HandTutor ArmTutor and combination of EXCITE – Constraint Therapy and upper Extremity Movement

The EXCITE – The Extremity Constraint Induced Therapy Evaluation (EXCITE) trial was a randomized clinical trial by Steven L. Wolf and colleagues looking at the Effect of Constraint-Induced Movement Therapy (CIMT) on Upper Extremity Function 3 to 9 Months After Stroke. CIMT is the wearing a restraining mitt (glove) on the less impaired hand while engaging in repetitive task practice using the hemiplegic hand.  Participants consisted of 222 patients with predominantly ischemic stroke. The clinical trial was conducted at seven  US academic institutions between January 2001 and January 2003.

Steven L. Wolf  and colleagues work at the Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, G

Outcome measures:

Wolf Motor Function Test (WMFT) which is a measure of the quality of  functional movement ability + Motor Activity Log (MAL) – how well 30 common ADL tasks are performed.

Results: The CIMT group showed better improvements over the control group in both the WMFT and MAL.

The group concluded that in a group of stroke patients post stroke 3 to 9 months CIMT showed statistically significant improvements in arm motor function. these improvements were present for at least 1 year.

The HandTutor, ArmTutor are used to provide intensive exercise practice in stroke patients to improve fine motor hand and elbow and shoulder movements.

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