So maybe there is hope for my hand after all. Although they only mention the arm improving.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J65463&phrase=no&rec=120772
NARIC Accession Number: J65463. What's this?
ISSN: 0003-9993.
Author(s): Taub, Edward; Uswatte, Gitendra; Bowman, Mary H.; Mark, Victor W.; Delgado, Adriana; Bryson, Camille; Morris, David; Bishop-McKay, Staci.
Project Number: H133G050222.
Publication Year: 2013.
Number of Pages: 9.
Abstract: Study investigated whether the combination
of constraint-induced movement therapy (CIMT) and conventional
rehabilitation techniques can produce meaningful motor improvement in
chronic stroke patients with initially fisted hands. Six patients who
were more than 1 year poststroke with plegic hands participated in the
study. Treatment consisted of an initial period of 3 weeks (phase A)
when adaptive equipment in the home, orthotics, and splints were
employed to improve ability to engage in activities of daily living.
This was continued in phase B, when CIMT and selected neurodevelopmental
treatment techniques were added. Outcome measures included the Motor
Activity Log (MAL), accelerometry, and the Fugl-Meyer Motor Assessment
(FMA). Patients exhibited a large improvement in spontaneous real-world
use of the more-affected arm (mean lower-functioning MAL change = 1.3
points) and a similar pattern of increase in an objective measure of
real-world more-affected arm movement (mean change in ratio of more- to
less-affected arm accelerometer recordings = 0.12 points). A large
improvement in motor status was also recorded (mean FMA change = 5.3
points). The findings suggest that stroke patients with plegic hands can
benefit from CIMT combined with some conventional rehabilitation
techniques, even long after brain injury.
Descriptor Terms: BODY MOVEMENT, LIMBS, MOTOR SKILLS, PARALYSIS, PHYSICAL THERAPY, STROKE.
Can this document be ordered through NARIC's document delivery service?: Y.
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