Is shoulder pain or pain as a result of spasticity a contraindication for CIMT?
Answer
Yes. You certainly want to assess a client’s pain at all times. Because of the repetitive nature of CIMT, it might be a contraindication for someone with shoulder pain. As we all know with a stroke or compromised shoulder due to a neurological incident, pain is not gain, and we want to be very mindful. In the EXCITE trial, that was one of the qualifiers, that a person did not exhibit any pain or had minimal pain. The protocol could be altered so that they would be allowed rest periods or the activity modified to increase participation. You would definitely want to monitor and accommodate for it as able.
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Veronica T. Rowe, PhD, OTR/L
Veronica Rowe, PhD, OTR/L, is a tenured associate professor at Georgia State University in Atlanta, Georgia. She has been an OT for 29 years, during which time she worked clinically in various areas of adult care and has been involved with multiple large clinical research trials. She is also a Certified Brain Injury Specialist Trainer. She has spent the last 15 years teaching in OT schools and pursuing her research interests in adult neurorehabilitation after stroke or other brain injury. Her research is ongoing with multiple funded projects and resultant publications.
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