Stroke · 2005
AutoCITE: automated delivery of CI therapy with reduced effort by therapists.
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Taub Edward, Lum Peter S, Hardin Phillip, Mark Victor W, Uswatte Gitendra
Аннотация
BACKGROUND AND PURPOSE: To evaluate the effectiveness of a device that automates Constraint-Induced Movement therapy (CI therapy), termed AutoCITE, when only partially supervised by therapists.
METHODS: Twenty-seven participants with chronic stroke trained with AutoCITE for 3 hours per day for 10 consecutive weekdays. Participants were assigned to 1 of 3 groups in a fixed irregular order (ie, in alternating blocks): supervision from a therapist for 100%, 50%, or 25% of training time.
RESULTS: The effect sizes of the treatment gains for the 3 groups on the Motor Activity Log (MAL) were very large and for the Wolf Motor Function Test they were large (all P<0.001) but were not significantly different from one another. Gains were comparable to those previously reported for participants who received an equal amount of standard one-on-one CI therapy without the device. At 1-month and long-term follow-up, gains from pretreatment on the MAL were also significant (P<0.001).
CONCLUSIONS: These results demonstrate that AutoCITE training with greatly reduced supervision from a therapist is as effective as standard one-on-one CI therapy.
METHODS: Twenty-seven participants with chronic stroke trained with AutoCITE for 3 hours per day for 10 consecutive weekdays. Participants were assigned to 1 of 3 groups in a fixed irregular order (ie, in alternating blocks): supervision from a therapist for 100%, 50%, or 25% of training time.
RESULTS: The effect sizes of the treatment gains for the 3 groups on the Motor Activity Log (MAL) were very large and for the Wolf Motor Function Test they were large (all P<0.001) but were not significantly different from one another. Gains were comparable to those previously reported for participants who received an equal amount of standard one-on-one CI therapy without the device. At 1-month and long-term follow-up, gains from pretreatment on the MAL were also significant (P<0.001).
CONCLUSIONS: These results demonstrate that AutoCITE training with greatly reduced supervision from a therapist is as effective as standard one-on-one CI therapy.
Предметные рубрики MeSH
Activities of Daily LivingAgedArmAutomationDisability EvaluationDominance, CerebralElectric Stimulation TherapyExercise TherapyFemaleHand StrengthHemiplegiaHumansMaleMiddle AgedMotor SkillsPhysical Therapy ModalitiesQuality of LifeRange of Motion, ArticularRecovery of FunctionRehabilitationRestraint, PhysicalSeverity of Illness IndexStrokeStroke RehabilitationTreatment OutcomeWorkforce