Effects of modified constraint-induced movement therapy on upper extremity function and occupational performance of stroke patients

Abstract

[Purpose] The purpose of this research was to examine the effectiveness of modified constraint-induced movement therapy (mCIMT) on the upper extremity function and occupational performance of stroke patients. [Participants and Methods] An experimental study was carried out on two groups of 7 participants selected by a specific criterion. The experimental group received the mCIMT as well as the conventional rehabilitation therapy (CRT) for 5 days per week over a 2 week period. The control group received only the CRT. Outcome measures included the Manual Function Test (MFT), Motor Activity Log (MAL), and Canadian Occupational Performance Measure (COPM). [Results] Average amount of changes in the MAL and COPM is different in statistical analysis between the mCIMT and the CRT groups before and after the intervention. The mCIMT group showed significant improvements on MFT, MAL, and COPM before and after the intervention. [Conclusion] We suggest that the mCIMT improves the upper extremity function and occupational performance of stroke patients better than the CRT alone.

Effects of constraint-induced movement therapy on activity and participation after a stroke: Systematic review and meta-analysis

“…The results demonstrate that the CIMT produced significant improvements with regard to the motor and function of the upper limb compared to some conventional therapies, such as mirror therapy, bilateral arm training, intensive conventional rehabilitation, mental practice, proprioceptive neuromuscular facilitation, conventional rehabilitation and conventional rehabilitation therapy (Lin et al, 2007(Lin et al, , 2009b(Lin et al, , 2010Wu et al, 2007;Page et al, 2009;Wang et al, 2011;Smania et al, 2012;Yoon et al, 2014;Atler et al, 2015;Ju and Yoon, 2018;Kim and Chang, 2018;Abba et al, 2020). In contrast, other results indicate that CIMT combined with another treatment technique (such as mental practice, auditory feedback, trunk restriction, and mirror therapy) results in a significant improvement compared to the therapy alone (Page et al, 2009;Yoon et al, 2014;Bang, 2016, Bang et al, 2018.…”

“…Regarding treatment techniques, the studies addressed CIMT; both in association with CIMT and trunk restriction ( Bang, 2016 , Bang et al, 2018 ); CIMT plus eye patching ( Wu et al, 2007 ) mental practice ( Page et al, 2009 ; Kim et al, 2018 ) and mirror therapy ( Yoon et al, 2014 ), as well as techniques that were used in another group as a form of control: proprioceptive neuromuscular facilitation ( Abba et al, 2020 ); bilateral treatment of equal intensity ( Lin et al, 2009a ; Hayner et al, 2010 ; Brunner et al, 2012 ); traditional therapies such as stretching, weight-bearing, balance, and functional task performance ( Lin et al, 2007 , 2009b ; Wang et al, 2011 ; Smania et al, 2012 ; Kim and Chang, 2018 ); neurodevelopmental techniques ( Gauthier et al, 2008 ); Low-Frequency rTMS and Occupational Therapy ( Abo et al, 2014 ); and mirror therapy ( Ju and Yoon, 2018 ).…”

“…The experimental group received CIMT and conventional rehabilitation therapy (CRT), which consisted of occupational and physical therapy; the control group received only CRT. The results showed that CIMT significantly improved occupational performance and upper extremity function compared to CRT ( Kim and Chang, 2018 ).…”

Effectiveness of Constraint Induced Movement Therapy (CIMT) in Comparison with Other Therapeutic Interventions in Treatment of Adult Stroke Patients: A Systematic Review

“…Fifteen articles (60%) showed statistically significant improvement in motor and functional outcomes through use of CIMT/mCIMT and concluded that CIMT is superior to conventional therapy in overcoming non-use of affected upper limb and the resulting impairment in acute or subacute phase post stroke. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] Two articles (8%) showed that CIMT brings about limited improvements functionally but does not reduce significant disability and is not superior to conventional therapy in motor gains. [30,31] Most of the articles (50%) have denied long term gains or improvements lasting more than six months after use of CIMT; with 1 article (4%) specifically denying any effects lasting post six months.…”

The Mechanism and Clinical Application of Constraint-Induced Movement Therapy in Stroke Rehabilitation

“…The combined application of psychological training and mCIMT was shown to have a better rehabilitation effect ( Kim et al, 2018 ). Compared with conventional rehabilitation therapy, mCIMT more effectively improved the upper limb function and occupational ability of stroke patients conventional rehabilitation therapy ( Kim and Chang, 2018 ). Sheng et al found that CIMT significantly improved upper limb motor function in stroke patients and confirmed, through functional magnetic resonance imaging (fMRI), that this change was related to changes in brain plasticity.…”