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Shortened constraint-induced movement therapy in subacute stroke - no effect of using a restraint: a randomized controlled study with independent observers
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine. Department of Rehabilitation, Lund University Hospital, Lund.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine. 3Rehabilitation and Research Centre for Torture Victims, Copenhagen and University of Southern Denmark, Odense, Denmark.
2009 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 41, no 4, 231-236 p.Article in journal (Refereed) PublishedText
Abstract [en]

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 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-reported 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.

Place, publisher, year, edition, pages
Stiftelsen Rehabiliteringsinformation , 2009. Vol. 41, no 4, 231-236 p.
Keyword [en]
constraint-induced therapy, rehabilitation, restraint, stroke
National Category
Sport and Fitness Sciences Occupational Therapy
URN: urn:nbn:se:umu:diva-116021DOI: 10.2340/16501977-0312ISI: 000264017200004PubMedID: 19247541OAI: diva2:905261
Available from: 2016-02-22 Created: 2016-02-08 Last updated: 2016-02-22Bibliographically approved

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Brogårdh, ChristinaSjölund, Bengt H
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