Published Online
on May 5, 2005

A more recent version of this article appeared on June 1, 2005

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Submitted on February 17, 2005
Revised on February 24, 2005
Accepted on February 28, 2005

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; and 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.

^* To whom correspondence should be addressed. 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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