Effects of sling and voluntary constraint during constraint-induced movement therapy for the arm after stroke: a randomized, prospective, single-centre, blinded observer rated study

Clinical Rehabilitation
Maciej KrawczykAnna Czlonkowska

Abstract

To determine whether a combination of constraint-induced movement therapy and physiotherapy in stroke patients using different constraint regimens (sling versus voluntary constraint) changes or reduces motor deficits, the amount of functional use of the arm and whether the effects of treatment continue after 12 months. Forty-seven stroke patients were stratified and randomly divided into intensive physiotherapy programmes focused on regaining arm functions. Neurorehabilitation Unit of IInd Department of Neurology at Institute of Psychiatry and Neurology in Warsaw. Patients were randomly allocated to: the sling-constraint group (n = 24) or to the voluntary-constraint group (n = 23). Massed practice with the paretic arm (5 hours/day for 15 consecutive working days). Sling-constraint group had their arm immobilized in a hemi-sling during therapy. In addition, individual, 1-hour physiotherapy sessions were conducted in both groups. Rivermead Motor Assessment (RMA) Arm scale, (0-15), Motor Activity Log - Quality of Movement (MAL-QOM) (0-5 for 30 daily tasks). There was no significant difference between groups after therapy (MAL-QOM mean change for sling group 0.78, SD = 0.46 and for voluntary-constraint group 0.84, SD = 0.48; P = 0....Continue Reading

References

Jan 1, 1980·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·D H RintalaL S Halstead
Nov 5, 1999·Stroke; a Journal of Cerebral Circulation·J H van der LeeL M Bouter
Jun 3, 2000·Stroke; a Journal of Cerebral Circulation·J LiepertC Weiller
Feb 12, 2002·Clinical Rehabilitation·Stephen J PageMark V Johnston
May 8, 2002·Nature Reviews. Neuroscience·Edward TaubThomas Elbert
Mar 21, 2003·Neurorehabilitation and Neural Repair·George F WittenbergLeonardo G Cohen
Jan 28, 2005·Neurorehabilitation and Neural Repair·Stephen J PageAnthony C Leonard
Oct 15, 2005·Stroke; a Journal of Cerebral Circulation·Gitendra UswatteKaren McCulloch
Mar 4, 2006·Stroke; a Journal of Cerebral Circulation·Edward TaubAnjan Chatterjee
Apr 25, 2006·Cognitive and Behavioral Neurology : Official Journal of the Society for Behavioral and Cognitive Neurology·Joachim Liepert
Nov 2, 2006·JAMA : the Journal of the American Medical Association·Steven L WolfUNKNOWN EXCITE Investigators
Dec 19, 2006·Neurorehabilitation and Neural Repair·Corwin BoakeHarvey S Levin
Sep 11, 2008·Neurorehabilitation and Neural Repair·Lumy SawakiGeorge F Wittenberg
Apr 8, 2009·Clinical Rehabilitation·Christina BrogårdhJan Lexell
Sep 11, 2009·Current Opinion in Neurology·George F Wittenberg, Judith D Schaechter
Mar 20, 2010·Archives of Physical Medicine and Rehabilitation·Christina Brogårdh, Jan Lexell

❮ Previous
Next ❯

Citations

Mar 17, 2015·Lancet Neurology·Gert KwakkelSteven L Wolf
Oct 9, 2015·The Cochrane Database of Systematic Reviews·Davide CorbettaRoberto Gatti
Jul 23, 2020·Frontiers in Neurology·Echezona Nelson Dominic EkechukwuMayowa Ojo Owolabi

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.