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Writer's pictureLeonardo Boccuni

Understanding the most effective upper limb neurorehabilitation intervention

Introduction:

Constraint-Induced Movement Therapy is the most effect neurorehabilitation intervention developed so far. It's a rather composite approach, which can be divided in several components, or "ingredients". Prehaps the most important ingredient is "shaping", which consists of an initial deconstruction of a complex task into simpler subtasks, which can be then practiced repeatedly by the patient; as soon as subtasks are performed effectively, the therapist propose a task that is the combination of two or more subtasks, until the original complex task can be performed. Taub et al. in 1994 described shaping techniques for the first time in great detail.


Original title:

An operant approach to rehabilitation medicine: overcoming learned nonuse by shaping


Highlights:

Page 6, when it explains the application of shaping techniques in humans post stroke.


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