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Automated CI Therapy with pt's with stroke?

 
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Automated CI Therapy with pt's with stroke? - May 29, 2005 10:01:00 AM   
jma

 

Posts: 2639
Joined: August 25, 2000
From: NY
Status: offline
Hello,
This is an interesting article. For those who treat patients with stroke, what are opinions on this study?

"AutoCITE Automated Delivery of CI Therapy With Reduced Effort by Therapists
Edward Taub, PhD; Peter S. Lum, PhD; Phillip Hardin, MS;
Victor W. Mark, MD; Gitendra Uswatte, PhD

Background and Purpose?To evaluate the effectiveness of a device that automates Constraint-Induced Movement
therapy (CI therapy), termed AutoCITE, when only partially supervised by therapists.

Methods?Twenty-seven participants with chronic stroke trained with AutoCITE for 3 hours per day for 10 consecutive
weekdays. Participants were assigned to 1 of 3 groups in a fixed irregular order (ie, in alternating blocks): supervision
from a therapist for 100%, 50%, or 25% of training time.

Results?The effect sizes of the treatment gains for the 3 groups on the Motor Activity Log (MAL) were very large and
for the Wolf Motor Function Test they were large (all P0.001) but were not significantly different from one another.
Gains were comparable to those previously reported for participants who received an equal amount of standard
one-on-one CI therapy without the device. At 1-month and long-term follow-up, gains from pretreatment on the MAL
were also significant (P0.001).

Conclusion?These results demonstrate that AutoCITE training with greatly reduced supervision from a therapist is as
effective as standard one-on-one CI therapy. (Stroke. 2005;36:1301-1304.)"

JMA
Post #: 1
Re: Automated CI Therapy with pt's with stroke? - May 30, 2005 9:40:00 AM   
tucker

 

Posts: 182
Joined: May 25, 2003
From: Texas
Status: offline
My first question was what does this device look like and do, but I found an article with more information. It was published in the JRRD last year. http://www.vard.org/jour/04/41/3a/lum.html

Interesting.

(in reply to jma)
Post #: 2
Re: Automated CI Therapy with pt's with stroke? - May 30, 2005 9:55:00 PM   
tucker

 

Posts: 182
Joined: May 25, 2003
From: Texas
Status: offline
When I first went to one of Taub's courses on CI therapy back in 2001 by David Morris, the main problem was spending that many hours a day one-on-one with a patient. There's just no way it could happen in most inpt rehab facilities...so this would be a way that patients could get several hours a day of CI therapy.

The next question is...how much does it cost? I have a feeling it's going to be up there.

By the way, does anyone know when the NIH-funded multicenter trial on CIMT is going to be completed or published? Last I heard from Steve Wolf was that they were getting close to the target number of subjects, but that was last October.

(in reply to jma)
Post #: 3
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