CI療法における麻痺側上肢の行動変容を促進するための方策（Transfer Package）の効果

The efficacy of a “Transfer Package” strategy to enhance changing behavior of upper extremities in Constraint-induced movement therapy

要旨：【はじめに】Constraint-induced movement therapy（以下，CI療法）におけるTransfer Package（以下，TP）は日常生活における麻痺側上肢の行動を変容させる手法である．本研究では，TPの長期的な効果について検討する．【方法】研究デザインは2施設，単一盲検，偽無作為化比較試験である．対象者をCI療法にTPを導入した群（TP＋群）とCI療法からTPを除いた群（TP－群）に割り付け，CI療法後6ヵ月間，麻痺側上肢の機能を調査した．【結果】TP＋群は－群に比べ，6ヵ月後に麻痺側上肢は有意に改善した．【結論】TPは麻痺側上肢の長期的な改善を促す効果的な手段である．

　Introduction: The Transfer Package in Constraint-induced movement therapy (CIMT) improves daily living performance of affected upper extremities. This study evaluated the long-term efficacy of the Transfer Package after CIMT. Method: A single blinded, pseudo-randomized controlled clinical trial was conducted at two rehabilitation facilities. We randomized the patients into two groups: CIMT with the Transfer Package (Transfer Package (+) group) and CIMT without the Transfer Package (Transfer Package (－) group). Upper extremity function was subsequently assessed for six months after the CIMT. Results: The Transfer Package (+) group showed significant improvements in the all outcome measures, as compared to the Transfer Package (－) group. Conclusion: This study indicated that using the Transfer Package in the CIMT is an effective way to facilitate long-term function in affected upper extremities.