Constraint-Induced Movement therapy can improve hemiparetic progressive multiple sclerosis. Preliminary findings
Objective To evaluate whether Constraint-Induced Movement therapy (CI therapy) may benefit chronic upper extremity hemiparesis in progressive multiple sclerosis (MS). Methods Five patients with progressive MS, who had chronic upper extremity hemiparesis and evidence for learned non-use of the pareti...
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Published in | Multiple sclerosis Vol. 14; no. 7; pp. 992 - 994 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.08.2008
Arnold Sage Publications Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | Objective
To evaluate whether Constraint-Induced Movement therapy (CI therapy) may benefit chronic upper extremity hemiparesis in progressive multiple sclerosis (MS).
Methods
Five patients with progressive MS, who had chronic upper extremity hemiparesis and evidence for learned non-use of the paretic limb in the life situation, underwent 30 hours of repetitive task training and shaping for the paretic limb over 2–10 consecutive weeks, along with physical restraint of the less-affected arm and a “transfer package” of behavioral techniques to reinforce treatment adherence.
Results
The patients showed significantly improved spontaneous, real-world limb use at post-treatment and 4 weeks post-treatment, along with improved fatigue ratings and maximal movement ability displayed in a laboratory motor test.
Conclusions
The findings suggest for the first time that slowly progressive MS may benefit from CI therapy. Further studies are needed to determine the retention of treatment responses. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
ISSN: | 1352-4585 1477-0970 |
DOI: | 10.1177/1352458508090223 |