A 1-year follow-up after shortened constraint-induced movement therapy with and without mitt poststroke.

Abstract:

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 2 wk) 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 58.8 y; on average 14.8 mo 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.

journal_name

Arch Phys Med Rehabil

authors

Brogårdh C,Lexell J

doi

10.1016/j.apmr.2009.11.009

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

460-4

issue

3

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(09)00943-5

journal_volume

91

pub_type

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