This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Page, S. J Articles by Johnston, M. V Search for Related Content PubMed PubMed Citation Articles by Page, S. J Articles by Johnston, M. V Pubmed/NCBI databases Medline Plus Health Information Stroke Social Bookmarking                         What's this?

Stroke patients' and therapists' opinions of constraint-induced movement therapy

Kessler Medical Rehabilitation Research and Education Corporation (KMRREC), West Orange and University of Medicine and Dentistry/New Jersey Medical School (UMDNJ/NJMS), Newark

Peter Levine

KMRREC, West Orange, Newark

Sueann Sisto

KMRREC, West Orange and UMDNJ/NJMS, Newark

Quin Bond

KMRREC, West Orange, Newark, NJ, USA

Mark V Johnston

KMRREC, West Orange and UMDNJ/NJMS, Newark, NJ, USA

Objective: To determine the opinions of patients with stroke and therapists about constraint-induced movement therapy (CIT).

Subjects and intervention: Two hundred and eight patients with stroke in the northeastern USA responded to a self-report questionnaire administered through the mail and via telephone interviews. A similar questionnaire was administered to 85 physical and occupational therapists in the northeastern USA during their clinical staff meetings. The questionnaire described CIT to participants using excerpts from a recently published CIT study. Subjects then responded to various statements concerning their opinions of the protocol and supplied rationale for their opinions.

Results: Sixty-eight per cent of patients said they were not interested in participating in CIT, citing concerns with the practice schedule and the restrictive device schedule. Therapists cited concerns about patient adherence and safety, and speculated that facilities may not have the clinical resources to provide CIT.

Conclusions: Patients with stroke and therapists in some environments may hold sceptical views about the utility of CIT. Although it has been shown to be effective in laboratory research, CIT may have low clinical practicality in some environments.

Clinical Rehabilitation, Vol. 16, No. 1, 55-60 (2002)
DOI: 10.1191/0269215502cr473oa


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				R. Stock and P. J. Mork The effect of an intensive exercise programme on leg function in chronic stroke patients: a pilot study with one-year follow-up Clinical Rehabilitation, September 1, 2009; 23(9): 790 - 799. [Abstract] [PDF]

				K.-c. Lin, Y.-f. Chang, C.-y. Wu, and Y.-a. Chen Effects of Constraint-Induced Therapy Versus Bilateral Arm Training on Motor Performance, Daily Functions, and Quality of Life in Stroke Survivors Neurorehabil Neural Repair, June 1, 2009; 23(5): 441 - 448. [Abstract] [PDF]

				A. M. Hammer and B. Lindmark Effects of Forced Use on Arm Function in the Subacute Phase After Stroke: A Randomized, Clinical Pilot Study Physical Therapy, June 1, 2009; 89(6): 526 - 539. [Abstract] [Full Text] [PDF]

				K.-c. Lin, Y.-h. Huang, Y.-w. Hsieh, and C.-y. Wu Potential Predictors of Motor and Functional Outcomes After Distributed Constraint-Induced Therapy for Patients With Stroke Neurorehabil Neural Repair, May 1, 2009; 23(4): 336 - 342. [Abstract] [PDF]

				S. L Wolf On "Modified constraint-induced therapy..." Page et al. Phys Ther. 2008;88:333-340. Physical Therapy, May 1, 2008; 88(5): 680 - 684. [Full Text] [PDF]

				S. Page and P. Levine Author Response Physical Therapy, May 1, 2008; 88(5): 684 - 688. [Full Text] [PDF]

				S. J Page, P. Levine, A. Leonard, J. P Szaflarski, and B. M Kissela Modified Constraint-Induced Therapy in Chronic Stroke: Results of a Single-Blinded Randomized Controlled Trial Physical Therapy, March 1, 2008; 88(3): 333 - 340. [Abstract] [Full Text] [PDF]

				A. Burns, J. Burridge, and R. Pickering Does the use of a constraint mitten to encourage use of the hemiplegic upper limb improve arm function in adults with subacute stroke? Clinical Rehabilitation, October 1, 2007; 21(10): 895 - 904. [Abstract] [PDF]

