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Constraint induced movement therapy

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https://www.readbyqxmd.com/read/28339413/pediatric-constraint-induced-movement-therapy-harnessing-adaptive-neuroplasticity
#1
Frank S Pidcock
No abstract text is available yet for this article.
2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/28339411/infant-constraint-induced-movement-therapy-lessons-learned-from-clinical-implementation
#2
Teressa Garcia Reidy, Joan Carney, Nicole Whiston, Erin Naber
Current evidence supports the efficacy of pediatric constraint induced movement therapy (CIMT) for toddlers and children but little has been published about its use in early intervention with children eighteen months and younger. This paper and case report describes the clinical experience of developing and executing a modified pediatric CIMT intervention with infants under 18 months old. This is an emerging area of practice that is showing positive trends with initial cases.
2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/28339410/unimanual-versus-bimanual-therapy-in-children-with-unilateral-cerebral-palsy-same-same-but-different
#3
Brian Hoare, Susan Greaves
BACKGROUND: There is high-level evidence supporting constraint-induced movement therapy (CIMT) and bimanual therapy for children with unilateral cerebral palsy. Evidence-based intervention includes time-limited, goal-directed, skills-based, intensive blocks of practice based on motor learning theory. AIM AND METHODS: Using supporting literature and clinical insight, we provide a theoretical rationale to highlight previously unreported differences between CIMT and bimanual therapy...
2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/28339409/practice-based-evidence-from-a-clinical-cohort-that-received-pediatric-constraint-induced-movement-therapy
#4
Stephanie C DeLuca, Mary Rebekah Trucks, Dorian A Wallace, Sharon L Ramey
PURPOSE: Constraint-Induced Movement Therapy (CIMT) is now designated a highly efficacious treatment for children with cerebral palsy, based on rigorous clinical trials. Yet virtually no evidence confirms that these moderate to large size effects can be replicated in clinical practice for a more heterogeneous clinical population. Thus there is a need to collect and report treatment outcome data based on actual clinical practice as a critical next step for implementation. METHODS: This study presents results from a prospective study conducted on a clinical cohort of 88 children, 18 months to 12 years old (M = 55 months, SD = 5 months), who received high-intensity CIMT known as ACQUIREc...
2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/28339408/exploring-the-feasibility-and-use-of-acceleromters-before-during-and-after-a-camp-based-cimt-program-for-children-with-cerebral-palsy
#5
Patty Coker-Bolt, Ryan J Downey, Jacqueline Connolly, Reagin Hoover, Daniel Shelton, Na Jin Seo
PURPOSE: The aim of this pilot study was to determine the feasibility and use accelerometers before, during, and after a camp-based constraint-induced movement therapy (CIMT) program for children with hemiplegic cerebral palsy. METHODS: A pre-test post-test design was used for 12 children with CP (mean = 4.9 yrs) who completed a 30-hour camp-based CIMT program. The accelerometer data were collected using ActiGraph GT9X Link. Children wore accelerometers on both wrists one day before and after the camp and on the affected limb during each camp day...
2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/28339405/speech-production-gains-following-constraint-induced-movement-therapy-in-children-with-hemiparesis
#6
Kristen M Allison, Teressa Garcia Reidy, Mary Boyle, Erin Naber, Joan Carney, Frank S Pidcock
PURPOSE: The purpose of this study was to investigate changes in speech skills of children who have hemiparesis and speech impairment after participation in a constraint-induced movement therapy (CIMT) program. While case studies have reported collateral speech gains following CIMT, the effect of CIMT on speech production has not previously been directly investigated to the knowledge of these investigators. METHODS: Eighteen children with hemiparesis and co-occurring speech impairment participated in a 21-day clinical CIMT program...
2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/28322914/computer-aided-prediction-of-extent-of-motor-recovery-following-constraint-induced-movement-therapy-in-chronic-stroke
#7
Sarah Hulbert George, Mohammad Hossein Rafiei, Lynne Gauthier, Alexandra Borstad, John A Buford, Hojjat Adeli
Constraint-induced movement therapy (CI therapy) is a well-researched intervention for treatment of upper limb function. Overall, CI therapy yields clinically meaningful improvements in speed of task completion and greatly increases use of the more affected upper extremity for daily activities. However, individual improvements vary widely. It has been suggested that intrinsic feedback from somatosensation may influence motor recovery from CI therapy. To test this hypothesis, an enhanced probabilistic neural network (EPNN) prognostic computational model was developed to identify which baseline characteristics predict extent of motor recovery, as measured by the Wolf Motor Function Test (WMFT)...
