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Constraint-induced movement therapy (CIMT) is a promising intervention to enhance arm function in select patients with chronic stroke deficits. In the EXCITE trial, patients receiving CIMT demonstrated significant and sustained improvement in arm function. Nevertheless, CIMT is rarely available to patients, because it requires intensive therapist resources, and the value of various modified types of CIMT has not been evaluated in large well-designed studies.
One modified form, home-based CIMT, preserves the key elements of repetitive task-specific practice of the affected arm, use of “shaping” principles, and immobilization of the unaffected hand, along with supplemental behavioral techniques. In this adequately powered cluster-randomized, s…