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Adherence to modified constraint-induced movement therapy: the case for meaningful occupation

Walker, Johanne and Moore, Melanie 2016, Adherence to modified constraint-induced movement therapy: the case for meaningful occupation, Journal of primary health care, vol. 8, no. 3, pp. 263-266, doi: 10.1071/HC16022.

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Title Adherence to modified constraint-induced movement therapy: the case for meaningful occupation
Author(s) Walker, Johanne
Moore, Melanie
Journal name Journal of primary health care
Volume number 8
Issue number 3
Start page 263
End page 266
Total pages 4
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2016-09-20
ISSN 1172-6164
1172-6156
Summary 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.
Language eng
DOI 10.1071/HC16022
Field of Research 111708 Health and Community Services
1117 Public Health And Health Services
1110 Nursing
Socio Economic Objective 920201 Allied Health Therapies (excl. Mental Health Services)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Royal New Zealand College of General Practitioners
Free to Read? Yes
Use Rights Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30091008

Document type: Journal Article
Collections: School of Health and Social Development
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.