Early versus late‐applied constraint‐induced movement therapy: A multisite, randomized controlled trial with a 12‐month follow‐up

Stock, Roland; Thrane, Gyrd; Anke, Audny; Gjone, Ragna Ingeborg; Askim, Torunn

doi:10.1002/pri.1689

Cited by 13 publications

(10 citation statements)

References 29 publications

(53 reference statements)

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“…The study conducted by Stock et al (12) aimed to compare the long-term effects of CIMT applied 6 months after stroke with the results of CIMT applied within 28 days poststroke. Both groups received standard rehabilitation and were tested at 5 time points.…”

Section: Constraint-induced Movement Therapy In Stroke Patients -Revimentioning

confidence: 99%

Constraint-induced movement therapy in stroke patients

Iłżecka¹

2020

J Educ Health Sport

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Stroke is an important cause of disability and death of patients. The consequence of a stroke may be weakness of limbs or hemiplegia. Constraint-induced movement therapy (CIMT) is a technique of rehabilitation, whose mission is to provoke the patient to use the paretic upper limb. In the literature is presented many clinical studies on the effectiveness of CIMT therapy in patients after stroke. The aim of the work was a review of the literature on CIMT in stroke patients.

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Section: Constraint-induced Movement Therapy In Stroke Patients -Revimentioning

confidence: 99%

Constraint-induced movement therapy in stroke patients

Iłżecka¹

2020

J Educ Health Sport

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“…The participants in this longitudinal cohort study were a subsample of the Norwegian Constraint-Induced Therapy Multisite Trial (NORCIMT) (12,13). NORCIMT is a multicentre, randomized controlled trial, investigating the effect of early vs late implementation of constraint-induced movement therapy (CIMT).…”

Section: Participants and Designmentioning

confidence: 99%

“…The current study was commenced slightly after the main study. The main study was an intervention study with no explicit focus on strength training; no differences between the groups were found in grip strength on the affected side (13). Level of impairment at 2 weeks was assessed by Fugl-Meyer Assessment and National Institutes of Health Stroke Scale, functional independence by modified Rankin Scale.…”

Section: Participants and Designmentioning

confidence: 99%

Development of grip strength during the first year after stroke

Stock

Thrane²,

Askim³

et al. 2019

J Rehabil Med

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Grip strength is often reduced after a stroke. This affects the ability to maintain grip strength over time and to in crease force rapidly. Consequently, this also reduces the ability to cope with everyday activities. This study found that these aspects of grip strength were considerably reduced in the affected hand during the first weeks after stroke in patients with mild to moderate stroke. How ever, the participants showed good progress during the first year after stroke. All aspects of grip strength impro ved considerably, especially during the first 6 months. To optimize the improvement in hand function, stroke rehabilitation should have a specific focus on all aspects of grip strength. For instance, practicing the ability to maintain a powerful grip while carrying a shopping bag or increasing force rapidly while squeezing an object. Objective: To assess recovery of grip strength during the first year post-stroke. Design: Exploratory study on a subsample of patients participating in the Norwegian Constraint-Induced Movement Therapy trial. Subjects: Eleven patients (mean age 59.1 years; 3 women) with mild to moderate stroke were recruited 7-29 days post-stroke. Methods: An electronic dynamometer (Biometrics Ltd, Gwent, UK, 2006) was used to assess maximum grip force in 5 hand positions, rate of force development and sustainability of grip force. Similar assessments were performed to assess pinch strength. The participants were assessed 5 times during a 1-year period. Results: Grip force in the affected hand increased in all handle positions during the 1-year follow-up, mostly during the first 6 months. At 2 and 4 weeks, rate of force development was less than half, and relative sustainability of grip force showed 20-30% greater deficit than for the non-affected hand. The affected hand approached the values of the non-affected hand after 6 months with little further progress until 1-year follow-up. Conclusion: Grip strength in the affected hand improved considerably in the first year post-stroke. Patterns of improvement were similar across tests, i.e. rapid during the first weeks, slower until 6 months, and minimal 6-12 months post-stroke.

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“…The biological plausibility of this approach is based on a neuro-rehabilitation approach and a large body of animal experiments [23][24][25][26][27]. The concept of constraint-induced therapy has previously been used in stroke rehabilitation [28][29][30][31][32][33][34]. This involved having hemiplegic patients use their affected limbs while preventing them from using the healthy counterpart by imposing physical constraints.…”

Section: Ssnhl Can Have a Tremendous Impact On One's Quality Of Life mentioning

confidence: 99%

Neuroplastic Effect of Constraint-Induced Music Therapy on Hearing Recovery in Patients with Sudden Sensorineural Hearing Loss

Kuo¹

2019

NNR

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Objective: Constraint-induced music therapy (CIMT) has been shown to enhance hearing recovery in patients with sudden sensorineural hearing loss (SSNHL) by preventing maladaptive reorganization of the auditory cortex. Our objective in this study was to assess the effectiveness of CIMT in restoring hearing among patients with SSNHL. Methods: The study included prospective (CIMT group) and retrospective (non-CIMT group) study arms. CIMT is characterized by (1) plugging the healthy ear to induce temporary artificial hearing loss (i.e., constraint) and (2) simultaneous acoustic stimulation of the affected ear using relaxing music. The outcome variables used to evaluate hearing recovery included (1) hearing threshold, (2) interaural hearing gap, and (3) hearing recovery rate. We measured the P300 component of long-latency auditory evoked potential to analyze brain activity to determine the appearance of neuroplasticity in assessing a subgroup of six patients with CIMT. All of the patients in the study also received conventional steroid therapy. Results: The CIMT and non-CIMT groups were comparable in terms of pre-treatment hearing level (P = 0.710), age (P = 0.124), gender (P = 0.272), and side of hearing loss (P = 0.132). In both groups, we observed a significant improvement in hearing thresholds at two weeks and four weeks after treatment (all P <0.01). Nevertheless, we did not observe a statistically significant difference in hearing recovery when using hearing threshold, interaural hearing gap, or hearing recovering rate as outcome variables (P >0.05). This observation was verified using multivariate analysis (non-CIMT vs. CIMT, odds ratio 3.84, 95% confidence interval 0.18-81.65, P = 0.388 at two weeks after treatment; odds ratio 2.70, 95% confidence interval 0.15-47.60, P = 0.497 at four weeks after treatment). P300 measurements conducted on affected ears failed to identify significant signs of neuroplastic change in response to CIMT (P = 0.063 for the amplitude comparison; P = 0.094 for the latency comparison). Conclusion: CIMT is a safe, cost-effective addition to corticosteroid treatment for SSNHL patients. It is also possible that CIMT provides an enjoyable therapeutic adjunct for the relief of stress and anxiety associated with SSNHL. However, our results failed to identify the additive effect of CIMT on hearing recovery in patients with SSNHL. Our study was also unable to confirm the degree of neuroplasticity in patients with CIMT.

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Early versus late‐applied constraint‐induced movement therapy: A multisite, randomized controlled trial with a 12‐month follow‐up

Abstract: Background and Purpose: A direct comparison between the effects of constraint-induced

Cited by 13 publications

References 29 publications

Constraint-induced movement therapy in stroke patients

Constraint-induced movement therapy in stroke patients

Development of grip strength during the first year after stroke

Neuroplastic Effect of Constraint-Induced Music Therapy on Hearing Recovery in Patients with Sudden Sensorineural Hearing Loss

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