March 17, 2017: Behavioural Brain Research
https://www.readbyqxmd.com/read/28250992/constraint-induced-movement-therapy-combined-with-transcranial-direct-current-stimulation-over-premotor-cortex-improves-motor-function-in-severe-stroke-a-pilot-randomized-controlled-trial
#8
Suellen M Andrade, Larissa M Batista, Lídia L R F Nogueira, Eliane A de Oliveira, Antonio G C de Carvalho, Soriano S Lima, Jordânia R M Santana, Emerson C C de Lima, Bernardino Fernández-Calvo
Objective. We compared the effects of transcranial direct current stimulation at different cortical sites (premotor and motor primary cortex) combined with constraint-induced movement therapy for treatment of stroke patients. Design. Sixty patients were randomly distributed into 3 groups: Group A, anodal stimulation on premotor cortex and constraint-induced movement therapy; Group B, anodal stimulation on primary motor cortex and constraint-induced movement therapy; Group C, sham stimulation and constraint-induced movement therapy...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28222546/recovering-functional-independence-after-a-stroke-through-modified-constraint-induced-therapy
#9
A Doussoulin, M Arancibia, J Saiz, A Silva, M Luengo
BACKGROUND: Population ageing and changes in the epidemiological profile of neurological pathologies has resulted in an increase in patients with disabilities. Rehabilitation strategies such as Modified Constraint-Induced Movement Therapy (CIMTm) play a key role in treating patients with neurologic deficiencies and motor impairments. This intervention is intended to mitigate disability, promote maximum functional independence, and optimize social and economic participation of patients with upper extremity weakness...
January 31, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28211818/comparison-of-the-effects-of-bilateral-and-unilateral-training-after-stroke-a-meta-analysis
#10
Yejin Lee, Moon Young Kim, Ji-Hyuk Park, Hae Yean Park
BACKGROUND: The differential effects of bilateral and unilateral training on upper extremity (UE) function remain unclear. OBJECTIVE: To compare the effectiveness of bilateral and unilateral training on UE function and activities of daily living (ADL) after stroke. METHODS: Randomized controlled trials (RCTs) were selected for inclusion by two reviewers after searching the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and KoreaMed...
February 15, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28119829/can-short-term-constraint-induced-movement-therapy-combined-with-visual-biofeedback-training-improve-hemiplegic-upper-limb-function-of-subacute-stroke-patients
#11
Hyun Seok, Seung Yeol Lee, Jihoon Kim, Jungho Yeo, Hyungdong Kang
OBJECTIVE: To Investigate the synergic effects of short-term constraint-induced movement therapy (CIMT) and visual biofeedback training (VBT) in subacute stroke patients. METHODS: Thirty-two subacute stroke patients were enrolled and randomly assigned to one of three groups: short-term CIMT with VBT, VBT only, and control groups. We applied CIMT for an hour daily during VBT instead of the ordinary restraint time, referred to as 'short-term' CIMT. Short-term CIMT with VBT group received simultaneous VBT with CIMT, whereas the VBT the only group received VBT without CIMT for an hour a day for 2 weeks...
December 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28093714/neuroplasticity-based-technologies-and-interventions-for-restoring-motor-functions-in-multiple-sclerosis
#12
Sofia Straudi, Nino Basaglia
Motor impairments are very common in multiple sclerosis (MS), leading to a reduced Quality of Life and active participation. In the past decades, new insights into the functional reorganization processes that occur after a brain injury have been introduced. Specifically, the motor practice seems to be determinant to induce neuroplastic changes and motor recovery. More recently, these findings have been extended to multiple sclerosis, in particular, it has been hypothesized that disease progression, functional reorganization and disability are mutually related...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28050492/efficacy-of-modified-constraint-induced-movement-therapy-in-the-treatment-of-hemiparetic-upper-limb-in-stroke-patients-a-randomized-controlled-trial
#13
Raj Kumar Yadav, Rajendra Sharma, Diganta Borah, S Y Kothari
INTRODUCTION: Paretic upper limb in stroke patients has a significant impact on the quality of life. Modified Constraint Induced Movement Therapy (mCIMT) is one of the treatment options used for the improvement of the function of the paretic limb. AIM: To investigate the efficacy of four week duration mCIMT in the management of upper extremity weakness in hemiparetic patients due to stroke. MATERIALS AND METHODS: Prospective single blind, parallel randomized controlled trial in which 30 patients received conventional rehabilitation programme (control group) and 30 patients participated in a mCIMT programme in addition to the conventional rehabilitation programme (study group)...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28004991/bilateral-versus-ipsilesional-cortico-subcortical-activity-patterns-in-stroke-show-hemispheric-dependence
#14
A Cristina Vidal, Paula Banca, Augusto G Pascoal, Gustavo C Santo, João Sargento-Freitas, Ana Gouveia, Miguel Castelo-Branco
Background Understanding of interhemispheric interactions in stroke patients during motor control is an important clinical neuroscience quest that may provide important clues for neurorehabilitation. In stroke patients, bilateral overactivation in both hemispheres has been interpreted as a poor prognostic indicator of functional recovery. In contrast, ipsilesional patterns have been linked with better motor outcomes. Aim We investigated the pathophysiology of hemispheric interactions during limb movement without and with contralateral restraint, to mimic the effects of constraint-induced movement therapy...
