A 1-year follow-up after shortened constraint-induced movement therapy with and without mitt poststroke
Autor: | Jan Lexell, Christina Brogårdh |
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Jazyk: | angličtina |
Rok vydání: | 2010 |
Předmět: |
Male
Restraint Physical medicine.medical_specialty medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation 1 year follow up physiopathology [Arm] Central nervous system disease Outcome Assessment Health Care Humans Medicine Single-Blind Method methods [Continuous Passive] Motion Therapy Stroke Randomized Controlled Trials as Topic physiopathology [Hand] Rehabilitation business.industry rehabilitation [Stroke] Motion Therapy Continuous Passive Stroke Rehabilitation Recovery of Function Middle Aged Hand medicine.disease Other Medical Sciences not elsewhere specified Constraint-induced movement therapy medicine.anatomical_structure Orthopedic surgery Arm Physical therapy Upper limb Female business Follow-Up Studies |
Zdroj: | Archives of Physical Medicine and Rehabilitation; 91(3), pp 460-464 (2010) |
ISSN: | 0003-9993 |
Popis: | Brogardh C, Lexell J. A 1-year follow-up after shortened constraint-induced movement therapy with and without mitt poststroke. Objective To explore the long-term benefits of shortened constraint-induced movement therapy (CIMT) in the subacute phase poststroke. Design A 1-year follow-up after shortened CIMT (3h training/d for 2wk) where the participants had been randomized to a mitt group or a nonmitt group. Setting A university hospital rehabilitation department. Participants Poststroke patients (N=20, 15 men, 5 women; mean age 58.8y; on average 14.8mo poststroke) with mild to moderate impairments of hand function. Interventions Not applicable. Main Outcome Measures The Sollerman hand function test, the modified Motor Assessment Scale, and the Motor Activity Log test. Assessments were made by blinded observers. Results One year after shortened CIMT, participants within both the mitt group and the nonmitt group showed statistically significant improvements in arm and hand motor performance and on self-reported motor ability compared with before and after treatment. No significant differences between the groups were found in any measure at any time. Conclusions Shortened CIMT seems to be beneficial up to 1 year after training, but the restraint may not enhance upper motor function. To determine which components of CIMT are most effective, larger randomized studies are needed. |
Databáze: | OpenAIRE |
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