Kyoung-Suk Lee1, Wan-Hee Lee, Sujin Hwang. 1. Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University, Seoul, Korea.
Abstract
OBJECTIVE: The purpose of this study was to examine the effect of modified constraint-induced movement therapy on hand and arm functions in people with Parkinson disease. DESIGN:Twenty individuals with Parkinson disease participated in the study. The experimental group (ten subjects) performed modified constraint-induced movement therapy for 4 wks (3 hrs/day, 5 days/wk), whereas the control group performed general upper limb exercises on the same schedule. The outcome measures both pretest and posttest were the box and block test, Fugl-Meyer assessment, and action research arm test. RESULTS: The scores for the box and block test in the experimental group increased from 35.8 ± 2.6 to 44.8 ± 3.4 after training. Total scores for the Fugl-Meyer assessment in the experimental group significantly increased from 33.6 ± 1.5 to 53.7 ± 3.1 after training. Greater improvement in action research arm test scores were observed in the experimental group (from 35.1 ± 4.9 to 50.8 ± 3.6) than in the general exercise group (from 33.1 ± 2.2 to 34.8 ± 2.7). CONCLUSIONS:Modified constraint-induced movement therapy improves fine and gross motor performances of the upper limb in people with Parkinson disease. Therefore, the therapy would be recommended as an effective treatment for them.
RCT Entities:
OBJECTIVE: The purpose of this study was to examine the effect of modified constraint-induced movement therapy on hand and arm functions in people with Parkinson disease. DESIGN: Twenty individuals with Parkinson disease participated in the study. The experimental group (ten subjects) performed modified constraint-induced movement therapy for 4 wks (3 hrs/day, 5 days/wk), whereas the control group performed general upper limb exercises on the same schedule. The outcome measures both pretest and posttest were the box and block test, Fugl-Meyer assessment, and action research arm test. RESULTS: The scores for the box and block test in the experimental group increased from 35.8 ± 2.6 to 44.8 ± 3.4 after training. Total scores for the Fugl-Meyer assessment in the experimental group significantly increased from 33.6 ± 1.5 to 53.7 ± 3.1 after training. Greater improvement in action research arm test scores were observed in the experimental group (from 35.1 ± 4.9 to 50.8 ± 3.6) than in the general exercise group (from 33.1 ± 2.2 to 34.8 ± 2.7). CONCLUSIONS: Modified constraint-induced movement therapy improves fine and gross motor performances of the upper limb in people with Parkinson disease. Therefore, the therapy would be recommended as an effective treatment for them.
Authors: Claire L Tomlinson; Clare P Herd; Carl E Clarke; Charmaine Meek; Smitaa Patel; Rebecca Stowe; Katherine H O Deane; Laila Shah; Catherine M Sackley; Keith Wheatley; Natalie Ives Journal: Cochrane Database Syst Rev Date: 2014-06-17
Authors: Alfonso Maria Ponsiglione; Carlo Ricciardi; Francesco Amato; Mario Cesarelli; Giuseppe Cesarelli; Giovanni D'Addio Journal: Sensors (Basel) Date: 2022-02-22 Impact factor: 3.576