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Constraint induced movement therapy

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
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
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
Samantha Gorrell, Eric S Pelletier
No abstract text is available yet for this article.
January 2017: Pediatric Physical Therapy
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
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
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
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...
August 9, 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)...
February 2017: 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
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