A study of constraint-induced movement therapy in subacute stroke patients in Hong Kong

Myint, J; Yuen, Grace; Yu, Teresa Kim Kam; Kng, Carolyn; Wong, Amy Mei Yee; Chow, Keith K.C.; Li, Hercy Chi Kong; Wong, Chun Por

doi:10.1177/0269215507080141

Cited by 64 publications

(78 citation statements)

References 37 publications

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“…[22][23][24] The resource-intensive programme with individual patient-therapist interaction for 60 hours in two weeks [22][23][24] was more extensive, intense and focused on upper limb training than our experimental intervention. Two recent reports compared groups with similar amounts and intensities of training 25,26 and achieved better results with the constraint-induced movement therapy approach. On the other hand, they did not use equal contents of training in their study groups.…”

Section: Discussionmentioning

confidence: 99%

Is forced use of the paretic upper limb beneficial? A randomized pilot study during subacute post-stroke recovery

Hammer

Lindmark

2009

Clin Rehabil

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Objective: To evaluate the effect of two weeks of forced use of the paretic upper limb, as a supplement to the rehabilitation programme in the subacute phase after stroke, on self-rated use of that limb. Design: A randomized, non-blind, parallel group, clinical, before-and-after trial. A forced use group and a conventional group were followed up one and three months after intervention. Setting: In-and outpatient units of rehabilitation at a University Hospital. Subjects: Thirty patients were allocated to two groups, 15 in each, 1-6 months (mean 2.4) after stroke onset. Twenty-six patients completed the study. Interventions: The patients of both groups participated in two weeks of daily training on weekdays. In addition, the forced use group wore a restraining sling on the non-paretic arm for up to 6 hours per weekday. Main measure: The Motor Activity Log; patients scored 0-5 for 30 daily tasks concerning both amount of use and quality of movement. Results: The forced use group tended to achieve larger improvements immediately post-intervention, but this was not clearly demonstrated. The small differences also levelled out up to the three-month follow-up, with both groups earning an approximately 1.0 score point on both scales of the Motor Activity Log. Conclusions: This pilot study did not reveal any additional benefit of forced use on self-rated performance in daily use of the paretic upper limb. Both groups performed fairly extensive, active training with a similar duration, amount and content.

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Section: Discussionmentioning

confidence: 99%

Is forced use of the paretic upper limb beneficial? A randomized pilot study during subacute post-stroke recovery

Hammer

Lindmark

2009

Clin Rehabil

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“…Tables 1 and 2 summarize the finding from our review on CIMT and mCIMT, respectively. We found 4 articles [23][24][25][26]28], describing results following the use of CIMT (Table 1) and 4 article [28][29][30][31] describing results following the use of mCIMT in patients with chronic stroke ( Table 2) that met our criteria. The total number of subjects (patients and normal subjects) in each study varied from 7 to 222 and from 17 to 35 in CIMT and mCIMT, respectively.…”

Section: Methodsmentioning

confidence: 99%

“…Such Understanding for this relationship would add more in-depth insights on the functional relevance of plastic brain changes in stroke following CIMTs to optimize the field of neuro-rehabilitation [22][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

The Functional Recovery and the Associated Cortical Reorganization Following Constraint-Induced Movement Therapies (CIMTs) in Stroke

Ahmad¹

2017

Int J Neurorehabilitation Eng

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Constraint-Induced Movement Therapies (CIMTs) including the original Constraint-Induced Movement Therapy (CIMT) and the Modified Constraint-Induced Movement Therapy (mCIMT) gained considerable popularity as a treatment approach for upper extremity rehabilitation among patients with mild-to-moderate stroke. However, a major barrier in rehabilitation generally and in CIMTs specifically; is the limited objectivity of some commonly used outcome measures and lack sensitivity to define "True" recovery vs. compensation. Thereby, they may not sufficiently detect of long term consequences and the associated neurological recovery. An essential approach to overcome such barrier is to better understand functional motor recovery, associated neural changes and how they may relate to recovery of the pre-morbid movement pattern. Such Understanding for these relationships would add more in-depth insights on the functional relevance of plastic brain changes in stroke following CIMTs to optimize the field of neuro-rehabilitation. This review synthesizes findings from studies to on the use of the CIMTs including CIMT and mCIMT as efficient practice in the management of upper limb dysfunction following a stroke. The analysis will include (1) the functional recovery and (2) the cortical reorganization following the use of mCIMT and CIMT on patients in the chronic stage following stroke.

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“…11 In the case of CIMT specifically, a trial involving people 2-12 weeks poststroke found that UE function improved more with CIMT than with dose-matched usual care. 12 Nonetheless, Brunner and colleagues recommended postponing implementation of CIMT until 1 month after stroke because substantial improvement in UE function occurs in response to standard rehabilitation within the first month. 13 At 4 weeks post-stroke, therefore, PF seemed well positioned to benefit from CIMT.…”

Section: The Evidencementioning

confidence: 99%

Constraint-Induced Movement Therapy to Improve Paretic Upper-Extremity Motor Skills and Function of a Patient in the Subacute Stage of Stroke

Aloraini

MacKay-Lyons

Boe

et al. 2014

Physiotherapy Canada

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A study of constraint-induced movement therapy in subacute stroke patients in Hong Kong

Abstract: Significant improvement in hand function could be achieved with constraint-induced movement therapy in subacute stroke patients, which was maintained up to 12 week follow-up.

Cited by 64 publications

References 37 publications

Is forced use of the paretic upper limb beneficial? A randomized pilot study during subacute post-stroke recovery

Is forced use of the paretic upper limb beneficial? A randomized pilot study during subacute post-stroke recovery

The Functional Recovery and the Associated Cortical Reorganization Following Constraint-Induced Movement Therapies (CIMTs) in Stroke

Constraint-Induced Movement Therapy to Improve Paretic Upper-Extremity Motor Skills and Function of a Patient in the Subacute Stage of Stroke

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