Takahiro Onose, OTR, Koichi Ohnaka, MD, Kunihiko Suzuki, MD, Manami Anzai, OTR,
Narumi Sato, OTR, Miki Kimura, OTR, Ayano Shimokurosawa, OTR
Jpn J Compr Rehabil Sci 7: 45-50, 2016
Objective: Transfer package (TP) is one of the
elements of constraint-induced movement therapy (CI
therapy). This study evaluated the effectiveness of
implementing TP as self-training in addition to
occupational therapy for the upper paretic limb in the
convalescent phase after stroke.
Methods: Twelve patients at 8 to 16 weeks after onset
of primary stroke were recruited in the study. A
comparative study was conducted by dividing the
subjects into two groups: a group that implemented
self-training consisting of TP in addition to routine
occupational therapy (TP group) and a group that
implemented self-training including stretching and
self-assisted exercise in addition to routine
occupational therapy (non-TP group). In both groups,
self-training was conducted for approximately 30 min
a day, everyday for three weeks. At the beginning and
three weeks after intervention, the patients were
evaluated using the manual function test (MFT) and
the motor activity log (MAL). Wilcoxon signed rank
test was used to evaluate the changes in various
evaluation parameters before and after intervention.
Results: The MFT score improved significantly in
both groups. For the MAL evaluation, the Amount of
Use and Quality of Movement improved significantly
in the TP group compared to the non-TP group.
Conclusion: The present study indicates that selftraining
incorporating TP in the convalescent phase of
stroke is effective in improving the amount of use and
quality of movement of the paretic upper limb at the
level of daily life.
Key words: convalescent phase of stroke, paretic upper limb function, self-training