Occupation-based intervention versus rote exercise in modified constraint-induced movement therapy for patients with median and ulnar nerve injuries: a randomized controlled trial
Rostami, Hamid Reza
(Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran)
,
Akbarfahimi, Malahat
(Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran)
,
Hassani Mehraban, Afsoon
(Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran)
,
Akbarinia, Ali Reza
(Department of Hand Microsurgery and Plastic Surgery, Laleh Hospital, Tehran, Iran)
,
Samani, Susan
(Cognitive Research Centre, Shahid Beheshti University, Tehran, Iran)
Objective: To investigate effect of practice type during modified constraint-induced movement therapy on hand function in patients with chronic median and ulnar nerve injuries. Design: A prospective, single-blinded, randomized controlled clinical trial. Setting: Participants’ private home. Sub...
Objective: To investigate effect of practice type during modified constraint-induced movement therapy on hand function in patients with chronic median and ulnar nerve injuries. Design: A prospective, single-blinded, randomized controlled clinical trial. Setting: Participants’ private home. Subjects: A convenience sample of 36 outpatient participants allocated randomly to three equal groups. Interventions: Intervention groups underwent 3-hour intensive training of affected hand each day, 3-day a week, 4-week in association with immobilisation of healthy hand: occupation-based group practiced meaningful occupations while rote exercise-based group performed rote exercises during constraint-induced movement therapy. Control group performed different activities with affected hand for 1.5-hour each day during 4-week without restriction of healthy hand. Main measures: A blinded assessor tested Canadian occupational performance measure, box and block, Static two-point discrimination, disabilities of arm, shoulder, hand questionnaire, and self-assessment manikin in a random order across sessions 3-time as baseline (pre-test), after 4-week intervention (post-test), and 1-month after intervention period (follow up). Results: Scores significantly changed in intervention groups compared to control. Despite significantly more improvement in occupation-based than rote exercise-based group in subjective measures at post-test and follow up (Canadian occupational performance measure: mean change 4.7 vs. 2.1 for performance, P< 0.001 and mean change 5.3 vs. 2.6 for satisfaction, P< 0.001), it was significant just at follow up for box and block and static two-point discrimination. Conclusions: Practice content of constraint-induced movement therapy is a critical part of its effectiveness on improving outcomes following peripheral nerve repair in favour of occupation-based intervention in present study.
Objective: To investigate effect of practice type during modified constraint-induced movement therapy on hand function in patients with chronic median and ulnar nerve injuries. Design: A prospective, single-blinded, randomized controlled clinical trial. Setting: Participants’ private home. Subjects: A convenience sample of 36 outpatient participants allocated randomly to three equal groups. Interventions: Intervention groups underwent 3-hour intensive training of affected hand each day, 3-day a week, 4-week in association with immobilisation of healthy hand: occupation-based group practiced meaningful occupations while rote exercise-based group performed rote exercises during constraint-induced movement therapy. Control group performed different activities with affected hand for 1.5-hour each day during 4-week without restriction of healthy hand. Main measures: A blinded assessor tested Canadian occupational performance measure, box and block, Static two-point discrimination, disabilities of arm, shoulder, hand questionnaire, and self-assessment manikin in a random order across sessions 3-time as baseline (pre-test), after 4-week intervention (post-test), and 1-month after intervention period (follow up). Results: Scores significantly changed in intervention groups compared to control. Despite significantly more improvement in occupation-based than rote exercise-based group in subjective measures at post-test and follow up (Canadian occupational performance measure: mean change 4.7 vs. 2.1 for performance, P< 0.001 and mean change 5.3 vs. 2.6 for satisfaction, P< 0.001), it was significant just at follow up for box and block and static two-point discrimination. Conclusions: Practice content of constraint-induced movement therapy is a critical part of its effectiveness on improving outcomes following peripheral nerve repair in favour of occupation-based intervention in present study.
참고문헌 (41)
Novak, Christine B., Anastakis, Dimitri J., Beaton, Dorcas E., Mackinnon, Susan E., Katz, Joel.
Relationships Among Pain Disability, Pain Intensity, Illness Intrusiveness, and Upper Extremity Disability in Patients With Traumatic Peripheral Nerve Injury.
The Journal of hand surgery : (American Volume),
vol.35,
no.10,
1633-1639.
Jaquet, Jean-Bart, Luijsterburg, Antonius J. M., Kalmijn, Sandra, Kuypers, Paul D. L., Hofman, Albert, Hovius, Steven E. R..
Median, Ulnar, and Combined Median-Ulnar Nerve Injuries: Functional Outcome and Return to Productivity :.
The journal of trauma, injury, infection, and critical care,
vol.51,
no.4,
687-692.
Björkman, Anders, Weibull, Andreas, Rosén, Birgitta, Svensson, Jonas, Lundborg, Göran.
Rapid cortical reorganisation and improved sensitivity of the hand following cutaneous anaesthesia of the forearm.
The European journal of neuroscience,
vol.29,
no.4,
837-844.
Wall, J.T, Xu, J, Wang, X.
Human brain plasticity: an emerging view of the multiple substrates and mechanisms that cause cortical changes and related sensory dysfunctions after injuries of sensory inputs from the body.
Brain research. Brain research reviews,
vol.39,
no.2,
181-215.
Rosén, B., Björkman, A., Lundborg, G..
Improved sensory relearning after nerve repair induced by selective temporary anaesthesia – a new concept in hand rehabilitation.
The journal of hand surgery : journal of the British Society for Surgery of the Hand,
vol.31,
no.2,
126-132.
