Abstract
Purpose:In Constraint-induced movement therapy (CI therapy), we modified the methodology of transfer package to be able to increase the real-world use of the affected arm by collaboration between therapists and nurses in a hospital ward. Method:We modified the transfer package as follows:1) The therapist photographed the exercises of the target activity of transfer package;2) The therapist conveyed the precise exercise context to the nurses using the photographs;and 3) In real activities of daily living, nurses instructed the precise movements of the target activity of transfer package to the patients, referring to the photographs taken during exercise time. The participants in this study were 4 patients in a convalescent rehabilitation ward. Results:Four patients exhibited an improvement of Quality of Movement scores (QOM) in Motor Activity Log (MAL). Conclusion:The QOM scores in MAL of 2 patients in participants improved more than minimal clinically important difference defined by previous studies. Therefore, these results indicate that modified transfer package might influence the behavior of the affected arm in the real world for subacute stroke patients.
