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Protocol for a Randomized Controlled Trial of CI Therapy for Rehabilitation of Upper Extremity Motor Deficit: The Bringing Rehabilitation to American Veterans Everywhere Project.
Morris, David M; Taub, Edward; Mark, Victor W; Liu, Wei; Brenner, Lisa; Pickett, Treven; Stearns-Yoder, Kelly; Bishop-McKay, Staci; Taylor, Andrea; Reder, Laura; Adams, Terrie; Rimmer, James; Dew, Dustin; Szaflarski, Jerzy; Womble, Brent; Stevens, Lillian; Rothman, David; Uswatte, Gitendra.
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  • Morris DM; From the Departments of Psychology (Drs Taub, Mark, and Uswatte, Mss Bishop-McKay, Taylor, Reder, and Adams, and Mr Womble), Physical Therapy (Drs Morris and Uswatte), Physical Medicine and Rehabilitation (Dr Mark), Neurology (Drs Mark and Szaflarski), Occupational Therapy (Dr Rimmer), and UAB/Lakeshore Research Collaborative (Dr Rimmer and Mr Dew), University of Alabama at Birmingham; Edward Via College of Osteopathic Medicine, Auburn, Alabama (Dr Liu); National Intrepid Center of Excellence, B
J Head Trauma Rehabil ; 34(4): 268-279, 2019.
Article en En | MEDLINE | ID: mdl-30608308
Constraint-induced movement therapy (CI therapy) has been shown to reduce disability for individuals with upper extremity (UE) hemiparesis following different neurologic injuries. This article describes the study design and methodological considerations of the Bringing Rehabilitation to American Veterans Everywhere (BRAVE) Project, a randomized controlled trial of CI therapy to improve the motor deficit of participants with chronic and subacute traumatic brain injury. Our CI therapy protocol comprises 4 major components: (1) intensive training of the more-affected UE for target of 3 hour/day for 10 consecutive weekdays, (2) a behavioral technique termed shaping during training, (3) a "transfer package," 0.5 hour/day, of behavioral techniques to transfer therapeutic gains from the treatment setting to the life situation, and (4) prolonged restraint of use of the UE not being trained. The primary endpoint is posttreatment change on the Motor Activity Log, which assesses the use of the more-affected arm outside the laboratory in everyday life situations. Data from a number of secondary outcome measures are also being collected and can be categorized as physical, genomic, biologic, fitness, cognitive/behavioral, quality of life, and neuroimaging measures.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Paresia / Brazo / Traumatismos del Brazo / Veteranos / Modalidades de Fisioterapia / Enfermedades del Sistema Nervioso Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Límite: Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: J Head Trauma Rehabil Asunto de la revista: REABILITACAO / TRAUMATOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Paresia / Brazo / Traumatismos del Brazo / Veteranos / Modalidades de Fisioterapia / Enfermedades del Sistema Nervioso Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Límite: Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: J Head Trauma Rehabil Asunto de la revista: REABILITACAO / TRAUMATOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos