Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 571-579 , April 2009

The Effects of Constraint-Induced Therapy on Kinematic Outcomes and Compensatory Movement Patterns: An Exploratory Study

  • Crystal Massie, MSOT

      Affiliations

    • NeuroRehabilitation Research Laboratory, Department of Occupational Therapy, Colorado State University, Fort Collins, CO
    • ,
  • Matthew P. Malcolm, PhD, OTR

      Affiliations

    • NeuroRehabilitation Research Laboratory, Department of Occupational Therapy, Colorado State University, Fort Collins, CO
    • Corresponding Author InformationReprint requests to Matthew P. Malcolm, PhD, OTR, Dept of Occupational Therapy, Colorado State University, Fort Collins, CO, 80523
    • ,
  • David Greene, PhD, OTR

      Affiliations

    • Department of Occupational Therapy, Colorado State University, Fort Collins, CO
    • ,
  • Michael Thaut, PhD

      Affiliations

    • Center for Biomedical Research in Music, Colorado State University, Fort Collins, CO

References 

  1. American Heart Association. Heart disease and stroke statistics—2007 update. Circulation. 2007;115:e69–e171
  2. Krakauer JW. Arm function after stroke: from physiology to recovery. Semin Neurol. 2005;25:384–395
  3. McCrea PH, Eng JJ, Hodgson AJ. Saturated muscle activation contributes to compensatory reaching strategies after stroke. J Neurophysiol. 2005;94:2999–3008
  4. In:  Trombly CA,  Radomski MV editor. Occupational therapy for physical dysfunction. 5th ed.. New York: Lippincott Williams & Wilkins; 2002;
  5. Levin MF, Michaelsen SM, Cirstea CM, Roby-Brami A. Use of the trunk for reaching targets placed within and beyond the reach in adult hemiparesis. Exp Brain Res. 2002;143:171–180
  6. In:  Carr J,  Shepherd R editor. Movement science: foundations for physical therapy in rehabilitation. 2nd ed.. Gaithersburg: Aspen Publishers; 2000;
  7. Krakauer JW. Motor learning: its relevance to stroke recovery and neurorehabilitation. Curr Opin Neurol. 2006;19:84–90
  8. Morris D, Taub E. Constraint-induced therapy approach to restoring function after neurological injury. Top Stroke Rehabil. 2001;8:16–30
  9. Taub E, Uswatte G, Pidikiti R. Constraint-induced movement therapy: a new family of techniques with broad application to physical rehabilitation—a clinical review. J Rehabil Res Dev. 1999;36:237–251
  10. Sterr A, Elbert T, Berthold I, Kolbel S, Rockstroh B, Taub E. Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: an exploratory study. Arch Phys Med Rehabil. 2002;83:1374–1377
  11. Wolf SL, Winstein CJ, Miller JP, et al. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke—the EXCITE randomized clinical trial. JAMA. 2006;296:2095–2104
  12. Blanton S, Wolf SL. An application of upper-extremity constraint-induced movement therapy in a patient with subacute stroke. Phys Ther. 1999;79:847–853
  13. Kunkel A, Kopp B, Muller G, et al. Constraint-induced movement therapy for motor recovery in chronic stroke patients. Arch Phys Med Rehabil. 1999;80:624–628
  14. Taub E, Uswatte G, King DK, Morris D, Crago JE, Chatterjee A. A placebo-controlled trial of constraint-induced movement therapy for upper extremity after stroke. Stroke. 2006;37:1045–1049
  15. Caimmi M, Carda S, Giovanzana C, et al. Using kinematic analysis to evaluate constraint-induced movement therapy in chronic stroke patients. Neurorehabil Neural Repair. 2008;22:31–39
  16. Lin KC, Wu CY, Wei TH, Lee CY, Liu JS. Effects of modified constraint-induced movement therapy on reach-to-grasp movements and functional performance after chronic stroke: a randomized controlled study. Clin Rehabil. 2007;21:1075–1086
  17. Page SJ, Levine P, Leonard A, Szaflarski JP, Kissela BM. Modified constraint-induced therapy in chronic stroke: results of a single-blinded randomized controlled trial. Phys Ther. 2008;88:333–340
  18. Wu CY, Chen CL, Tsai WC, Lin KC, Chou SH. A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life. Arch Phys Med Rehabil. 2007;88:273–278
  19. Wolf SL. On “Modified constraint-induced therapy …” Page et al. Phys Ther. 2008;88:333–340 [Letter]. Phys Ther. 2008;88:680–684
  20. Bonifer NM, Anderson KM, Arciniegas DB. Constraint-induced therapy for moderate chronic upper extremity impairment after stroke. Brain Inj. 2005;19:323–330
  21. Wu CY, Lin KC, Chen HC, Chen IH, Hong WH. Effects of modified constraint-induced movement therapy on movement kinematics and daily function in patients with stroke: a kinematic study of motor control mechanisms. Neurorehabil Neural Repair. 2007;21:460–466
  22. Cirstea AC, Levin ME. Improvement of arm movement patterns and endpoint control depends on type of feedback during practice in stroke survivors. Neurorehabil Neural Repair. 2007;21:398–411
  23. Folstein M, Folstein S, McHugh P. Mini-Mental State—practical method for grading cognitive state of patients for clinician. J Psychiatr Res. 1975;12:189–198
  24. Winstein CJ, Miller JP, Blanton S, et al. Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke. Neurorehabil Neural Repair. 2003;17:137–152
  25. Michaelsen SM, Jacobs S, Roby-Brami A, Levin MF. Compensation for distal impairments of grasping in adults with hemiparesis. Exp Brain Res. 2004;157:162–173
  26. Thaut MH, Kenyon GP, Hurt CP, McIntosh GC, Hoemberg V. Kinematic optimization of spatiotemporal patterns in paretic arm training with stroke patients. Neuropsychologia. 2002;40:1073–1081
  27. Morris DM, Uswatte G, Crago JE, Cook EW, Taub E. The reliability of the wolf motor function test for assessing upper extremity function after stroke. Arch Phys Med Rehabil. 2001;82:750–755
  28. Uswatte G, Taub E, Morris D, Light K, Thompson PA. The Motor Activity Log-28—assessing daily use of the hemiparetic arm after stroke. Neurology. 2006;67:1189–1194
  29. Levin MF. Interjoint coordination during pointing movements is disrupted in spastic hemiparesis. Brain. 1996;119:281–293
  30. Cirstea MC, Mitnitski AB, Feldman AG, Levin MF. Interjoint coordination dynamics during reaching in stroke. Exp Brain Res. 2003;151:289–300
  31. Michaelsen SM, Dannenbaum R, Levin MF. Task-specific training with trunk restraint on arm recovery in stroke—randomized control trial. Stroke. 2006;37:186–192
  32. Kwakkel G, Kollen B, Lindeman E. Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosci. 2004;22:281–299
  33. Latash ML, Anson JG. What are “normal movements” in atypical populations?. Behav Brain Sci. 1996;19:55–57

 From a thesis submitted to the Academic Faculty of Colorado State University in partial fulfillment of the requirements for the degree of Master of Science.

 Supported by the National Institutes of Health (grant no. 1RO1 HD045751-01A0) and a Scholarship Advancement Award, Department of Occupational Therapy, Colorado State University.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01713-9

doi: 10.1016/j.apmr.2008.09.574

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 571-579 , April 2009

Article Tools

* Image Usage & Resolution