Crystal Lange College of Health and Human Services, Saginaw Valley State University, 7400 Bay Road, University Center, MI 48710, USA.
Am J Occup Ther. 2010 Sep-Oct;64(5):735-44. doi: 10.5014/ajot.2010.08073.
This case report addresses the use of therapeutic occupations and activities within a modified constraint-induced movement therapy (mCIMT) approach for a 52-yr-old female violinist 4 yr after ischemic stroke.
Analysis of occupational performance was completed before and after intervention using a modified version of the Fugl-Meyer Sensorimotor Evaluation, the Motor Functioning Assessment, the Arm Improvement and Movement Checklist, and information obtained from a client journal maintained throughout treatment. The mCIMT protocol included use of constraint of the affected arm, with emphasis placed on participation in meaningful occupations and activities.
Improved function in the affected extremity was noted at the conclusion of mCIMT. After completion of therapy, the client reported a return to playing violin.
The findings from this case report suggest that use of meaningful occupations and activities integrated into a mCIMT protocol may be effective in addressing skills deficits for clients with upper-extremity chronic hemiparesis.
本病例报告探讨了治疗性职业活动在改良强制性运动疗法（mCIMT）中的应用，该疗法针对的是一名 52 岁女性小提琴手，她在缺血性脑卒中 4 年后出现偏瘫。
在干预前后，使用改良版 Fugl-Meyer 感觉运动评估、运动功能评估、手臂改善和运动检查表，以及治疗过程中客户日记中记录的信息，对职业表现进行分析。mCIMT 方案包括对患侧手臂的限制，重点是参与有意义的职业和活动。
mCIMT 结束时，患侧肢体功能得到改善。治疗结束后，客户报告说已经恢复拉小提琴。
本病例报告的结果表明，将有意义的职业和活动融入 mCIMT 方案中，可能对上肢慢性偏瘫患者的技能缺陷有效。
