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Constraint induced movement therapy

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...
November 29, 2016: Stroke; a Journal of Cerebral Circulation
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
Hamid Reza Rostami, Malahat Akbarfahimi, Afsoon Hassani Mehraban, Ali Reza Akbarinia, Susan Samani
OBJECTIVE: To investigate effect of practice type during modified constraint-induced movement therapy on hand function in patients with chronic median and ulnar nerve injuries. DESIGN: A prospective, single-blinded, randomized controlled clinical trial. SETTING: Participants' private home. SUBJECTS: A convenience sample of 36 outpatient participants allocated randomly to three equal groups. INTERVENTIONS: Intervention groups underwent 3-hour intensive training of affected hand each day, 3-day a week, 4-week in association with immobilisation of healthy hand: occupation-based group practiced meaningful occupations while rote exercise-based group performed rote exercises during constraint-induced movement therapy...
September 28, 2016: Clinical Rehabilitation
Hélène Le Tallec, Véronique Tsimba, Mathilde Creusat, Christophe Charbonnier, Véronique Bernier François, Anne Marie Evain, Véronique Labadie, Virginia Jouan, Sonia Lallemand, Carole Rivière
OPINION/FEEDBACK/METHOD: Since 2012, we have admitted groups of 3 to 5 children with hemiplegia, aged from 7 to 18 years old, classified Manual ability classification system (MACS) 2 to 4. The children received 5 to 8 days of unilateral constraint (8hours per day) and 2 days of bimanual training. Each day they received 4hours of active rehabilitation based on repetition, shaping and goal oriented tasks. Child has previously determined a personal goal that will be validated at the challenge's ceremony with the awarding of diplomas...
September 2016: Annals of Physical and Rehabilitation Medicine
Eleni Papathanasiou, Mathilde Chevignard, Carole Vuillerot, Anne Tiberghien, Ingrid Godard
OBJECTIVE: Paediatric stroke is a relatively rare medical condition, but it often leads to long lasting motor and cognitive impairments. Rehabilitation of motor impairments has been widely studied, with most studies performed in children with cerebral palsy (CP). However, CP covers a variety of medical conditions, including brain lesions due to paediatric stroke occurring early in life, but not stroke occurring later on during childhood. The specificity of rehabilitation after paediatric stroke remains understudied...
September 2016: Annals of Physical and Rehabilitation Medicine
T Platz, L Schmuck
BACKGROUND: Arm paralysis after a stroke is a major cause of impairment. OBJECTIVE: Presentation of therapeutic options and the efficacy in arm rehabilitation after stroke. MATERIAL AND METHODS: Based on a systematic critical appraisal of randomized controlled trials (RCT) the therapeutic procedures for arm paralysis after stroke in the context of their effectiveness are introduced, including robotic therapy, mirror therapy, constraint-induced movement therapy (CIMT), arm basis training, arm ability training, neuromuscular electrical stimulation, bilateral and task-specific training, mental training and transcranial stimulation techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS)...
October 2016: Der Nervenarzt
Belén Rubio Ballester, Martina Maier, Rosa María San Segundo Mozo, Victoria Castañeda, Armin Duff, Paul F M J Verschure
BACKGROUND: After stroke, patients who suffer from hemiparesis tend to suppress the use of the affected extremity, a condition called learned non-use. Consequently, the lack of training may lead to the progressive deterioration of motor function. Although Constraint-Induced Movement Therapies (CIMT) have shown to be effective in treating this condition, the method presents several limitations, and the high intensity of its protocols severely compromises its adherence. We propose a novel rehabilitation approach called Reinforcement-Induced Movement Therapy (RIMT), which proposes to restore motor function through maximizing arm use...
2016: Journal of Neuroengineering and Rehabilitation
Vicky Anqin Dong, Kenneth N K Fong, Yun-Feng Chen, Stella S W Tseng, Louisa M S Wong
AIM: To evaluate 'remind-to-move' (RTM) treatment by comparing it with constraint-induced movement therapy (CIMT) and conventional rehabilitation of the upper extremity in children with hemiplegic cerebral palsy (CP). METHOD: Seventy-three children (44 males, 29 females; mean age 11y 8mo, standard deviation [SD] 3y 1mo) - with 20, 38, and 15 in Manual Ability Classification System levels I, II, and III respectively - were recruited from three special schools and randomly selected for an RTM (n=25) or CIMT (n=24) programme (for 75h over 3wks) or for conventional rehabilitation (n=24)...
August 9, 2016: Developmental Medicine and Child Neurology
Lisa Whitehead
Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library.
August 2016: American Journal of Nursing
Ho-Suk Choi, Won-Seob Shin, Dae-Hyouk Bang, Sung-Jin Choi
OBJECTIVE: The aims of this work were to determine whether game-based constraint-induced movement therapy (CIMT) is effective at improving balance ability in patients with stroke, and to provide clinical knowledge of game-based training that allows application of CIMT to the lower extremities. DESIGN: Thirty-six patients with chronic stroke were randomly assigned to game-based CIMT (n = 12), general game-based training (n = 12), and conventional (n = 12) groups...
