Walker Johanne, Moore Melanie
School of Health and Social Development, Deakin University, Geelong, Australia.
J Prim Health Care. 2016 Sep;8(3):263-266. doi: 10.1071/HC16022.
INTRODUCTION Modified constraint-induced movement therapy (mCIMT) has been shown to improve function of an affected upper limb post stroke. However, factors influencing adherence of individuals undertaking a mCIMT protocol require further investigation. AIM To explore the experience of two participants undergoing a mCIMT protocol and examine factors influencing adherence to the protocol. METHODS A qualitative case study design was used. Two participants with upper limb hemiparesis following a stroke were recruited and received mCIMT (two hours of therapy, three days per week for a total of two weeks). During the treatment period, participants were also encouraged to wear the restraint mitt for four hours per day at home. RESULTS Participants reported increased confidence and self-esteem following participation, as well as improvements in bi-lateral upper limb function. Participants reported the mCIMT protocol as being highly frustrating. However, motivation to adhere to the protocol was positively influenced by the meaningfulness of the occupations attempted. CONCLUSION Although mCIMT can prove frustrating, meaningful occupations may act as a powerful motivator towards adherence to a mCIMT protocol. Further research is required.
引言 改良的强制性使用运动疗法（mCIMT）已被证明可改善中风后受影响上肢的功能。然而，影响接受mCIMT方案个体依从性的因素需要进一步研究。目的 探讨两名接受mCIMT方案参与者的经历，并研究影响方案依从性的因素。方法 采用定性案例研究设计。招募了两名中风后上肢偏瘫的参与者，并接受mCIMT（每天两小时治疗，每周三天，共两周）。在治疗期间，还鼓励参与者在家中每天佩戴约束手套四小时。结果 参与者报告参与后信心和自尊增强，双侧上肢功能也有所改善。参与者称mCIMT方案非常令人沮丧。然而，尝试的活动的意义对坚持方案的动机有积极影响。结论 尽管mCIMT可能令人沮丧，但有意义的活动可能是坚持mCIMT方案的有力动力。需要进一步研究。
