Journal of Taiwan Occupational Therapy Research and Practice
Objective: Constraint-induced movement therapy (CIMT) is a promising intervention for retraining upper extremity function poststroke. Though the results from the application of CIMT were encouraging internationally, there were very few CIMT-related researches reported in Taiwan. The purpose of this study was to evaluate therapists' opinions of CIMT in Taiwan. We also compared opinions from therapists working in medical centers versus local hospitals or clinics to evaluate the practicability of its clinical application. Methods: A self-report questionnaire was sent with a return envelope to 600 physical and occupational therapists selected randomly from a database of therapist association in November 2004. The basic features of CIMT were described in the questionnaire, therapists then responded to various statements concerning their opinions on CIMT and supplied rationale for their opinions. Results: A total of 468 therapists responded to the questionnaire, for a response rate of 78%. There were 358 valid responses (usable response rate 59.7%). Many therapists cited concerns about patient adherence and safety. Approximately 60.9% of the therapists speculated that their facilities might not have available resources to provide CIMT. Most (93.3%) therapists thought that CIMT would be "very difficult", "difficult" or "somewhat difficult" to administer compared with traditional rehabilitation therapies. Comparing the opinions from therapists working in medical centers versus local hospitals or clinics, no differenence in most questionnaire items was noted except that significantly more therapists working in local hospitals or clinics thought that they needed professional training before administrating CIMT. Conclusions: This is the first report that surveyed therapists' opinions about CIMT in Taiwan. These data might provide a valuable reference for subsequent CIMT-related study. Barriers to CIMT administration exist and therapists still hold skeptical views about the utility of CIMT in Taiwan. Despite of its low clinical practicability, several suggestions for CIMT were provided that deserves further evaluation.