Constraint-induced movement therapy for upper extremities in stroke patients

Corticospinal Tract Integrity and Lesion Volume Play Different Roles in Chronic Hemiparesis and Its Improvement Through Motor Practice

“…The treatment data confirmed earlier findings that practice-based interventions improve affected arm function in the chronic state. 15,33,34 Even though our study was not designed to specifically investigate how CST integrity might interact with the efficacy of motor practice protocols, it provided a good opportunity to explore this relationship. Confirming previous observations, 8,35 we found that neither CST integrity nor lesion volume was significantly related to treatment outcome.…”

Evidenzlage: Obere Extremität

“…Eine aktuellere Übersichtsarbeit, welche einen Überblick über die Evidenz zu den Grundlagen der Schlaganfallrehabilitation gibt, erschien im Mai 2011 [12]. Die Autoren Constraint-Induced Movement Therapy [22], Schlingen und Orthesen zur Behandlung und Prävention von Subluxationen der Schulter [1], Elektrostimulation zur Behandlung von Schulterschmerzen [19] bzw. Elektrostimulation zur Verbesserung funktioneller Bewegung [20], Biofeedback [26], elektromechanisch bzw.…”

Benchmark Comparison of Outcomes for Clients With Upper-Limb Dysfunction After Stroke Using the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs–OT)

“…The leading contributor to functional disability after strokeisupper-limbhemiparesis (Sirtori,Gatti,&Corbetta, 2003),andoccupationaltherapistsspendconsiderabletime workingwithclientstoreducetheeffectofupper-limbdysfunctionontheirdailylives (Fearing,Law,&Clark,1997;National Institute of Neurological Disorders and Stroke, 2003).Therefore,aneedexiststoinvestigatethetreatments and outcomes that clients experience for upper-limb dysfunctionafterstroke.Onlythencanoccupationaltherapists providethemosteffectiveandefficientservicespossiblefor theirclientswiththecurrentresourcesavailable.Abenchmarkingprocesscanbeusedtoinvestigatetheseoutcomes.…”