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Use of occupations and activities in a modified constraint-induced movement therapy program: a musician's triumphs
Donald Earley1, Ellen Herlache, Dana R Skelton
1Crystal Lange College of Health and Human Services, Saginaw Valley State University, 7400 Bay Road, University Center, MI 48710, USA. dwe@svsu.edu
Objective:
This case report addresses the use of therapeutic occupations and activities within a modified constraint-induced movement therapy (mCIMT) approach for a 52-yr-old female violinist 4 yr after ischemic stroke.
Method:
Analysis of occupational performance was completed before and after intervention using a modified version of the Fugl-Meyer Sensorimotor Evaluation, the Motor Functioning Assessment, the Arm Improvement and Movement Checklist, and information obtained from a client journal maintained throughout treatment. The mCIMT protocol included use of constraint of the affected arm, with emphasis placed on participation in meaningful occupations and activities.
Results:
Improved function in the affected extremity was noted at the conclusion of mCIMT. After completion of therapy, the client reported a return to playing violin.
Discussion:
The findings from this case report suggest that use of meaningful occupations and activities integrated into a mCIMT protocol may be effective in addressing skills deficits for clients with upper-extremity chronic hemiparesis.
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