Group modified constraint-induced movement therapy (mCIMT) in a clinical setting

Purpose: We evaluated the effectiveness of a modified constraint-induced movement therapy (mCIMT) program delivered in a group format. Methods: Thirteen subacute or chronic stroke and two subacute brain injured participants attended a group mCIMT program for 3.5 h daily for 10 treatment days. The groups consisted of three participants supervised by two staff. Motor recovery, functional arm use, and participation were evaluated by an independent assessor at five time points (baseline, immediately preprogram, immediately postprogram, 1 and 3-month postprogram). Results: Participants achieved statistical and clinically significant improvements in motor recovery (Wolf Motor Function Test), functional use (Motor Activity Log) and participation (Canadian Occupational Performance Measure). These improvements were maintained over a 3-month follow-up period. Conclusion: Group delivery of mCIMT produces meaningful results and is a potentially effective way of extending availability of this program without placing overwhelming demands on health care resources.