January 2017: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/28002636/caregiver-mediated-exercises-for-improving-outcomes-after-stroke
#15
REVIEW
Judith Dm Vloothuis, Marijn Mulder, Janne M Veerbeek, Manin Konijnenbelt, Johanna Ma Visser-Meily, Johannes Cf Ket, Gert Kwakkel, Erwin Eh van Wegen
BACKGROUND: Stroke is a major cause of long-term disability in adults. Several systematic reviews have shown that a higher intensity of training can lead to better functional outcomes after stroke. Currently, the resources in inpatient settings are not always sufficient and innovative methods are necessary to meet these recommendations without increasing healthcare costs. A resource efficient method to augment intensity of training could be to involve caregivers in exercise training. A caregiver-mediated exercise programme has the potential to improve outcomes in terms of body function, activities, and participation in people with stroke...
December 21, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27984471/commentary-on-constraint-induced-movement-therapy-for-children-with-brain-tumors
#16
Samantha Gorrell, Eric S Pelletier
No abstract text is available yet for this article.
January 2017: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/27984470/constraint-induced-movement-therapy-for-children-with-brain-tumors
#17
Jessica Sparrow, Liang Zhu, Amar Gajjar, Belinda N Mandrell, Kirsten K Ness
PURPOSE: The purpose of this pilot study was to investigate the feasibility of a 3-week constraint-induced movement therapy program in children with brain tumors and upper extremity hemiplegia and to describe resultant change in extremity use. METHODS: Affected arm use, health-related quality of life, and parent-reported feasibility of program participation were measured before and after the intervention and at a 3-month follow-up visit. RESULTS: All 9 participants completed the entire study...
January 2017: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/27942143/effects-of-virtual-reality-training-with-modified-constraint-induced-movement-therapy-on-upper-extremity-function-in-acute-stage-stroke-a-preliminary-study
#18
Eun-Kyu Ji, Sang-Heon Lee
[Purpose] The purpose of this study was to investigate the effects of virtual reality training combined with modified constraint-induced movement therapy on upper extremity motor function recovery in acute stage stroke patients. [Subjects and Methods] Four acute stage stroke patients participated in the study. A multiple baseline single subject experimental design was utilized. Modified constraint-induced movement therapy was used according to the EXplaining PLastICITy after stroke protocol during baseline sessions...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27899754/transcranial-direct-current-stimulation-potentiates-improvements-in-functional-ability-in-patients-with-chronic-stroke-receiving-constraint-induced-movement-therapy
#19
Krystian Figlewski, Jakob Udby Blicher, Jesper Mortensen, Kåre Eg Severinsen, Jørgen Feldbæk Nielsen, Henning Andersen
BACKGROUND AND PURPOSE: Transcranial direct current stimulation may enhance effect of rehabilitation in patients with chronic stroke. The objective was to evaluate the efficacy of anodal transcranial direct current stimulation combined with constraint-induced movement therapy of the paretic upper limb. METHODS: A total of 44 patients with stroke were randomly allocated to receive 2 weeks of constraint-induced movement therapy with either anodal or sham transcranial direct current stimulation...
January 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27856938/does-corticospinal-tract-connectivity-influence-the-response-to-intensive-bimanual-therapy-in-children-with-unilateral-cerebral-palsy
#20
Ana R P Smorenburg, Andrew M Gordon, Hsing-Ching Kuo, Claudio L Ferre, Marina Brandao, Yannick Bleyenheuft, Jason B Carmel, Kathleen M Friel
Background Reorganization of the corticospinal tract (CST) can occur in unilateral spastic cerebral palsy (USCP). The affected hand can be controlled via (1) typical contralateral projections from the lesioned hemisphere, (2) ipsilateral projections from the nonlesioned hemisphere, and (3) a combination of contralateral and ipsilateral projections (ie, bilateral). Intensive bimanual therapy and constraint-induced movement therapy (CIMT) improve hand function of children with USCP. Earlier it was suggested that the CST connectivity pattern may influence the efficacy of CIMT...
November 17, 2016: Neurorehabilitation and Neural Repair
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