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  1. 1. Occupational Therapy to Regain Upper Limb Mobility in Stroke Victims: Using Constraint Induced Movement Therapy<br />By: Pamela Hartle<br />For: Mrs. Owens Technical Communications Class<br />
  2. 2. What is a Stroke?<br /><ul><li>A stroke happens when a blood clots blocks an artery or a blood vessel.
  3. 3. Brain cells die
  4. 4. Brain damage occurs
  5. 5. Limb mobility is impaired</li></li></ul><li>Treatment for a Stroke<br /><ul><li>Occupational Therapy
  6. 6. Constraint Induced Movement Therapy, developed by Dr. Taub.
  7. 7. Constraint Induced Movement Therapy helps patients regain limb mobility.</li></li></ul><li>What is Constraint Induced Movement Therapy?<br /><ul><li>Developed by Dr. Edward Taub, Ph.D., a neuroscientist at the University of Alabama Birmingham.
  8. 8. First experiments on infant primates.
  9. 9. Unaffected limb restrained to encourage use of affected limb.
  10. 10. Therapy lasts for 2 weeks unaffected limb restrained 90% of waking hours, therapy 10 days out of 14, 6 hour sessions of repetitive movment.</li></li></ul><li>Constraint Induced Movement Therapy Used on Stroke Victims<br /><ul><li>Dr. Taub observed stroke victims are easily discouraged in using damaged limbs and just give up.
  11. 11. Best time to start therapy is while still in hospital.
  12. 12. Intensive 2 week therapy.
  13. 13. Support from occupational therapist and family is vital for best effects.
  14. 14. Shaping, a training method in which a motor or behavioral objective is approached in small steps by successive approximations is used in Constraint Induced Movement Therapy.</li></li></ul><li>Success Rate of Constraint Induced Movement Therapy<br /><ul><li>Experimental Constraint Induced Movement Therapy group showed large increases in movement, the placebo group showed no improvement or had declines in mobility.
  15. 15. Real world use improved for experimental group over a 2 year period. Placebo group still show improvement or a decline.
  16. 16. Constraint Induced Movement Therapy has enabled stroke victims to reclaim their daily lives.</li></li></ul><li>Other Uses for Constraint Induced Movement Therapy<br /><ul><li>Traumatic brain injury
  17. 17. Focal hand dystonia
  18. 18. Phantom limb pain
  19. 19. Spinal cord injuries
  20. 20. Lower limb impairments in stroke victims</li></li></ul><li><ul><li>Dr. Taub noticed changes in patients brains that were doing Constraint Induced Movement Therapy
  21. 21. MRI of stroke victims brain doing therapy showed increased blood flow and excitability in brain cells was higher.
  22. 22. Increased gray matter in the brain.
  23. 23. The greater the limb mobility the greater the healing of the brain
  24. 24. Proved brain plasticity in older patients.
  25. 25. Damaged brain cells were replaced with new ones.</li></ul>Unexpected Positive Results from Constraint Induced Movement Therapy<br />
  26. 26. <ul><li>Constraint Induced Movement Therapy a good occupational therapy for stroke victims.
  27. 27. Therapy takes patience from occupational therapist and therapy participant.
  28. 28. Constraint Induced Movement Therapy good for the body, and the mind.</li></ul>Conclusions<br />
  29. 29. References<br />“Brain changing therapy.” Birmingham Medical News.Web. 2 Jun 2011. http://birminghammedicalnewsinc.com/news.p hp?viewstory=1143.<br />“CI therapy group comparison group”http://students.cis.uab.edu/sharma87/brai nplasiticity.html.Web.25 May 2011.<br />“Glove.” hsc. Web 2 Jun 2011. http://hsc.umn.edu/images/glove=480.jpg.<br />“Professor Steven Wolf observing constraint induced movement therapy.” http://neuroclinical.emory.edu/programs/stroke/rehab.com. Web 25 May 2011.<br />“Stroke.” Biotech Mashup. Web 2 Jun 2011. http://www.biotechmashup.com/2008/02/22/. <br />