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Neurology 2003;61:842-844
© 2003 American Academy of Neurology
Brief Communications

Motor-improvement following intensive training in low-functioning chronic hemiparesis

Annette Sterr, PhD and Susanna Freivogel, PT

From the Center for Cognitive Neuroscience (Dr. Sterr), University of Liverpool, UK; Center for Child and Adolescent Psychiatry (Dr. Sterr), University of Zürich, Switzerland; and Rehabilitation Clinic Hegau Jugendwerk (S. Freivogel), Gailingen, Germany.

Address correspondence and reprint requests to Dr. Annette Sterr, Center for Cognitive Neuroscience, University of Liverpool, Liverpool, L69 3BX, UK; e-mail: asterr{at}liverpool.ac.uk

Constraint-induced movement therapy can improve chronic hemiparesis, but this technique has proven difficult to transfer into clinical practice. The authors studied the benefits of a modified regimen designed to be applicable in the clinical environment. Affected arm movements were trained for 90 min/d for 3 weeks using the learning principle "shaping." The outcome measures indicated a significant increase in performance after the intervention compared with the performance during the 3-week baseline interval.




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