Article

OBJECTIVE: To explore the long-term benefits of shortened constraint-induced
movement therapy (CIMT) in the subacute phase poststroke. DESIGN: A 1-year
follow-up after shortened CIMT (3h training/d for 2 wk) where the participants
had been randomized to a mitt group or a nonmitt group. SETTING: A university
hospital rehabilitation department. PARTICIPANTS: Poststroke patients (N=20, 15
men, 5 women; mean age 58.8 y; on average 14.8 mo poststroke) with mild to
moderate impairments of hand function. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURES: The Sollerman hand function test, the modified Motor Assessment
Scale, and the Motor Activity Log test. Assessments were made by blinded
observers. RESULTS: One year after shortened CIMT, participants within both the
mitt group and the nonmitt group showed statistically significant improvements in
arm and hand motor performance and on self-reported motor ability compared with
before and after treatment. No significant differences between the groups were
found in any measure at any time. CONCLUSIONS: Shortened CIMT seems to be
beneficial up to 1 year after training, but the restraint may not enhance upper
motor function. To determine which components of CIMT are most effective, larger
randomized studies are needed.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS