Shortened constraint-induced movement therapy in subacute stroke - no effect of using a restraint: a randomized controlled study with independent observers
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
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.
constraint-induced therapy, rehabilitation, restraint, stroke
Sport and Fitness Sciences Occupational Therapy
IdentifiersURN: urn:nbn:se:umu:diva-116021DOI: 10.2340/16501977-0312ISI: 000264017200004PubMedID: 19247541OAI: oai:DiVA.org:umu-116021DiVA: diva2:905261