파킨슨병 노인을 위한 수정된 강제-유도운동치료

Modified Constraint-Induced Movement Therapy (ClMT) for the Elderly With Parkinson's Disease : A Preliminary Study

This study was designed to examine a 3-week modified constraint-induced movement therapy (CIMT) of the less-affected arm of patients with Parkinson's disease (PD) would improve function of the more-affected arm in PD. The subjects were 6 institutional older adults with PD and clients of the social welfare facilities. The subjects (2me, 4women) ranged in age from 66 to 90 years (mean age 77.2 yrs). Three clinical tests were used to determine the improvement of functional activity between before and af-ter modified CIMT. The tests included Unified Parkinson's Disease Rating Scale (UPDRS), Wolf Motor Function Test(WMFT), and Action Research Arm Test (ARAT). There were significantly differences after the modiried CIMT for time performance in WMFT and pinch in ARAT(p<.05). No signigicant dif-ference was noted after the modified CIMT for UPDRS and functional ability scale in WMFT. Therefore, the modified CIMR might improve time performance and is available to therapeutic program helping them improve functional ability for upper extremity in Parkinson's disease.