Design
The study used a prospective consecutive quasi-experimental design. Patients were tested before and after a 2-week training period and again 6 months later. Taub et al.'s model for CIMT in post-stroke rehabilitation13 was modified slightly for use in a multi-disciplinary outpatient rehabilitation clinic.21 One occupational therapist and one physiotherapist organized the exercises; only one CIMT patient was treated at a time, but these patients carried out the CIMT exercises among other outpatients in the clinic. The programme modifications also included intensive and varied exercise training geared toward the negative symptoms of spasticity—exercises of strength, coordination, and speed. The exercises were arranged according to each patient's phase of motor learning. The Motor Activity Log (MAL) was assessed before and after the training period, but not every day.