Pilot Trial of Distributed Constraint-Induced Therapy With Trunk Restraint to Improve Poststroke Reach to Grasp and Trunk Kinematics

Wu, Ching‐yi; Chen, Yi‐An; Chen, Hsieh-Ching; Lin, Keh‐chung; Yeh, I-Ling

doi:10.1177/1545968311415862

Cited by 28 publications

(87 citation statements)

References 33 publications

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“…20,21,23,25,26 Exception were the following: Thielman 23 examined auditory feedback when the participants moved away from pressure sensor at the back of the chair, and Woodbury et al 24 who used a padded shield located anterior to the participants' sternum to discourage anterior trunk displacement.…”

Section: Resultsmentioning

confidence: 99%

“…In 2 studies, 20,23 the training consisted of reaching and grasping objects of various sizes, shapes, and weight. The other 3 studies [24][25][26] incorporated constraint-induced movement therapy (CIMT) in the training with trunk restraint.…”

Section: Resultsmentioning

confidence: 99%

“…Six articles 19,22,27,34,35,36 were excluded because they did not meet the inclusion criteria (Appendix B). Six RCTs 20,21,[23][24][25][26] were 38 There were no reports of dropouts in any of the 6 studies. Methodologies and key findings of the studies are summarized in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…These findings were substantiated by subsequent studies. [19][20][21][23][24][25][26][27] Restriction of compensatory trunk movements during practice for chronic stroke patients led to reduced trunk displacement, improved shoulder and elbow movements, with straighter reach trajectories, resulting in improvements in reach-to-grasp movements.…”

Section: Introductionmentioning

confidence: 99%

“…[19][20][21][22][23][24][25][26][27] Trunk restraint is usually achieved through a chest harness, based on the assumption that restriction of compensatory trunk movement will encourage the recovery of more normal upper extremity movement patterns. 22 The first study that explored the potential of trunk restraint was conducted on 11 healthy individuals and 11 chronic stroke patients.…”

Section: Introductionmentioning

confidence: 99%

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Trunk Restraint to Promote Upper Extremity Recovery in Stroke Patients

Wee

Hughes

Warner

et al. 2014

Neurorehabil Neural Repair

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Background. Many stroke patients exhibit excessive compensatory trunk movements during reaching. Compensatory movement behaviors may improve upper extremity function in the short-term but be detrimental to long-term recovery. Objective. To evaluate the evidence that trunk restraint limits compensatory trunk movement and/or promotes better upper extremity recovery in stroke patients. Methods. A search was conducted through electronic databases from January 1980 to June 2013. Only randomized controlled trials (RCTs) comparing upper extremity training with and without trunk restraint were selected for review. Three review authors independently assessed the methodological quality and extracted data from the studies. Meta-analysis was conducted when there was sufficient homogenous data. Results. Six RCTs involving 187 chronic stroke patients were identified. Meta-analysis of key outcome measures showed that trunk restraint has a moderate statistically significant effect on improving Fugl-Meyer Upper Extremity (FMA-UE) score, active shoulder flexion, and reduction in trunk displacement during reaching. There was a small, nonsignificant effect of trunk restraint on upper extremity function. Conclusion. Trunk restraint has a moderate effect on reduction of upper extremity impairment in chronic stroke patients, in terms of FMA-UE score, increased shoulder flexion, and reduction in excessive trunk movement during reaching. There is insufficient evidence to demonstrate that trunk restraint improves upper extremity function and reaching trajectory smoothness and straightness in chronic stroke patients. Future research on stroke patients at different phases of recovery and with different levels of upper extremity impairment is recommended.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trunk Restraint to Promote Upper Extremity Recovery in Stroke Patients

Wee

Hughes

Warner

et al. 2014

Neurorehabil Neural Repair

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Constraint-induced movement therapy for upper extremities in people with stroke

Corbetta

Sirtori

Castellini

et al. 2015

Cochrane Database of Systematic Reviews

134

101

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CIMT is a multi-faceted intervention where restriction of the less affected limb is accompanied by increased exercise tailored to the person's capacity. We found that CIMT was associated with limited improvements in motor impairment and motor function, but that these benefits did not convincingly reduce disability. This differs from the result of our previous meta-analysis where there was a suggestion that CIMT might be superior to traditional rehabilitation. Information about the long-term effects of CIMT is scarce. Further trials studying the relationship between participant characteristics and improved outcomes are required.

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Trunk Restraint: Physical Intervention for Improvement of Upper-Limb Motor Impairment and Function

Levin

2014

International Handbook of Occupational Therapy Interventions

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Pilot Trial of Distributed Constraint-Induced Therapy With Trunk Restraint to Improve Poststroke Reach to Grasp and Trunk Kinematics

Cited by 28 publications

References 33 publications

Trunk Restraint to Promote Upper Extremity Recovery in Stroke Patients

Trunk Restraint to Promote Upper Extremity Recovery in Stroke Patients

Constraint-induced movement therapy for upper extremities in people with stroke

Trunk Restraint: Physical Intervention for Improvement of Upper-Limb Motor Impairment and Function

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