Feasibility and preliminary effects of group modified constraint-induced movement therapy in Chronic Stroke: A pilot study

BACKGROUND: Upper limb disability after stroke significantly affects independence in daily living. Modified constraint-induced movement therapy (mCIMT) has shown promising results, particularly when delivered in group formats. AIM: To compare the effects of group mCIMT and conventional rehabilitation on upper limb use, performance, and satisfaction in chronic stroke patients. The study also explored therapist and patient perceptions of group therapy. METHODS: A quasi-experimental repeated-measures design (A1–B–A2) was applied with five chronic stroke survivors. Participants received group mCIMT (Phase A1), followed by a general follow-up (Phase B), and conventional rehabilitation (Phase A2). Outcomes included the Motor Activity Log (MAL), Canadian Occupational Performance Measure (COPM), and Wolf Motor Function Test (WMFT). Qualitative feedback was collected via open-ended questions. RESULTS: COPM scores showed significant improvement in performance and satisfaction after mCIMT (p < .05). MAL and WMFT components showed minimal detectable change (MDC) in multiple participants. Therapists reported improved motivation and participation in group settings, and patients highlighted peer support and structured guidance as facilitators, despite some challenges with glove use. CONCLUSION: Group-based mCIMT appears to be a feasible and acceptable intervention to enhance occupational performance and upper limb use in chronic stroke survivors. Further research with larger samples is recommended.