Cortical Reorganization Following Modified Constraint-Induced Movement Therapy: A Study of 4 Patients With Chronic Stroke

2006 ◽  
Vol 87 (8) ◽  
pp. 1052-1058 ◽  
Author(s):  
Jerzy P. Szaflarski ◽  
Stephen J. Page ◽  
Brett M. Kissela ◽  
Jing-Huei Lee ◽  
Peter Levine ◽  
...  
Keyword(s):  
Movement Therapy ◽  
Chronic Stroke ◽  
Cortical Reorganization ◽  
Constraint Induced Movement Therapy

scholarly journals Constraint-Induced Movement Therapy After Injection of Botulinum Toxin Type A for a Patient With Chronic Stroke: One-Year Follow-up Case Report

2015 ◽  
Vol 95 (7) ◽  
pp. 1039-1045 ◽  
Author(s):  
Satoru Amano ◽  
Takashi Takebayashi ◽  
Keisuke Hanada ◽  
Atsushi Umeji ◽  
Kohei Marumoto ◽  
...  
Keyword(s):  
Case Report ◽  
Botulinum Toxin ◽  
Muscle Tone ◽  
Botulinum Toxin Type A ◽  
Type A ◽  
Movement Therapy ◽  
Chronic Stroke ◽  
Constraint Induced Movement Therapy ◽  
Arm Function

Background and Purpose Spasticity, an aspect of upper motor neuron syndrome, is a widespread problem in patients with stroke. To date, no study has reported the long-term (up to 1 year) outcomes of botulinum toxin (BTX) injection in combination with constraint-induced movement therapy in patients with chronic stroke. In this case report, the long-term (1 year) effects of the combination of BTX type A injection and constraint-induced movement therapy on spasticity and arm function in a patient with chronic stroke and arm paresis are described. Case Description The patient was a 66-year-old man who had had an infarction in the right posterior limb of the internal capsule 4 years before the intervention. At screening, the patient was not able to voluntarily extend his interphalangeal or metacarpophalangeal joints beyond the 10 degrees required for constraint-induced movement therapy. From 12 days after BTX type A injection, the patient received 5 hours of constraint-induced movement therapy for 10 weekdays. Outcomes All outcome measures (Modified Ashworth Scale, Fugl-Meyer Assessment, Action Research Arm Test, and amount of use scale of the Motor Activity Log) improved substantially over the 1-year period (before intervention to 1 year after intervention). Repeat BTX type A injections were not necessary because muscle tone and arm function did not worsen during the observation period. Discussion The improved arm function may have reflected improvements in volitional movements and coordination or speed of movements in the paretic arm as a result of a reduction in spasticity, a reduction of learned nonuse behaviors, or use-dependent plasticity after the combination of BTX type A injection and constraint-induced movement therapy. In addition, the possibility of an influence of the passage of time or the Hawthorne effect cannot be ruled out. If this approach proves useful in future controlled studies, it may reduce the rising medical costs of the treatment of stroke.

Effects of constraint-induced movement therapy on motor cortex organization in chronic stroke patients

NeuroImage ◽  
1998 ◽  
Vol 7 (4) ◽  
pp. S24
Author(s):  
J. Liepert ◽  
H. Bauder ◽  
M. Sommer ◽  
W.H.R. Miltner ◽  
C. Dettmers ◽  
...  
Keyword(s):  
Motor Cortex ◽  
Movement Therapy ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Constraint Induced Movement Therapy

Comparison of two types of Constraint-Induced Movement Therapy in chronic stroke patients: A pilot study

2009 ◽  
Vol 27 (6) ◽  
pp. 675-682 ◽  
Author(s):  
Anne Barzel ◽  
Joachim Liepert ◽  
Kerstin Haevernick ◽  
Marion Eisele ◽  
Gesche Ketels ◽  
...  
Keyword(s):  
Pilot Study ◽  
Movement Therapy ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Constraint Induced Movement Therapy

Computer-aided prediction of extent of motor recovery following constraint-induced movement therapy in chronic stroke

2017 ◽  
Vol 329 ◽  
pp. 191-199 ◽  
Author(s):  
Sarah Hulbert George ◽  
Mohammad Hossein Rafiei ◽  
Lynne Gauthier ◽  
Alexandra Borstad ◽  
John A. Buford ◽  
...  
Keyword(s):  
Movement Therapy ◽  
Chronic Stroke ◽  
Motor Recovery ◽  
Constraint Induced Movement Therapy ◽  
Computer Aided
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