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Constraint induced movement therapy

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https://www.readbyqxmd.com/read/29756513/self-directed-therapy-programmes-for-arm-rehabilitation-after-stroke-a-systematic-review
#1
Ruth H Da-Silva, Sarah A Moore, Christopher I Price
AIM: To investigate the effectiveness of self-directed arm interventions in adult stroke survivors. METHODS: A systematic review of Medline, EMBASE, CINAHL, SCOPUS and IEEE Xplore up to February 2018 was carried out. Studies of stroke arm interventions were included where more than 50% of the time spent in therapy was initiated and carried out by the participant. Quality of the evidence was assessed using the Cochrane risk of bias tool. RESULTS: A total of 40 studies ( n = 1172 participants) were included (19 randomized controlled trials (RCTs) and 21 before-after studies)...
May 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29755168/amount-and-content-of-sensorimotor-therapy-delivered-in-three-stroke-rehabilitation-units-in-quebec-canada
#2
Carol L Richards, Francine Malouin, Sylvie Nadeau, Joyce Fung, Line D'Amours, Claire Perez, Anne Durand
Purpose: This study creates a baseline clinical portrait of sensorimotor rehabilitation in three stroke rehabilitation units (SRUs) as a first step in implementing a multi-centre clinical research platform. Method: Participants in this cross-sectional, descriptive study were the patients and rehabilitation teams in these SRUs. Prospective (recording of therapy time and content and a Web-based questionnaire) and retrospective (chart audit) methods were combined to characterize the practice of the rehabilitation professionals...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29732047/rehabilitation-of-upper-limb-in-children-with-acquired-brain-injury-a-preliminary-comparative-study
#3
Elena Beretta, Ambra Cesareo, Emilia Biffi, Carolyn Schafer, Sara Galbiati, Sandra Strazzer
Acquired brain injuries (ABIs) can lead to a wide range of impairments, including weakness or paralysis on one side of the body known as hemiplegia. In hemiplegic patients, the rehabilitation of the upper limb skills is crucial, because the recovery has an immediate impact on patient quality of life. For this reason, several treatments were developed to flank physical therapy (PT) and improve functional recovery of the upper limbs. Among them, Constraint-Induced Movement Therapy (CIMT) and robot-aided therapy have shown interesting potentialities in the rehabilitation of the hemiplegic upper limb...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29668401/phase-ii-randomized-controlled-trial-of-constraint-induced-movement-therapy-in-multiple-sclerosis-part-2-effect-on-white-matter-integrity
#4
Ameen Barghi, Jane B Allendorfer, Edward Taub, Brent Womble, Jarrod M Hicks, Gitendra Uswatte, Jerzy P Szaflarski, Victor W Mark
BACKGROUND: Constraint-induced movement therapy (CIMT) is a method of physical rehabilitation that has demonstrated clinical efficacy in patients with chronic stroke, cerebral palsy, and multiple sclerosis (MS). OBJECTIVE: This pilot randomized controlled trial tested whether CIMT can also induce increases in white matter integrity in patients with MS. METHODS: Twenty adults with chronic hemiparetic MS were randomized to receive either CIMT or complementary and alternative medicine (CAM) treatment (reported in the first article of this pair)...
March 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29668399/phase-ii-randomized-controlled-trial-of-constraint-induced-movement-therapy-in-multiple-sclerosis-part-1-effects-on-real-world-function
#5
Victor W Mark, Edward Taub, Gitendra Uswatte, David M Morris, Gary R Cutter, Terrie L Adams, Mary H Bowman, Staci McKay
BACKGROUND: Constraint-Induced Movement therapy (CIMT) has controlled evidence of efficacy for improving real-world paretic limb use in non-progressive physically disabling disorders (stroke, cerebral palsy). OBJECTIVE: This study sought to determine whether this therapy can produce comparable results with a progressive disorder such as multiple sclerosis (MS). We conducted a preliminary phase II randomized controlled trial of CIMT versus a program of complementary and alternative medicine (CAM) treatments for persons with MS, to evaluate their effect on real-world disability...
