Shortened constraint-induced movement therapy in subacute stroke - No effect of using a restraint: A randomized controlled study with independent observers.
Author
Summary, in English
OBJECTIVE: To examine the effect of using a mitt during shortened constraint-induced movement therapy for patients in the subacute phase after stroke. SUBJECTS: Twenty-four patients with stroke (mean age 57.6 (standard deviation (SD) 8.5) years; average 7 weeks post-stroke) with mild to moderate impaired hand function. METHODS: The patients were randomized to mitt use or no mitt use on the less affected hand for 90% of waking hours for 12 days. All patients received 3 h of arm and hand training per day for 2 weeks. Assessments were made by blinded observers using the modified Motor Assessment Scale, the Sollerman hand function test, the 2-Point Discrimination test and Motor Activity Log test. RESULTS: Patients in both groups showed significant improvements in arm and hand motor performance and on self- notreported motor ability after 2 weeks of therapy and at 3 months follow-up. However, no statistically significant differences between the groups were found in any measures at any point in time. CONCLUSION: In this study, no effect of using a restraint in patients with subacute stroke was found. Thus, this component in the constraint-induced therapy concept seems to be of minor importance for the outcome.
Department/s
Publishing year
2009
Language
English
Pages
231-236
Publication/Series
Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine
Volume
41
Issue
4
Links
Document type
Journal article
Publisher
Taylor & Francis
Topic
- Other Medical Sciences not elsewhere specified
Status
Published
Research group
- Human Movement: health and rehabilitation
- Sustainable occupations and health in a life course perspective
ISBN/ISSN/Other
- ISSN: 1651-2081