Peter G Levine

Learn More
BACKGROUND AND PURPOSE Mental practice (MP) of a particular motor skill has repeatedly been shown to activate the same musculature and neural areas as physical practice of the skill. Pilot study results suggest that a rehabilitation program incorporating MP of valued motor skills in chronic stroke patients provides sufficient repetitive practice to increase(More)
BACKGROUND AND PURPOSE To determine modified constraint-induced therapy (mCIT) feasibility and compare its efficacy to traditional rehabilitation (TR) in acute stroke patients exhibiting upper limb hemiparesis. METHOD Before-after, multiple baseline, randomized controlled pilot study. SETTING Rehabilitation hospital. PATIENTS Ten stroke patients < 14(More)
OBJECTIVE To determine whether cortical changes occur following participation in a program of modified constraint-induced movement therapy (mCIMT). DESIGN Pre-post, case series. SETTING Outpatient rehabilitation hospital. PARTICIPANTS Two men and 2 women with unilateral stroke occurring more than 1 year prior to study entry and moderate stable motor(More)
OBJECTIVE To determine the efficacy of a modified constraint-induced therapy (mCIT) administered to patients with subacute stroke. DESIGN Prospective, multiple-baseline, before-after, randomized clinical trial. SETTING Subacute outpatient clinic. SUBJECTS Fourteen patients with subacute stroke who exhibited learned nonuse and stable motor deficits in(More)
OBJECTIVE To determine efficacy of a modified constraint-induced movement therapy (mCIMT) protocol for patients with chronic stroke. DESIGN Multiple-baseline, pre-post, single-blinded randomized controlled trial. SETTING Outpatient clinic. PARTICIPANTS Seventeen patients who experienced stroke more than 1 year before study entry and who had upper-limb(More)
BACKGROUND AND PURPOSE This single-blinded randomized controlled trial compared the efficacy of a reimbursable, outpatient, modified constraint-induced therapy (mCIT) protocol (half-hour therapy sessions occurring 3 days per week in which subjects used the more affected arm combined with less affected arm restriction 5 days per week for 5 hours; both of(More)
OBJECTIVE To determine the opinions of patients with stroke and therapists about constraint-induced movement therapy (CIT). SUBJECTS AND INTERVENTION Two hundred and eight patients with stroke in the northeastern USA responded to a self-report questionnaire administered through the mail and via telephone interviews. A similar questionnaire was(More)
OBJECTIVE To determine the efficacy of a mental practice (MP) protocol in increasing the function and use of the more affected limb in stroke patients. DESIGN Randomized, controlled, multiple baseline, pre-post, case series. SETTING Outpatient rehabilitation hospital. PARTICIPANTS Eleven patients who had a stroke more than 1 year before study entry (9(More)
BACKGROUND AND PURPOSE Repetitive practice improves function and facilitates cortical plasticity after stroke. Virtual reality (VR) systems have the potential to provide motivating and safe repetitive practice with minimal supervision. The purpose of this case study is to look at the effect of a VR system, activated by surface electromyography of(More)
Although efficacious, constraint-induced therapy may be difficult to implement in some outpatient settings. This case study examined the effectiveness of modified constraint-induced therapy administered to a patient with chronic stroke, learned nonuse, and a stable motor deficit in his dominant upper limb. The Fugl-Meyer Assessment of Motor Recovery and(More)