Protokol z omejevanjem spodbujajoče terapije pri bolnici po nezgodni možganski poškodbi
Protocol of constraint-induced movement therapy for a patient after traumatic brain injury

slovenian

2012

volume 11, issue 1

Brain Injuries   Case Reports   constraint-induced movement therapy   delovna terapija   Occupational Therapy   vocational rehabilitation

Univerzitetni rehabilitacijski inštitut RS – Soča
(Obvezni izvod spletne publikacije)

Constraint-induced movement therapy (CIMT) is a form of rehabilitation that improves upper limb function in persons after stroke and other central nervous system disorders by increasing the use of their affected upper limb. We could not find any existing CIMT protocol suitable for our clinical practice, because the minimum recommended intensive treatment is 3 hours per day, while the organization of work at the University Rehabilitation Institute in Ljubljana in such that occupational therapists cannot spend so much time with a single patient. In this case study, we therefore wanted to highlight the effect of one-and-a-half-hour sessions of outpatient treatment, which included use of the restraint glove at home. Our patient suffered traumatic brain injury 15 years ago. She was highly motivated to improve her affected dominant right hand. After initial assessment, we conducted 10 sessions (twice a week) of intensive use of the affected limb (i.e., shaping) with the goal of promoting purposeful movements when performing functional tasks. The assessment after the therapy showed an improvement in the quantity and quality of use of the affected limb. Follow-up assessment after one month showed that the progress was maintained or even increased further. In order to verify the efficiency of the introduced CIMT protocol, it would be necessary to conduct a larger study with randomly selected patients.

26.03.2013