Abstract
Rates of prosthetic device abandonment are highest among persons with upper extremity (UE) amputation and contribute to the occurrence of overuse injuries in the contralateral, intact arm. To reduce rates of abandonment, therapy that incorporates the prosthesis into activities of daily living (ADL) within home and work environments is vital. An underexplored type of therapy for persons with UE amputation is Modified Constraint Induced Movement therapy (mCIMT) which has been extensively studied in patients with chronic, subacute, and acute stroke. It has shown improved outcomes in body image, quality of life, independence in ADL, and skilled use and motor automaticity of the impaired extremity during self-care tasks. Stroke and unilateral UE amputation create similar neurological processes of cortical reorganization within the ipsilateral hemisphere and parietal areas. Using the affected UE facilitates cortical activation of the contralateral hemisphere as proficiency in the affected UE increases. This study describes a novel treatment approach based on mCIMT for unilateral UE prosthetic training including outcomes of two clinic cases.
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