March 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29653186/constraint-induced-movement-therapy-improves-efficacy-of-task-specific-training-after-severe-cortical-stroke-depending-on-the-ipsilesional-corticospinal-projections
#6
Naohiko Okabe, Naoyuki Himi, Emi Nakamura-Maruyama, Norito Hayashi, Issei Sakamoto, Kazuhiko Narita, Toru Hasegawa, Osamu Miyamoto
Descending spinal pathways (corticospinal, rubrospinal, and reticulospinal) are believed to contribute to functional recovery resulting from rehabilitative training after stroke. However, the contribution of each pathway remains unclear. In the current study, we investigated rehabilitation-induced functional recovery and remodelling of the descending spinal pathways after severe cortical stroke in rats followed by 3 weeks of various rehabilitation [constraint-induced movement therapy (CIMT), skilled forelimb reaching, rotarod, and treadmill exercise]...
April 10, 2018: Experimental Neurology
https://www.readbyqxmd.com/read/29618291/bilateral-versus-ipsilesional-cortico-subcortical-activity-patterns-in-stroke-show-hemispheric-dependence
#7
Ana C Vidal, Paula Banca, Augusto G Pascoal, Gustavo Cordeiro, 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 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/29568769/combination-of-constraint-induced-movement-therapy-with-electroacupuncture-improves-functional-recovery-following-neonatal-hypoxic-ischemic-brain-injury-in-rats
#8
Hyunha Kim, Young Soo Koo, Myung Jun Shin, Soo-Yeon Kim, Yong Beom Shin, Byung Tae Choi, Young Ju Yun, Seo-Yeon Lee, Hwa Kyoung Shin
Aim: Neonatal hypoxic-ischemia (HI) due to insufficient oxygen supply and blood flow during the prenatal and postnatal periods can cause cerebral palsy, a serious developmental condition. The purpose of this study was to investigate the efficacy of combining constraint-induced movement therapy (CIMT) and electroacupuncture to treat rat neonatal HI brain injury. Methods: The left common carotid arteries of postnatal day 7 rats were ligated to induce HI brain injury, and the neonates were kept in a hypoxia chamber containing 8% oxygen for 2 hrs...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29562553/exploring-the-parameters-of-intensity-frequency-and-duration-within-the-constraint-induced-movement-therapy-published-research-a-content-analysis
#9
Bryan M Gee, L Derek Gerber, Rebecca Butikofer, Nicole Covington, Kimberly Lloyd
BACKGROUND: Neurological rehabilitation specialists must determine appropriate dosage, consisting of frequency, intensity, and duration of specified treatments. OBJECTIVE: The objective of this study was to perform a content analysis of the current literature related to dosage (duration, frequency and intensity) for constraint-induced movement therapy (CIMT) in the adult population. METHODS: A content analysis was conducted which yielded 62 scholarly articles...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29552921/a-randomized-controlled-trial-to-compare-two-methods-of-constraint-induced-movement-therapy-to-improve-functional-ability-in-the-affected-upper-limb-in-pre-school-children-with-hemiplegic-cerebral-palsy-catch-trial
#10
Pauline M Christmas, Catherine Sackley, Max G Feltham, Carole Cummins
OBJECTIVE: To determine the feasibility and short-term efficacy of caregiver-directed constraint-induced movement therapy to improve upper limb function in young children with hemiplegic cerebral palsy. DESIGN: Randomized controlled trial with masked assessment. SETTING: Community paediatric therapy services. SUBJECTS: Pre-school children with hemiplegic cerebral palsy. INTERVENTIONS: Caregiver-directed constraint-induced movement therapy administered using either 24-hour short-arm restraint device (prolonged) or intermittent holding restraint during therapy (manual)...
