A study to compare task-based mirror therapy versus constraint induced movement therapy for hand function in hemiplegic subjects

Preetha, K.; Vimala, U; Kamalakannan, M

doi:10.51248/.v41i3.1204

Cited by 3 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hemiplegia is a paralysis on one side of the body caused by pyramidal tract lesions and is a common post-stroke pathological manifestation. One of its main characteristics is the asymmetric motor pattern resulting from an excessive use of the unimpaired limb ( 3 ). Such a dependence can enhance the incoming information of the sensorimotor cortex and inhibit the use of the impaired limb, resulting in asymmetric and spasmodic patterns that complicate daily life ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of constraint-induced movement therapy on lower extremity motor dysfunction in post-stroke patients: A systematic review and meta-analysis

Zhou

Cui

et al. 2022

Front. Neurol.

View full text Add to dashboard Cite

ObjectiveConstraint-induced movement therapy (CIMT) is a common treatment for upper extremity motor dysfunction after a stroke. However, whether it can effectively improve lower extremity motor function in stroke patients remains controversial. This systematic review comprehensively studies the current evidence and evaluates the effectiveness of CIMT in the treatment of post-stroke lower extremity motor dysfunction.MethodsWe comprehensively searched randomized controlled trials related to this study in eight electronic databases (PubMed, Embase, The Cochrane Library, Web of Science, CBM, CNKI, WAN FANG, and VIP). We evaluated CIMT effectiveness against post-stroke lower extremity motor dysfunction based on the mean difference and corresponding 95% confidence interval (95% CI). We assessed methodological quality based on the Cochrane Bias Risk Assessment Tool. After extracting the general information, mean, and standard deviation of the included studies, we conducted a meta-analysis using RevMan 5.3 and Stata 16.0. The primary indicator was the Fugl-Meyer Assessment scale on lower limbs (FMA-L). The secondary indicators were the Berg balance scale (BBS), 10-meter walk test (10MWT), gait speed (GS), 6-min walk test (6MWT), functional ambulation category scale (FAC), timed up and go test (TUGT), Brunnstrom stage of lower limb function, weight-bearing, modified Barthel index (MBI), functional independence measure (FIM), stroke-specific quality of life questionnaire (SSQOL), World Health Organization quality of life assessment (WHOQOL), and National Institute of Health stroke scale (NIHSS).ResultsWe initially identified 343 relevant studies. Among them, 34 (totaling 2,008 patients) met the inclusion criteria. We found that patients treated with CIMT had significantly better primary indicator (FMA-L) scores than those not treated with CIMT. The mean differences were 3.46 (95% CI 2.74–4.17, P < 0.01, I2 = 40%) between CIMT-treated and conventional physiotherapy-treated patients, 3.83 (95% CI 2.89–4.77, P < 0.01, I2 = 54%) between patients treated with CIMT plus conventional physiotherapy and patients treated only with conventional physiotherapy, and 3.50 (95% CI 1.08–5.92, P < 0.01) between patients treated with CIMT plus western medicine therapy and those treated only with western medicine therapy. The secondary indicators followed the same trend. The subgroup analysis showed that lower extremity CIMT with device seemed to yield a higher mean difference in FMA-L scores than lower extremity CIMT without device (4.52, 95% CI = 3.65–5.38, P < 0.01 and 3.37, 95% CI = 2.95–3.79, P < 0.01, respectively).ConclusionCIMT effectively improves lower extremity motor dysfunction in post-stroke patients; however, the eligible studies were highly heterogeneous.Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=277466.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of constraint-induced movement therapy on lower extremity motor dysfunction in post-stroke patients: A systematic review and meta-analysis

Zhou

Cui

et al. 2022

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…Kegels exercises as described by American Gynecologist Arnold Kegel in 1948 is the most popularly used noninvasive conservative treatment method to reinforce the PFMs which is cost effective and can be performed by the patient anywhere any time after being taught and trained. There prevails a negligence in addressing the pelvic floor muscle in diabetic women unless it is worsened which directs researchers to the need for further studies to correlate the relationship between pelvic floor strength and DM and to frame the various treatment options to prevent further worsening which D is addressed in the purpose in regard to the study which was to assess and increase the strength of the PFMs on women with DM according to their differing PFMs strength (11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Pelvic floor muscle strength in women with diabetes

G.N.