				S. J Page and P. Levine Modified Constraint-Induced Therapy in Patients With Chronic Stroke Exhibiting Minimal Movement Ability in the Affected Arm Physical Therapy, July 1, 2007; 87(7): 872 - 878. [Abstract] [Full Text] [PDF]

				L. Richards, L. J Gonzalez Rothi, S. Davis, S. S Wu, and S. E Nadeau Limited dose response to Constraint-Induced Movement Therapy in patients with chronic stroke Clinical Rehabilitation, December 1, 2006; 20(12): 1066 - 1074. [Abstract] [PDF]

				E. M Frick and J. L Alberts Combined Use of Repetitive Task Practice and an Assistive Robotic Device in a Patient With Subacute Stroke Physical Therapy, October 1, 2006; 86(10): 1378 - 1386. [Abstract] [Full Text] [PDF]

				S.-F. Sun, C.-W. Hsu, C.-W. Hwang, P.-T. Hsu, J.-L. Wang, and C.-L. Yang Application of Combined Botulinum Toxin Type A and Modified Constraint-Induced Movement Therapy for an Individual With Chronic Upper-Extremity Spasticity After Stroke Physical Therapy, October 1, 2006; 86(10): 1387 - 1397. [Abstract] [Full Text] [PDF]

				J. Underwood, P. C Clark, S. Blanton, D. M Aycock, and S. L Wolf Pain, Fatigue, and Intensity of Practice in People With Stroke Who Are Receiving Constraint-Induced Movement Therapy Physical Therapy, September 1, 2006; 86(9): 1241 - 1250. [Abstract] [Full Text] [PDF]

				C. Brogardh and B. H Sjolund Constraint-induced movement therapy in patients with stroke: a pilot study on effects of small group training and of extended mitt use Clinical Rehabilitation, March 1, 2006; 20(3): 218 - 227. [Abstract] [PDF]

				S. H. You, S. H. Jang, Y.-H. Kim, M. Hallett, S. H. Ahn, Y.-H. Kwon, J. H. Kim, and M. Y. Lee Virtual Reality-Induced Cortical Reorganization and Associated Locomotor Recovery in Chronic Stroke: An Experimenter-Blind Randomized Study Stroke, June 1, 2005; 36(6): 1166 - 1171. [Abstract] [Full Text] [PDF]

				S. J Page and C. Garner Psychometric evaluation of the Motor Readiness Questionnaire for Stroke Clinical Rehabilitation, May 1, 2005; 19(5): 531 - 537. [Abstract] [PDF]

				S. J. Page, P. Levine, and A. C. Leonard Modified Constraint-Induced Therapy in Acute Stroke: A Randomized Controlled Pilot Study Neurorehabil Neural Repair, March 1, 2005; 19(1): 27 - 32. [Abstract] [PDF]

				R. J Siegert, S. Lord, and K. Porter Constraint-induced movement therapy: time for a little restraint? Clinical Rehabilitation, January 1, 2004; 18(1): 110 - 114. [Abstract] [PDF]

				S. R. Pierce, K. G. Gallagher, S. W. Schaumburg, A. M. Gershkoff, J. P. Gaughan, and L. Shutter Home Forced Use in an Outpatient Rehabilitation Program for Adults with Hemiplegia: A Pilot Study Neurorehabil Neural Repair, December 1, 2003; 17(4): 214 - 219. [Abstract] [PDF]

				A. Sterr and S. Freivogel Motor-improvement following intensive training in low-functioning chronic hemiparesis Neurology, September 23, 2003; 61(6): 842 - 844. [Abstract] [Full Text] [PDF]

				S. J. Page, S. Sisto, M. V. Johnston, and P. Levine Modified Constraint-Induced Therapy after Subacute Stroke: A Preliminary Study Neurorehabil Neural Repair, September 1, 2002; 16(3): 290 - 295. [Abstract] [PDF]