Perception of physical therapist on constraint induced movement therapy as a therapeutic approach in stroke rehabilitation

Date of Completion

2005

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Stroke, Rehabilitation, Physical Therapy

Abstract

This study aimed to determine the perceptions of physical therapist of selected physical medicine and rehabilitation centers is Metro Manila and Cavite and the concept of constraint induced movement therapy (CIMT) as anew therapeutic approach in stroke rehabilitation. The study utilized a descriptive type of research design that documented the perception of the physical therapist among selected physical medicine and rehabilitation centers in Cavite and Metro Manila on contracts induced movement therapy as a therapeutic approach in stroke rehabilitation. Targets respondents of the study were licensed physical therapists regardless of clinical occupational status such as clinical supervisor, PT staff or PT volunteer. Respondents were selected from various physical medicine and rehabilitation centers in Cavite and Metro Manila affiliated with De La Salle - Health Science Campus, College of Physical Therapy. The initial step was researcher had formulated brief discussion about CIMT and series of questions regarding the respondent's perception about Constraints Induced Movement Therapy (CIMT), which was validated by three De La Salle - Health Sciences Campus College Of Physical Therapy faculties. After which, researchers randomly selected thirty percent (7 centers) of the affiliated centers with DLS-HSC, College of Physical Therapy. Consent letter was validated and distributed to the clinical supervisors in various physical medicine and rehabilitation centers and Cavite and Metro Manila to participate in the study. Prior to actual implementation of the study, a pre-testing of the instrument used in the study was done in St. Dominic Medical Center - Rehabilitation Department. Upon ensuring that no error was carried out, immediate distribution of the survey forms at various physical medicine and rehabilitation centers in Cavite and Metro manila was done. Data was gathered, tallied and analyzed. Based on the results, large percentage of the respondents regarding the questions answered somewhat agree followed by agree, strongly agree, disagree and strongly disagree. Factor that could have possibly affected the result was due to inadequate information regarding CIMT and unaccustomed on the techniques. Many of the subjects were totally unaware of the technique, but majority of then answered somewhat agree on the principles of the CIMT. The researcher also noted that the idea and principle of CIMT depends on the field and specialization of the respondents. Respondents on pediatric and neurologic fields showed better ideas and appreciation on the technique than respondents on other specialization (musculoskeletal and systematic condition). Most of the respondents strongly agree than no bioethical principles are violated in the technique. However, some noted that the principle of double effect and non-maleficence are harmed by the principle. Based on the results, CIMT cannot risk the improvement of the affected limb but can make the unaffected limb weak. Some also noted that the technique could restrain the patients from living their life independently. With the findings and acquired ideas from the study, in the end, most the subjects approved the use of CIMT on stroke patients. Generally, based from the data gathered, physical therapists from various physical medicine and rehabilitation centers affiliated with De La Salle - Health Science Campus College of Physical Therapy somewhat agreed that contains induced movement therapy will be a therapeutic approach in stroke rehabilitation as to its effects, bioethical principles, practicality, employment and its assumptions. As page (2002) stated, in spite of the fact that CIMT is an innovative and effective treatment that would help significant number of individuals to maximize their own functional capabilities despite of the deficit present, there are still certain issues that need to be addressed such as: a) realistic patient compliance b) realistic outcome & c) logistic of practical implementation of CIMT current practice setting.

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