How is individualization in constraint-induced movement therapy performed? A qualitative
observational study
Engelsk titel: How is individualization in constraint-induced movement therapy performed? A qualitative
observational study
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Författare:
Hansen, Gunhild Mo
;
Pallesen, Hanne
;
Normann, Britt
Email: gunhhans@rm.dk
Språk: Eng
Antal referenser: 32
Dokumenttyp:
Artikel
UI-nummer: 16055345
Sammanfattning
The aim of the study was to investigate relationships between the design of tasks and
impairments in constraint-induced movement therapy (CIMT) and significant principles of in situ
individualization in group-based performance of the intervention, focusing on quality of performance
versus compensatory strategies in the more affected upper limb. Non-participatory observations of
four individuals undergoing CIMT group training with a physiotherapist were conducted, followed by
theme-based content analysis using concepts from practice knowledge and movement analysis as
analytical tools. The material was characterized by the physiotherapist focusing on the quality of
movements by interacting and making a variety of adjustments. Most tasks were too challenging in
terms of shoulder stability and were performed using compensatory strategies. It appeared essential
that participants’ could solve the task with optimal movement quality in addition to experiencing
meaning and success. In conclusion, the physiotherapist’s individualizations in situ appeared to be
based on goal attainment through optimization of movement quality. Interlinking the design of tasks
with the individual patient’s underlying impairments, elements from activities in daily life and
sense-making seem essential. Impairments occurred owing to high demands of dynamic stability in
the shoulder, which may be a reason why participants in CIMT often use compensatory strategies.