Effectiveness of a Modified Constraint-Induced Movement Therapy Regimen for Upper Limb Ability after Stroke: A Retrospective Case Series
Bibliographic record
Abstract
Purpose: To examine the responses of individuals living with the effects of stroke to the modified regimen of constraint-induced movement therapy (CIMT) provided at our facility. Method: The charts of 12 individuals who had completed our facility's modified CIMT regimen were reviewed. This regimen is composed of four hours per day of supervised training of upper limb activities for 10 consecutive weekdays concurrent with restraint of the less involved limb for a goal of 90 per cent of waking hours. Before beginning training, all participants were able to pick up and release a water glass. Pre-training, post-training and followup assessments were performed using the Canadian Occupational Performance Measure, a modified version of the Box and Block test and the 30-item Motor Activity Log. Results: Repeated measures analysis of variance revealed statistically significant improvements over the treatment period with maintenance of these improvements six months later. Clinically significant improvements were seen for 10 of the 12 participants after the training period. Eight of these 10 participants continued to show clinically significant improvements at the six-month assessment. Conclusions: This project provides preliminary evidence that this CIMT regimen, modified for routine clinical application, may be effective.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".