July 6, 2016: American Journal of Physical Medicine & Rehabilitation
Hsiu-Ching Chiu, Louise Ada
QUESTIONS: Does constraint-induced movement therapy improve activity and participation in children with hemiplegic cerebral palsy? Does it improve activity and participation more than the same dose of upper limb therapy without restraint? Is the effect of constraint-induced movement therapy related to the duration of intervention or the age of the children? DESIGN: Systematic review of randomised trials with meta-analysis. PARTICIPANTS: Children with hemiplegic cerebral palsy with any level of motor disability...
July 2016: Journal of Physiotherapy
Christine T Shiner, Kerrie D Pierce, Angelica G Thompson-Butel, Terry Trinh, Peter R Schofield, Penelope A McNulty
BACKGROUND: Persistent motor impairment is common but highly heterogeneous poststroke. Genetic polymorphisms, including those identified on the brain-derived neurotrophic factor (BDNF) and apolipoprotein E (APOE) genes, may contribute to this variability by limiting the capacity for use-dependent neuroplasticity, and hence rehabilitation responsiveness. OBJECTIVE: To determine whether BDNF and APOE genotypes influence motor improvement facilitated by poststroke upper-limb rehabilitation...
2016: Frontiers in Neurology
K P Y Liu, K Balderi, T L F Leung, A S Y Yue, N C W Lam, J T Y Cheung, S S M Fong, C M W Sum, M Bissett, R Rye, V C T Mok
BACKGROUND AND PURPOSE: Emerging research suggests the use of self-regulation (SR) for improving functional regain in patients post stroke. SR is proposed to produce an added effect to effective modified constraint-induced movement therapy (mCIMT). This study aimed to examine the effect of a self-regulated mCIMT programme (SR-mCIMT) for functional regain in patients with sub-acute stroke. METHODS: Eighty-six patients completed the trial: SR-mCIMT, n = 29; mCIMT, n = 31; or conventional functional rehabilitation, n = 26...
August 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Lara A Boyd, Marion F Walker
No abstract text is available yet for this article.
July 2016: Stroke; a Journal of Cerebral Circulation
Mohammad Etoom, Mohannad Hawamdeh, Ziad Hawamdeh, Mohammad Alwardat, Laura Giordani, Serenella Bacciu, Claudia Scarpini, Calogero Foti
Constraint-induced movement therapy (CIMT) is a neurorehabilitation technique designed to improve upper extremity motor functions after stroke. This review aimed to investigate evidence of the effect of CIMT on upper extremity in stroke patients and to identify optimal methods to apply CIMT. Four databases (MEDLINE, EMBASE, CINHAL, and PEDro) and reference lists of relevant articles and reviews were searched. Randomized clinical trials that studied the effect of CIMT on upper extremity outcomes in stroke patients compared with other rehabilitative techniques, usual care, or no intervention were included...
September 2016: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
Dae-Hyouk Bang
BACKGROUND: The trunk compensatory strategy can impede the longer term functional recovery of the upper extremity (UE). The objective of this study is to investigate the effects of modified constraint-induced movement therapy (mCIMT) combined with auditory feedback for trunk control on UE function and activities of daily living among subacute stroke patients with moderate impairment. METHODS: Twenty participants with hemiparesis were randomly assigned to either the mCIMT combined with auditory feedback group (n = 10) or the control group (n = 10)...
July 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Adam Kirton, John Andersen, Mia Herrero, Alberto Nettel-Aguirre, Lisa Carsolio, Omar Damji, Jamie Keess, Aleksandra Mineyko, Jacquie Hodge, Michael D Hill
OBJECTIVE: To determine whether the addition of repetitive transcranial magnetic stimulation (rTMS) and/or constraint-induced movement therapy (CIMT) to intensive therapy increases motor function in children with perinatal stroke and hemiparesis. METHODS: A factorial-design, blinded, randomized controlled trial ( assessed rTMS and CIMT effects in hemiparetic children (aged 6-19 years) with MRI-confirmed perinatal stroke. All completed a 2-week, goal-directed, peer-supported motor learning camp randomized to daily rTMS, CIMT, both, or neither...
May 3, 2016: Neurology
Laura Rabin, Lisa Dittbenner, Ana Sarreal, Joey Sarreal
No abstract text is available yet for this article.
2016: Pediatric Physical Therapy
Hira Zafer, Imran Amjad, Arshad Nawaz Malik, Enfall Shaukat
OBJECTIVE: This study aims at determining the effectiveness of constraint induced movement therapy as compared to bimanual therapy for improving functional status in children with hemiplegic cerebral palsy. METHODS: This study was a randomized control trial, children (n = 20) with spastic hemiplegic cerebral palsy was randomly allocated to CIMT (constraint induced movement therapy) and BMT (bimanual therapy) group. The children with spastic hemiplegia, age between 1...
January 2016: Pakistan Journal of Medical Sciences Quarterly
Yu-wei Hsieh, Rong-jiuan Liing, Keh-chung Lin, Ching-yi Wu, Tsan-hon Liou, Jui-chi Lin, Jen-wen Hung
BACKGROUND: The combination of robot-assisted therapy (RT) and a modified form of constraint-induced therapy (mCIT) shows promise for improving motor function of patients with stroke. However, whether the changes of motor control strategies are concomitant with the improvements in motor function after combination of RT and mCIT (RT + mCIT) is unclear. This study investigated the effects of the sequential combination of RT + mCIT compared with RT alone on the strategies of motor control measured by kinematic analysis and on motor function and daily performance measured by clinical scales...
March 22, 2016: Journal of Neuroengineering and Rehabilitation
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