Group-based constraint-induced movement therapy in the rehabilitation of chronic poststroke patients
| Autor: | Viviane T. B. Nobrega, Nayara Karina Ferreira Pereira, Fábio Ricardo de Oliveira Galvão, Wellington S. Lima, Enio Walker Azevedo Cacho, Maria C.A. Silvestre, Camila L. A. Gomes, Afonson Luiz Medeiros Gondim, Roberta de Oliveira Cacho |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Group based medicine.medical_specialty Activities of daily living medicine.medical_treatment Group care Upper Extremity 03 medical and health sciences 0302 clinical medicine Occupational Therapy Study Protocol Clinical Trial Medicine Humans constraint-induced movement therapy 030212 general & internal medicine Motor activity Chronic stroke Aged Aged 80 and over Rehabilitation business.industry Significant difference Stroke Rehabilitation General Medicine recovering after stroke Exercise Therapy Constraint-induced movement therapy task performance 030220 oncology & carcinogenesis Physical therapy ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Female business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Supplemental Digital Content is available in the text Background: This study aimed to describe the effects of a 90-minute group-based constraint-induced movement therapy protocol (CIMT) on upper extremity (UE) rehabilitation in poststroke patients. Method: The study was a case series clinical study with 6 patients with chronic stroke admitted to the institutional integrated clinic. Ten 90-minute CIMT sessions were administered, based on the principles of the original therapy. On completion of the protocol, participants underwent group care once a week, for 1 hour a day. For comparison purposes, the Wolf Motor Function Test (WMFT), Motor Activity Log (MAL), and Canadian Occupational Performance Measure (COPM) were applied on admission, shortly after completing the protocol, and 3 months after completion. In addition, the MAL and shaping tasks were applied daily. Results: There was a statistically significant difference only in the MAL Amount of Use Scale applied daily between the 2nd (3.56) and 9th (3.31) and 2nd and 10th days (4.49) (P = .004), with a moderate effect size (d’ = 0.46), and in the average value of shaping repetitions between the 1st (16.10) and 2nd (6.00) and 1st and 10th tasks (7.00) (P = .014), with a moderate effect size (d’ = 0.35). Conclusion: The 90-minute CIMT protocol resulted in significant improvements in use of the more affected arm in activities of daily living during the 2-week protocol. Additional research with a larger sample and a control group is needed to confirm its effectiveness. |
| Databáze: | OpenAIRE |
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