Modified Constraint-Induced Therapy: A Promising Restorative Outpatient Therapy
Modified Constraint-Induced Therapy: A Promising Restorative Outpatient Therapy
复制标题
改良约束诱导疗法：一种有前途的恢复性门诊疗法
DOI：
10.1310/r4hn-51mw-jfyk-2jan
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发表时间：
2004
影响因子：
2.2
通讯作者：
Stephen J. Page
中科院分区：
文献类型：
--
作者：
P. Levine;Stephen J. Page
摘要背景和目的：在美国，中风是导致残疾的主要原因，上肢轻偏瘫是导致这种残疾的主要损伤。然而，仍然缺乏经科学验证的轻偏瘫治疗方案。来自随机对照研究的数据表明改良强制诱导疗法（mCIT）的有效性和疗效，这是一种可报销的门诊上肢训练方案。本文的目的是回顾证据，并讨论mCIT中风引起的轻偏瘫的理论基础。其目的是使中风医生了解mCIT的理论基础和临床实用，有效的协议。结论：mCIT是坚实的运动学习原则，是实用和安全的，是有效的和有效的。mCIT研究已经显示了使用严格的随机对照方法治疗亚急性和慢性卒中的疗效，并且已经显示了已被独立证实的高效应量。因此，推荐mCIT用于临床应用似乎是合理的。
Abstract Background and Purpose: Stroke is the leading cause of disability in the United States, and upper limb hemiparesis is a primary impairment resulting in this disability. However, there remains a paucity of scientifically validated treatment regimens for hemiparesis. Data from randomized controlled studies suggest the effectiveness and efficacy of modified constraint-induced therapy (mCIT), a reimbursable, outpatient, upper limb training regimen. The purpose of this article is to review evidence and discuss the theoretical bases of mCIT for stroke-induced hemiparesis. The objective is to make stroke practitioners aware of the mCIT theoretical bases and of this clinically practical, efficacious protocol. Conclusions: mCIT is solidly grounded in motor learning principles, is practical and safe, and is both efficacious and effective. mCIT studies have shown efficacy using rigorous randomized controlled methods in both subacute and chronic stroke and have shown high effect sizes that have been independently confirmed. It thus seems reasonable to recommend mCIT for clinical application.