the severity of motor impairment; the FIM instrument and MAL reported daily function; and the SIS detected HRQOL. Results: The mCIMT group exhibited significantly greater improvements in motor function, daily function, and the physical domain of HRQOL than the traditional rehabilitation group. Patients in the mCIMT group perceived significantly greater percent of recovery after treatment than patients in the traditional rehabilitation group. Conclusions: These findings suggest mCIMT is a promising intervention for improving motor function, daily function, and physical aspects of HRQOL in elderly patients with stroke. The mCIMT was well tolerated by the elderly patients even though it is a rigorous training program. ? 2007 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33847242988&doi=10.1016%2fj.apmr.2006.11.021&partnerID=40&md5=0f5bb2a466df98e755ce43e391eaecc1 https://scholars.lib.ntu.edu.tw/handle/123456789/479247 |
ISSN: | 0003-9993 | DOI: | 10.1016/j.apmr.2006.11.021 | SDG/關鍵字: | aged; article; clinical article; clinical trial; controlled clinical trial; controlled study; daily life activity; disease severity; female; fugl meyer assessment; Functional Independence Measure; human; male; motor activity log; motor dysfunction; motor performance; movement therapy; multicenter study; occupational therapy; outcome assessment; quality of life; randomized controlled trial; rating scale; stroke; stroke impact scale; stroke patient; survivor; Activities of Daily Living; Aged; Aged, 80 and over; Cerebrovascular Accident; Disability Evaluation; Exercise Therapy; Female; Humans; Male; Motor Activity; Muscle Strength; Quality of Life; Recovery of Function; Restraint, Physical; Treatment Outcome |
顯示於: | 職能治療學系 |
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