Kamalakannan

2022

Biomedicine

View full text Add to dashboard Cite

Introduction and Aim: Diabetes mellitus (DM) is a global health problem with increasing prevalence linked to the alterations in the lifestyle, growing obesity rates and ageing. Women with insulin resistance (IR)/high insulin levels have worse electromyographic activity in the PFMs than women without IR/high insulin levels which prove the effect of IR/high insulin levels on PFMs. This study aimed at assessing and strengthening the pelvic floor muscles in women with diabetes and urinary incontinence. Materials and Methods: The subjects were diabetic women of age group 45-55 with urinary incontinence assigned to one of two groups namely the group A (experimental group) and the group B (control group) which consisted of 30 patients each. The strength of the pelvic floor muscle was measured by vaginal examination prior and after the treatment and a Kegels Perineometer was inserted to measure the Strength of contraction (MOS), Length of hold (s), Repetitions (n) and Fast contractions (n) for both the groups. Experimental group was advised to do pelvic floor strengthening exercises in various positions with differing durations and increasing repetitions while control group received the regular physiotherapy care. Results: The results revealed that there was significant increase in the pelvic floor strengths in both the groups but while comparing the post test results of both the groups there was a significant higher strength of contraction, length of hold, repetitions and fast contractions scores in experimental group. Conclusion: It is evident from the study that performing the pelvic floor strengthening exercises in various positions as in the experimental group exhibited more improved post test results which proved to show reduced symptoms of urinary incontinence and improved quality of life than that of the subjects in the control group.

show abstract

How does combining physical therapy with transcranial direct stimulation improve upper-limb motor functions in patients with stroke? A theory perspective

Albishi

2024

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

More than half of stroke survivors suffer from upper limb dysfunction that persists years after stroke, negatively impacting patients’ independence and, therefore, affecting their quality of life. Intense motor rehabilitation is required after a stroke to facilitate motor recovery. More importantly, finding new ways to maximize patients’ motor recovery is a core goal of stroke rehabilitation. Thus, researchers have explored the potential benefits of combining the effects of noninvasive brain stimulation with physical therapy rehabilitation. Specifically, combining transcranial direct stimulation (tDCS) with neurorehabilitation interventions can boost the brain’s responses to interventions and maximize the effects of rehabilitation to improve upper limb recovery post-stroke. However, it is still unclear which modes of tDCS are optimal for upper limb motor recovery in patients with stroke when combined with physical therapy interventions. Here, we review the existing literature suggesting combining physical therapy rehabilitation with tDCS can maximize patients’ motor recovery using the Interhemispheric Competition Model in Stroke. We focus on two main rehabilitation paradigms, which are constraint-induced movement therapy (CIMT) and mirror therapy with and without tDCS. We also discuss potential studies to elucidate further the benefit of using tDCS adjunct with these upper limb rehabilitation paradigms and its effectiveness in patients with stroke, with the ultimate goal of maximizing patients’ motor recovery.

show abstract

A study to compare task-based mirror therapy versus constraint induced movement therapy for hand function in hemiplegic subjects

Cited by 3 publications

References 17 publications

Effect of constraint-induced movement therapy on lower extremity motor dysfunction in post-stroke patients: A systematic review and meta-analysis

Effect of constraint-induced movement therapy on lower extremity motor dysfunction in post-stroke patients: A systematic review and meta-analysis

Pelvic floor muscle strength in women with diabetes

How does combining physical therapy with transcranial direct stimulation improve upper-limb motor functions in patients with stroke? A theory perspective

Contact Info

Product

Resources

About