Kinematic upper limb analysis in stroke patients undergoing constraint-induced movement therapy: 3-Month follow-up

2006 ◽  
Vol 24 ◽  
pp. S42-S43 ◽  
Author(s):  
F. Molteni ◽  
M. Caimmi ◽  
S. Carda ◽  
C. Giovanzana ◽  
L. Magoni ◽  
...  
Keyword(s):  
Upper Limb ◽  
Movement Therapy ◽  
Stroke Patients ◽  
Constraint Induced Movement Therapy

Comparison of Constraint-Induced Movement Therapy Vs Traditional Rehabilitation Therapy to Improve Upper Limb Function in Hemiplegic Acute and Subacute Stroke Patients

2021 ◽  
Vol 15 (10) ◽  
pp. 3021-3025
Author(s):  
Misbah Waris ◽  
Adnan Afzal ◽  
Tehreem Mukhtar ◽  
Binash Afzal ◽  
Sadaf Waris ◽  
...  
Keyword(s):  
Upper Limb ◽  
Cerebrovascular Accident ◽  
Treatment Protocol ◽  
Movement Therapy ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Tissue Paper ◽  
Intensive Training ◽  
Constraint Induced Movement Therapy ◽  
Alternate Hypothesis

Background: Stroke is a generic term in use to describe the sudden interruption of blood flow to the part of brain, resulting loss of brain function. A stroke may be also known as cerebrovascular accident. Cerebrovascular accident which defines as pathology in which brain disease occurs secondary to disorders of blood supply of brain. It is essential to know about the magnitude of impact of stroke globally. Aim: To determine effectiveness of constraint induced movement therapy and comparing its efficacy to traditional rehabilitation in acute and sub-acute stroke survivors exhibiting upper limb hemiplegia Methodology: This was a randomized clinical trial study, conducted in Lahore in which eighteen stroke patients had participated. Current study includes MAL and WMFT questionnaire in it and sample size was 18. Patients were treated 4 times a week and unaffected limb was constrained for two hours in therapy session and onwards to 10 hours to motivate the use of effected limb. Readings were taken weekly and patients were reassessed by using MAL and WMFT. CIMT treatment protocol consists of 3 or 4 month of daily intensive training of the affected extremity for 2 hours in association with restriction of the non-affected extremity for 10 hours a day. Group B: Traditional rehabilitation therapy used Sling (shoulder immobilizer) made of poly urethane material. Hair brush, cup, marbles, cards, blocks, tissue paper, cones, Swiss ball, dexterity board. Results: Statistical analysis was set at p ≤ 0.05. huge and direct to vast impacts existed on WMFT (P=0.010) noteworthy and direct to extensive impacts existed When p-value is not as much as the foreordained importance level which is frequently 0.05 or 0.01, showing that the watched results would be profoundly impossible under the alternate theory. In this way, the alternate hypothesis was supported. Subsequently null hypothesis is rejected and alternate hypothesis is accepted. Conclusion: This study concluded that the patients who were treated with CIMT showed remarkable change in upper extremity functions. While patients who were treated with traditional rehabilitation therapy they exhibited less change in their functional activities than Constraint-Induced Movement Therapy. Keywords: Comparison, traditional rehabilitation therapy, Constraint-Induced Movement Therapy (CIMT) Approaches

Early non-invasive brain stimulation with modified constraint-induced movement therapy for motor and functional upper limb recovery in stroke patients: Study protocol

2020 ◽  
Vol 83 (8) ◽  
pp. 523-529
Author(s):  
Maricel A Garrido ◽  
Evelyn A Άlvarez ◽  
Fabrizio L Acevedo ◽  
Álvaro I Moyano ◽  
Natalia P Castillo ◽  
...  
Keyword(s):  
Upper Limb ◽  
Functional Recovery ◽  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Movement Therapy ◽  
Functional Independence ◽  
Stroke Patients ◽  
Direct Current Stimulation ◽  
Constraint Induced Movement Therapy ◽  
Subacute Stroke