March 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29526860/rehabilitation-of-stroke-patients-with-plegic-hands-randomized-controlled-trial-of-expanded-constraint-induced-movement-therapy
#11
Gitendra Uswatte, Edward Taub, Mary H Bowman, Adriana Delgado, Camille Bryson, David M Morris, Staci Mckay, Joydip Barman, Victor W Mark
PURPOSE: To evaluate the efficacy of an expanded form of Constraint-Induced Movement Therapy (eCIMT) that renders CIMT, originally designed for treating mild-to-moderate upper-extremity hemiparesis, suitable for treating severe hemiparesis. METHODS: Twenty-one adults ≥1 year after stroke with severe upper-extremity hemiparesis (with little or no capacity to make movements with the more-affected hand) were randomly assigned to eCIMT (n = 10), a placebo-control procedure (n = 4), or usual care (n = 7)...
2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29473446/predicting-shoulder-function-after-constraint-induced-movement-therapy-a-retrospective-cohort-study
#12
Gunhild Mo Hansen, Susanne Wulff Svendsen, Iris Brunner, Jørgen Feldbæk Nielsen
Background Several predictors have been associated with upper extremity (UE) recovery after stroke, but characteristics that predict shoulder function after constraint-induced movement therapy (CIMT) have not yet been identified. Objectives To identify predictors associated with satisfactory shoulder function in patients with reduced shoulder function at admission to CIMT. Methods One hundred and seventy five patients were treated using CIMT while in a specialized inpatient hospital. Satisfactory shoulder function was defined according to the functional ability scale of the Wolf Motor Function test...
May 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29456128/transcranial-direct-current-stimulation-and-constraint-induced-therapy-in-cerebral-palsy-a-randomized-blinded-sham-controlled-clinical-trial
#13
Bernadette Gillick, Tonya Rich, Samuel Nemanich, Chao-Ying Chen, Jeremiah Menk, Bryon Mueller, Mo Chen, Marcie Ward, Gregg Meekins, Tim Feyma, Linda Krach, Kyle Rudser
We investigated the safety, feasibility, and efficacy of transcranial direct current stimulation (tDCS) combined with constraint-induced movement therapy (CIMT) in children and young adults with unilateral cerebral palsy. Twenty participants were randomized to receive active or sham tDCS. The intervention consisted of 10 consecutive weekday sessions of tDCS applied to the non-lesioned hemisphere (20 min) concurrently with CIMT (120 min). Participants, caregivers, and interventionists were blinded to group assignment...
May 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29410571/the-effects-of-modified-constraint-induced-movement-therapy-and-mirror-therapy-on-upper-extremity-function-and-its-influence-on-activities-of-daily-living
#14
Yumi Ju, In-Jin Yoon
[Purpose] Modified constraint-induced movement therapy and mirror therapy are recognized as stroke rehabilitation methods. The aim of the present study was to determine whether these therapies influence upper extremity function and whether upper extremity function influences the ability to perform activities of daily living in further. [Subjects and Methods] Twenty-eight stroke patients participated in the study. Interventions were administered five times per week for 3 weeks. Activities of daily living or self-exercise were performed after modified constraint-induced movement therapy or mirror therapy, respectively...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29400671/effects-of-modified-constraint-induced-movement-therapy-with-trunk-restraint-in-early-stroke-patients-a-single-blinded-randomized-controlled-pilot-trial
#15
Dae-Hyouk Bang, Won-Seob Shin, Ho-Suk Choi
BACKGROUND: Reducing compensatory strategies during repetitive upper-limb training may be helpful in relearning motor skills. OBJECTIVE: To explore the effects of modified constraint-induced movement therapy (mCIMT), additionally modified by adding trunk restraint (TR), on upper-limb function and activities of daily living (ADLs) in early post-stroke patients. METHODS: Twenty-four participants with early stroke were randomly assigned to mCIMT combined with TR (mCIMT + TR) or mCIMT alone...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29357743/evidence-for-training-dependent-structural-neuroplasticity-in-brain-injured-patients-a-critical-review
#16
Karen Caeyenberghs, Adam Clemente, Phoebe Imms, Gary Egan, Darren R Hocking, Alexander Leemans, Claudia Metzler-Baddeley, Derek K Jones, Peter H Wilson
Acquired brain injury (ABI) is associated with a range of cognitive and motor deficits, and poses a significant personal, societal, and economic burden. Rehabilitation programs are available that target motor skills or cognitive functioning. In this review, we summarize the existing evidence that training may enhance structural neuroplasticity in patients with ABI, as assessed using structural magnetic resonance imaging (MRI)-based techniques that probe microstructure or morphology. Twenty-five research articles met key inclusion criteria...
