Is modified constraint-induced movement therapy more effective than bimanual training in improving arm motor function in the subacute phase post stroke? A randomized controlled trial

Clinical Rehabilitation
Iris Charlotte BrunnerLiv Inger Strand

Abstract

To compare the effect of modified constraint-induced movement therapy (mCIMT) to bimanual task-related training for patients in the subacute phase post stroke. A single-blinded randomized controlled trial. Inpatient and outpatient rehabilitation clinics and the patient's home. Thirty patients in the subacute phase post stroke (2-16 weeks) were randomized to modified constraint-induced movement therapy with an emphasis on unimanual tasks, or bimanual task-related training, emphasizing bimanual tasks. All trained with a therapist 4 hours a week for four weeks, followed by a 2-3 hours daily self-training program. Patients in the modified constraint-induced movement therapy group were supposed to wear a restraining mitt on the unaffected hand for 4 hours a day for four weeks. Blinded assessments at pre and post treatment and after three months with Action Research Arm Test as a primary outcome measure, Nine-Hole Peg Test and Motor Activity Log. Power calculations suggested an inclusion of 60 patients, but due to recruitment difficulties the trial was stopped after an interim analysis at 30 patients. There was no difference in change (P > 0.05) between the groups on any of the measures, neither at post treatment nor at follow-up ass...Continue Reading

References

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Jun 7, 2011·Topics in Stroke Rehabilitation·Iris Charlotte BrunnerLiv Inger Strand
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Citations

Dec 10, 2013·Computational and Mathematical Methods in Medicine·Andrea TurollaLamberto Piron
Mar 17, 2015·Lancet Neurology·Gert KwakkelSteven L Wolf
Oct 6, 2016·Frontiers in Neurology·Keith R LohseCatherine E Lang
Jul 25, 2014·Neurorehabilitation and Neural Repair·A Lex E Q van DeldenC Lieke E Peper
May 15, 2018·Clinical Rehabilitation·Ruth H Da-SilvaChristopher I Price
May 6, 2016·Stroke; a Journal of Cerebral Circulation·Carolee J WinsteinUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
Oct 9, 2015·The Cochrane Database of Systematic Reviews·Davide CorbettaRoberto Gatti
Jul 23, 2020·Frontiers in Neurology·Echezona Nelson Dominic EkechukwuMayowa Ojo Owolabi
Jul 4, 2020·Annals of Physical and Rehabilitation Medicine·Ditouah Didier Niama NattaGaëtan Stoquart

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