Werhahn, Konrad J., Mortensen, Jennifer, Van Boven, Robert W., Zeuner, Kirsten E., Cohen, Leonardo G..
Enhanced tactile spatial acuity and cortical processing during acute hand deafferentation.
Nature neuroscience,
vol.5,
no.10,
936-938.
Taub, Edward, Uswatte, Gitendra, Mark, Victor W., Morris, David M., Barman, Joydip, Bowman, Mary H., Bryson, Camille, Delgado, Adriana, Bishop-McKay, Staci.
Method for Enhancing Real-World Use of a More Affected Arm in Chronic Stroke : Transfer Package of Constraint-Induced Movement Therapy.
Stroke,
vol.44,
no.5,
1383-1388.
Taub, Edward, Uswatte, Gitendra, Mark, Victor W..
The functional significance of cortical reorganization and the parallel development of CI therapy.
Frontiers in human neuroscience,
vol.8,
396-.
Rostami, Hamid Reza, Khayatzadeh Mahany, Mohammad, Yarmohammadi, Narjes.
Feasibility of the modified constraint-induced movement therapy in patients with median and ulnar nerve injuries: a single-subject A-B-A design.
Clinical rehabilitation,
vol.29,
no.3,
277-284.
Pedretti’s occupational therapy: practice skills for physical dysfunction Breines EB 729 2013 7
Occupational Therapy Practice Framework: Domain and Process (3rd Edition).
The American journal of occupational therapy : official publication of the American Occupational Therapy Association,
vol.68,
no.1,
S1-S48.
Earley, Donald, Herlache, Ellen, Skelton, Dana R..
Use of Occupations and Activities in a Modified Constraint-Induced Movement Therapy Program: A Musician’s Triumphs Over Chronic Hemiparesis From Stroke.
The American journal of occupational therapy : official publication of the American Occupational Therapy Association,
vol.64,
no.5,
735-744.
Skubik-Peplaski, Camille, Carrico, Cheryl, Nichols, Laurel, Chelette, Kenneth, Sawaki, Lumy.
Behavioral, Neurophysiological, and Descriptive Changes After Occupation-Based Intervention.
The American journal of occupational therapy : official publication of the American Occupational Therapy Association,
vol.66,
no.6,
e107-e113.
Guzelkucuk, Umut, Duman, Iltekin, Taskaynatan, Mehmet Ali, Dincer, Kemal.
Comparison of Therapeutic Activities With Therapeutic Exercises in the Rehabilitation of Young Adult Patients With Hand Injuries.
The Journal of hand surgery : (American Volume),
vol.32,
no.9,
1429-1435.
Mastos, M, Miller, K, Eliasson, A C, Imms, C.
Goal-directed training: linking theories of treatment to clinical practice for improved functional activities in daily life.
Clinical rehabilitation,
vol.21,
no.1,
47-55.
Rostami, Hamid Reza, Malamiri, R. Azizi.
Effect of treatment environment on modified constraint-induced movement therapy results in children with spastic hemiplegic cerebral palsy: a randomized controlled trial.
Disability and rehabilitation,
vol.34,
no.1,
40-44.
Mathiowetz, Virgil, Volland, Gloria, Kashman, Nancy, Weber, Karen.
Adult Norms for the Box and Block Test of Manual Dexterity.
The American journal of occupational therapy : official publication of the American Occupational Therapy Association,
vol.39,
no.6,
386-391.
Bradley, M.M., Lang, P.J..
Measuring emotion: The self-assessment manikin and the semantic differential.
Journal of behavior therapy and experimental psychiatry,
vol.25,
no.1,
49-59.
Merzenich, Michael M., Jenkins, William M..
Reorganization of Cortical Representations of the Hand Following Alterations of Skin Inputs Induced by Nerve Injury, Skin Island Transfers, and Experience.
Journal of hand therapy : official journal of the American Society of Hand Therapists,
vol.6,
no.2,
89-104.
Rosenkranz, Karin, Rothwell, John C..
The effect of sensory input and attention on the sensorimotor organization of the hand area of the human motor cortex.
The Journal of physiology,
vol.561,
no.1,
307-320.
Ferguson, Janice M., Trombly, Catherine A..
The Effect of Added-Purpose and Meaningful Occupation on Motor Learning.
The American journal of occupational therapy : official publication of the American Occupational Therapy Association,
vol.51,
no.7,
508-515.
Rosén, Birgitta, Balkeniu, Christian, Lundborg, Göran.
Sensory Re-education Today and Tomorrow: A Review of Evolving Concepts.
The British journal of hand therapy,
vol.8,
no.2,
48-56.
ROSÉN, B., LUNDBORG, G., DAHLIN, L. B., HOLMBERG, J., KARLSON, B..
Nerve Repair: Correlation of Restitution of Functional Sensibility with Specific Cognitive Capacities.
The journal of hand surgery : journal of the British Society for Surgery of the Hand,
vol.19,
no.4,
452-458.
Wressle, Ewa, Eeg-Olofsson, Anne-Marie, Marcusson, Jan, Henriksson, Chris.
Improved client participation in the rehabilitation process using a client-centred goal formulation structure.
Journal of rehabilitation medicine,
vol.34,
no.1,
5-11.
Mavrogenis, Andreas F., Spyridonos, Sarantis G., Antonopoulos, Dimitris, Soucacos, Panayotis N., Papagelopoulos, Panayiotis J..
Effect of Sensory Re-Education After Low Median Nerve Complete Transection and Repair.
The Journal of hand surgery : (American Volume),
vol.34,
no.7,
1210-1215.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.