Introduction Upper limb motor impairment after a stroke is an important sequela. Constraint-induced movement therapy is a rehabilitation approach that has strong evidence. The incorporation of transcranial direct-current stimulation has been proposed; however, there is a lack of studies that confirm its benefits. The principal aim is to compare the effectiveness of 7 days of active versus sham bi-hemispheric transcranial direct-current stimulation, combined with modified constraint-induced movement therapy, for motor and functional recovery of the hemiparetic upper limb in subacute stroke patients. Method/design Randomized, double blind, sham-controlled, parallel group clinical trial in two stroke units. Participants: adults over 18 years, at least 2 days post unihemispheric stroke event, with hemiparesis, and without severe pain, aphasia or cognitive impairment. Intervention: Patients will receive 7 days of continuous therapy and be assigned to one of the treatment groups: active bi-hemispheric transcranial direct-current stimulation or sham bi-hemispheric transcranial direct-current stimulation. Measurement: Evaluations will take place at days 0, 5, 7 and 10, and at 3rd months. The Fugl-Meyer Assessment – Upper Extremity, Wolf Motor Function Test, Functional Independence Measure and Stroke Impact Scale are considered. Discussion Modified constraint-induced movement therapy plus transcranial direct-current stimulation in subacute stroke patients with hemiparesis could maximize motor and functional recovery. Trial registration: ClinicalTrials.gov identifier NCT03452254.

Effects of mirror therapy vs modified constraint induced movement therapy on upper extremity in subacute stroke patients

2021 ◽  
Vol 20 (2) ◽  
pp. 323-329
Author(s):  
Kamatchi Kaviraja ◽  
G Tharani ◽  
G Yuvarani ◽  
N Kaviraja ◽  
Jenifer Augustina S ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Upper Limb ◽  
Movement Therapy ◽  
Systemic Hypertension ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Functional Index ◽  
Constraint Induced Movement Therapy ◽  
Subacute Stroke ◽  
The Brain

Objective: To compare and to examine the effectiveness of mirror therapy and modified constraint induced movement therapy (mCIMT) on upper extremity in subacute stroke patients. Background: Stroke or cerebral vascular accident is sudden dead of the brain cells due to inadequate blood flow. The WHO defines stroke as rapidly developing clinical signs of focal disturbance of cerebral function, with symptoms lasting for 24hrs or longer or leading to death, with no apparent cause other than of vascular origin. The most common consequence of stroke is loss of upper limb function. The protocol planned for improving the function of upper limb are mirror therapy and modified constraint induced movement therapy (mCIMT). Mirror therapy is a simple and inexpensive treatment which uses the visual information activating the premotor and motor cortex of the brain. This is explained by activation of so called mirrorneuron system. Whereas mCIMT utilises the redundant pathway in brain through neuro plasticity. Methodology: A total of 30 participants with subacute stroke were selected. The inclusion criteria are both gender of age 55-70 years and duration of 2-12 months of post stroke. Participants with mini mental state examination score<24, uncontrolled systemic hypertension, severe shoulder subluxation, previous stroke and severe cardiac failure were excluded. The outcome measures were measured using Upper Extremity Functional Index (UEFI) and Fugl Meyer Upper Extremity Scale. Procedure: All 30 participants with sub-acute stroke were divided into two groups. Both the group individuals were assessed for pre test using Fugl Meyer Upper Extremity Scale and Upper Extremity Functional Index Scale. Group A (15) was assigned to mirror therapy for 5 days a week, for 4 weeks and rest intervals was given. Similarly group B (15) was assigned to modified constraint induced movement therapy for 5 days a week, for 4 weeks. Both the groups were given conventional therapy for 20 mins. At the end of study subjects were assessed for post test using UEFI and Fugl Meyer upper extremity scale. Results: The Modified Constraint Induced Movement (mCIMT) is more effective than Mirror Therapy in improving the hemiparetic upper extremity in subacute stroke patients. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.323-329

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