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(Stroke. 2005;36:1301.)
© 2005 American Heart Association, Inc.

Research Reports

AutoCITE

Automated Delivery of CI Therapy With Reduced Effort by Therapists

Edward Taub, PhD; Peter S. Lum, PhD; Phillip Hardin, MS; Victor W. Mark, MD Gitendra Uswatte, PhD

From Birmingham VA Medical Center (E.T., P.H.), Birmingham, Ala; the Department of Psychology (E.T., G.U.), The University of Alabama at Birmingham, Ala; Hunter Holmes McGuire VA Medical Center (P.L.), Richmond, Va; Biomedical Engineering (P.L.), Virginia Commonwealth University, MCV Campus, Richmond, Va; and the Department of Physical Medicine and Rehabilitation (V.W.M.), University of Alabama at Birmingham, Ala.

Correspondence to Edward Taub, PhD, Department of Psychology, University of Alabama at Birmingham, CPM 712, 1530 3rd Avenue South, Birmingham, AL 35294-0018. E-mail etaub{at}uab.edu

Background and Purpose— To evaluate the effectiveness of a device that automates Constraint-Induced Movement therapy (CI therapy), termed AutoCITE, when only partially supervised by therapists.

Methods— Twenty-seven participants with chronic stroke trained with AutoCITE for 3 hours per day for 10 consecutive weekdays. Participants were assigned to 1 of 3 groups in a fixed irregular order (ie, in alternating blocks): supervision from a therapist for 100%, 50%, or 25% of training time.

Results— The effect sizes of the treatment gains for the 3 groups on the Motor Activity Log (MAL) were very large and for the Wolf Motor Function Test they were large (all P<0.001) but were not significantly different from one another. Gains were comparable to those previously reported for participants who received an equal amount of standard one-on-one CI therapy without the device. At 1-month and long-term follow-up, gains from pretreatment on the MAL were also significant (P<0.001).

Conclusion— These results demonstrate that AutoCITE training with greatly reduced supervision from a therapist is as effective as standard one-on-one CI therapy.

Key Words: stroke • rehabilitation • treatment outcome

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