Combined Effects of Telehealth and Modified Constraint-Induced Movement Therapy for Individuals with Chronic Hemiparesis
| Autor: | Mary Ann Smith, Machiko Tomita |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty telehealth Health Informatics Telehealth lcsh:Computer applications to medicine. Medical informatics mcimt 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Health Information Management Telerehabilitation Medicine Functional ability hemiparesis business.industry Attendance rate Research Rehabilitation Attendance Functional Independence Measure Computer Science Applications Constraint-induced movement therapy Hemiparesis lcsh:R858-859.7 medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Telerehabilitation, Vol 12, Iss 1, Pp 51-62 (2020) International Journal of Telerehabilitation |
| ISSN: | 1945-2020 |
| Popis: | Telehealth use allows improved access to services and results in potential cost savings. The purpose of this study was to examine the effectiveness of a combined modified Constrained Induced Movement Therapy (mCIMT) program using telehealth and in-person sessions, for participants with higher (Group 1) and lower (Group 2) functional ability of the hemiparetic upper extremity. Using a pre-experimental design with a 6-week intervention, 28 participants were assessed twice on use of upper extremity via subjective and objective measures. For the Motor Activity Log, the amount of use and quality of use were significant for Groups 1 and 2. Significant improvements were shown on the Wolf Motor Function Test (WMFT), the Fugl-Meyer UE, and the Functional Independence Measure (FIM) for both groups except for the strength subtest on the WMFT and the timed portion for Group 1. Percentages of attendance for telehealth and in-person sessions were also compared. Telehealth sessions had a higher attendance rate (84.5%) than in-person sessions (75.3%) (p=.004). The combined mCIMT program of telerehabilitation and in-person group sessions was effective in improving functional ability after a stroke. |
| Databáze: | OpenAIRE |
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