Citation

Boylstein C, Rittman M, Gubrium J, Behrman A, Davis S. J. Rehabil. Res. Dev. 2005; 42(3): 263-275.

Affiliation

Rehabilitation Outcomes Research Center, North Florida/South Georgia VA Medical Center, Gainesville, FL 32608, USA. Craig.Boylstein@med.va.gov

Copyright

(Copyright © 2005, Rehabilitation Research and Development Service, U.S. Department of Veterans Affairs)

DOI

unavailable

PMID

16187240

Abstract

Ethnographic data were collected at two rehabilitation facilities conducting ongoing research to evaluate functional and neurological outcomes of constraint-induced movement therapy (CIMT). Our findings indicate that several patterns of behavior occur during participant/therapist interaction in therapy sessions: coaching, cheerleading, reminding, changing, and contemplating. These interaction patterns indicate that learned nonuse of an affected limb does not exist in social isolation and that people who participate in CIMT routinely consider the balance of any improvement against the costs of using an affected limb that is still not fully functional. These patterns of social interaction that occur during therapy--which often influence a participant's hope for future physical progress--are an important part of CIMT that may not be fully acknowledged in the clinical training of therapists.

Language: en