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 Web of Science 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 Web of Science (1) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Kaplon, R. T. Articles by Winstein, C. J. Search for Related Content PubMed PubMed Citation Articles by Kaplon, R. T. Articles by Winstein, C. J. Social Bookmarking                         What's this?

Six hours in the laboratory: a quantification of practice time during constraint-induced therapy (CIT)

Department of Physical Therapy, Hampton University, Hampton, VA

Michelle G. Prettyman

Department of Physical Therapy, Hampton University, Hampton, VA

Cynthia L. Kushi

University of Southern California, Los Angeles, CA

Carolee J. Winstein

Laboratory of Motor Behavior and Neurorehabilitation, University of Southern California, Health Sciences Campus, Los Angeles, CA, USA, winstein{at}usc.edu

Objective: To quantify supervised in-laboratory time and practice intensity during the signature protocol specified as 6 hours/day over 10 days for the EXtremity Constraint-Induced Therapy Evaluation (EXCITE) randomized clinical trial.

Design: Retrospective analysis of constraint-induced movement therapy training documentation acquired at the University of Southern California site from EXCITE (n = 38). Training documentation was reviewed and analysed to determine average and between-subject variability of supervised in-laboratory time and actual task-specific practice time for concurrence with the specified constraint-induced movement therapy protocol.

Setting: Motor Behavior and Neurorehabilitation Laboratory, Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.

Subjects: Data from 38 participants (35 met inclusion criteria) who, upon enrolment in the EXCITE trial, were between 3 and 10 months post stroke and between 47 and 81 years of age.

Results: The training records revealed an average of 64 hours (SD = 2.6) supervised in-laboratory time for 35 participants across 10 days of training. More importantly, the average time on task-specific practice was 3.95 hours per day (SD = 5.7) representing 62% of the in-laboratory time. Supervised in-laboratory time for

10 training days was consistent across the sample as was total practice time for days 2—10, with a substantially lower practice time on the initial training day. Conclusions: Participants tolerated an intense task-specific practice schedule that consisted of approximately two-thirds of the specified minimum 6 hour in-laboratory time and was distributed evenly between adaptive task practice (shaping) and task practice components.

Clinical Rehabilitation, Vol. 21, No. 10, 950-958 (2007)
DOI: 10.1177/0269215507078333


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

This article has been cited by other articles:

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