Implications of the learned nonuse formulation for measuring rehabilitation outcomes: Lessons from constraint-induced movement therapy

被引:82
作者
Uswatte, G [1 ]
Taub, E [1 ]
机构
[1] Univ Alabama Birmingham, Dept Psychol, Birmingham, AL 35294 USA
关键词
D O I
10.1037/0090-5550.50.1.34
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
Objective: Research on monkeys with a forelimb from which sensation is surgically abolished demonstrates that such animals do not use their deafferented limb even though they possess sufficient motor ability to do so, a phenomenon labeled learned nonuse. This dissociation also occurs after neurological injury in humans. Instruments that measure these 2 aspects of motor function are discussed, and the implications of this work for cognitive assessment are explored. Study Design: Literature review. Results and Conclusions: The effects of a neurological injury may differ widely in regard to motor ability assessed on a laboratory performance test in which movements are requested and actual spontaneous use of an extremity in real-world settings, indicating that these parameters need to be evaluated separately. The methods used in Constraint-Induced Movement therapy research to independently assess these 2 domains are reliable and valid.
引用
收藏
页码:34 / 42
页数:9
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