February 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29334344/content-validity-and-satisfaction-with-a-caregiver-integrated-web-based-rehabilitation-intervention-for-persons-with-stroke
#17
Sarah Blanton, Sandra Dunbar, Patricia C Clark
Background Family members provide valuable contributions during rehabilitation after stroke, but frequently report higher incidences of burden, depression, and social isolation during caregiving. Thus, effective interventions to reduce stroke impact on the family are needed. Objectives To evaluate the content validity and satisfaction of a caregiver-focused web-based intervention designed to improve stroke survivor physical function while reducing caregiver negative outcomes. Methods Caregivers of individuals with stroke (N = 6) and expert rehabilitation researchers (N = 4) were presented with a novel, web-based intervention (CARE-CITE) designed to foster problem-solving and skill-building while facilitating caregiver involvement during constraint-induced movement therapy...
April 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29283026/restoring-motor-functions-after-stroke-multiple-approaches-and-opportunities
#18
Estelle Raffin, Friedhelm C Hummel
More than 1.5 million people suffer a stroke in Europe per year and more than 70% of stroke survivors experience limited functional recovery of their upper limb, resulting in diminished quality of life. Therefore, interventions to address upper-limb impairment are a priority for stroke survivors and clinicians. While a significant body of evidence supports the use of conventional treatments, such as intensive motor training or constraint-induced movement therapy, the limited and heterogeneous improvements they allow are, for most patients, usually not sufficient to return to full autonomy...
November 1, 2017: Neuroscientist: a Review Journal Bringing Neurobiology, Neurology and Psychiatry
https://www.readbyqxmd.com/read/29251083/effects-of-constraint-induced-movement-therapy-on-brain-glucose-metabolism-in-a-rat-model-of-cerebral-ischemia-a-micro-pet-ct-study
#19
Ying-Ying Li, Bei Zhang, Ke-Wei Yu, Ce Li, Hong-Yu Xie, Wei-Qi Bao, Yan-Yan Kong, Fang-Yang Jiao, Yi-Hui Guan, Yu-Long Bai
PURPOSE: Constraint-induced movement therapy (CIMT) can improve motor functions in stroke patients and ischemic rats. This study examined the effect of CIMT in ischemic rats using positron emission tomography (PET). METHODS: We used middle cerebral artery occlusion (MCAO) procedure to induce cerebral ischemia in rats. Male rats were divided into a negative control group (Normal, n = 4), a sham-operated group (Sham, n = 6), an ischemic group (Control, n = 6) and an ischemic CIMT-treated group (CIMT, n = 6)...
January 4, 2018: International Journal of Neuroscience
https://www.readbyqxmd.com/read/29200616/electromyographic-analysis-of-constraint-induced-movement-therapy-effects-in-patients-after-stroke-in-chronic-course
#20
Mariéle Marchezan Zarantonello, Marco Antonio Stefani, João Carlos Comel
[Purpose] The purpose is to analyze the effects of Constraint-induced Movement Therapy in post stroke patients in chronic course. [Subjects and Methods] This is a Quasi-experiment study and the adopted protocol consisted of a three-hour therapy for ten consecutive working days applied to a constraint intact upper limb. Surface Electromyography, Motor Activity Log, Wolf Motor Function Test and Functional Independence Measure were used for evaluating the experiment. [Results] The individuals showed reduction in the degree of spasticity, confirmed by Surface Electromyography...
November 2017: Journal of Physical Therapy Science
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