Constraint-induced movement therapy for motor recovery in chronic stroke patients

Arch Phys Med Rehabil. 1999 Jun;80(6):624-8. doi: 10.1016/s0003-9993(99)90163-6.


Objective: Assessment of the effectiveness of constraint-induced (CI) movement therapy and quantitative evaluation of the effects of CI therapy.

Design: Intervention study; case series; pretreatment to posttreatment measures and follow-up 3 months after intervention.

Setting: An outpatient department.

Patients: Five chronic stroke patients with moderate motor deficit; convenience sample.

Interventions: CI therapy consisting of restraint of the unaffected upper extremity in a sling for 14 days combined with 6 hours of training per weekday of the affected upper extremity.

Main outcome measures: Actual Amount of Use Test (AAUT), Motor Activity Log (MAL), Wolf Motor Function Test (WMFT), and Arm Motor Ability Test (AMAT) RESULTS: There was a substantial improvement in the performance times of the laboratory tests (AMAT, WMFT, p < or = .039) and in the quality of movement (AMAT, WMFT, p < or = .049; MAL, p = .049), particularly in the use of the extremity in "real world" environments (AAUT, p = .020), supported by results of quantitative evaluation. The effect sizes were large and comparable to those found in previous studies of CI therapy.

Conclusions: CI therapy is an efficacious treatment for chronic stroke patients, especially in terms of real world outcome.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Cerebrovascular Disorders / rehabilitation
  • Cerebrovascular Disorders / therapy*
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Motor Activity
  • Physical Therapy Modalities / methods*
  • Treatment Outcome