Effects of constraint-induced movement therapy for lower limbs on measurements of functional mobility and postural balance in subjects with stroke: a randomized controlled trial
| Autor: | Emília Márcia Gomes de Souza e Silva, Fabrícia Azevedo da Costa Cavalcanti, Mayara Fabiana Pereira Costa, Ana Raquel Rodrigues Lindquist, Tatiana Souza Ribeiro, Tállyta Camyla Chaves da Silva |
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| Rok vydání: | 2017 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Walking law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law medicine Postural Balance Humans Single-Blind Method cardiovascular diseases Stroke Physical Therapy Modalities Aged Community and Home Care Rehabilitation Stroke Rehabilitation Middle Aged medicine.disease Gait Biomechanical Phenomena Exercise Therapy body regions Constraint-induced movement therapy Clinical trial Lower Extremity Exercise Test cardiovascular system Physical therapy Female Neurology (clinical) Functional asymmetry 0305 other medical science Psychology 030217 neurology & neurosurgery |
| Zdroj: | Topics in Stroke Rehabilitation. 24:555-561 |
| ISSN: | 1945-5119 1074-9357 |
| DOI: | 10.1080/10749357.2017.1366011 |
| Popis: | Abstrato Background: Constraint-induced movement therapy (CIMT) is suggested to reduce functional asymmetry between the upper limbs after stroke. However, there are few studies about CIMT for lower limbs.To examine the effects of CIMT for lower limbs on functional mobility and postural balance in subjects with stroke.A 40-day follow-up, single-blind randomized controlled trial was performed with 38 subacute stroke patients (mean of 4.5 months post-stroke). Participants were randomized into: treadmill training with load to restraint the non-paretic ankle (experimental group) or treadmill training without load (control group). Both groups performing daily training for two consecutive weeks (nine sessions) and performed home-based exercises during this period. As outcome measures, postural balance (Berg Balance Scale - BBS) and functional mobility (Timed Up and Go test - TUG and kinematic parameters of turning - Qualisys System of movement analysis) were obtained at baseline, mid-training, post-training and follow-up.Repeated-measures ANOVA showed improvements after training in postural balance (BBS: F = 39.39, P .001) and functional mobility, showed by TUG (F = 18.33, P .001) and by kinematic turning parameters (turn speed: F = 35.13, P .001; stride length: F = 29.71, P .001; stride time: F = 13.42, P .001). All these improvements were observed in both groups and maintained in follow-up.These results suggest that two weeks of treadmill gait training associated to home-based exercises can be effective to improve postural balance and functional mobility in subacute stroke patients. However, the load addition was not a differential factor in intervention. |
| Databáze: | OpenAIRE |
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