Date of Award

2008

Document Type

Scholarly Project

Degree Name

Master of Occupational Therapy (MOT)

Department

Occupational Therapy

First Advisor

LaVonne Fox

Keywords

Stroke -- rehabilitation

Abstract

The literature indicates that approximately 730,000 Americans experience a new or recurrent stroke each year. There are approximately 4 million Americans living with some type of disability as a result of having suffered a stroke. Due to the high incidence of stroke related disability and associated economic costs; stroke rehabilitation is a health care priority. Even with early intervention only 10% of stroke survivors will recover completely, 25% recover with minor impairments, 40% experience moderate to severe impairments, 10% require care in a nursing home, and 15% die shortly after the stroke. Since the highest categories range from minimal to severe impairment, it is believed that CIMT would be a viable treatment option for these clientele still experiencing deficits. Thus, due to the high incidence of stroke in our country, this is a common area fur OT to become involved with.

The purpose of this scholarly project was to develop a Constraint Induced Movement Therapy (CIMT) educational module for occupational therapy students at UND. A literature review was conducted using PubMed, Ebsco Host, and other online databases to determine viable populations and efficacy of CIMT. Resources included journals, textbooks, and online databases. In addition, a review of the UND OT Department curriculum was completed to identify where this additional information can be inserted.

The resulting product is an educational module for occupational therapy students that is divided into the following 4 units 1) Introduction to CIMT, 2) Role of OT with CIMT, 3) outcome measures, and 4) Resources. The educational module is developed based on Malcolm Knowles Theory of Andragogy. This theory is applicable in the development and dissemination of information for the adult OT student learner. In conclusion, CIMT is a reemerging stroke intervention and is gaining national recognition and support as a viable treatment option. Literature indicates that up to 97% of chronic stroke patients experience substantial, significant, clinically meaningful gains after receiving CIMT. Therefore, it seems appropriate that students would benefit from exposure to this intervention within the academic setting.

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