Application of the CIT concept in the clinical environment: hurdles, practicalities, and clinical benefits.

Cognitive and Behavioral Neurology : Official Journal of the Society for Behavioral and Cognitive Neurology
Annette SterrSusanna Freivogel

Abstract

Basic neuroscience research on brain plasticity, motor learning, and recovery has stimulated new concepts in motor rehabilitation. Combined with the development of methodological goal standards in clinical outcome research, these findings have effectuated the introduction of a double-paradigm shift in physical rehabilitation: (a) the move toward evidence-based procedures and disablement models for the assessment of clinical outcome and (b) the introduction of training-based concepts that are theoretically founded in learning theory. A major drive for new interventions has further come from recent findings on the adaptive capacities of neural networks and their linkage to perception, performance, and long-term recovery. In this context, constraint-induced movement therapy, an intervention initially designed for upper-limb hemiparesis, represents the theoretically and empirically most thoroughly founded training concept. Several clinical trials on constraint-induced therapy (CIT) have shown its efficacy in higher functioning patients; however, the transfer of the treatment into standard health care seems slow. Survey research further suggests a rather poor acceptance of CIT among clinical staff and it seems that the implementatio...Continue Reading

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Citations

Sep 11, 2008·Neurorehabilitation and Neural Repair·Si-Woon ParkDeborah S Nichols-Larsen
Jun 12, 2009·Occupational Therapy International·Gerry E Conti, Stacey L Schepens
Aug 26, 2014·Topics in Stroke Rehabilitation·Dorian K Rose
Nov 6, 2007·Clinical Rehabilitation·Richard T KaplonCarolee J Winstein
Jul 24, 2007·Neurorehabilitation and Neural Repair·Steven L WolfDeborah Nichols-Larsen
Apr 11, 2014·Physiotherapy Canada. Physiothérapie Canada·Alana FleetShaun Boe
Oct 9, 2015·The Cochrane Database of Systematic Reviews·Davide CorbettaRoberto Gatti

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