Article

OBJECTIVE: To investigate the effects of a modified constraint-induced movement
therapy (mCIMT) with trunk restraint in subacute stroke patients. DESIGN:
Double-blind, randomized controlled trial. SETTING: Rehabilitation clinic.
PARTICIPANTS: Eighteen subacute stroke patients with moderate motor impairment.
INTERVENTIONS: The patients were treated with either mCIMT combined with trunk
restraint or mCIMT for 5 days per week for 4 weeks. The mCIMT combined with trunk
restraint group participated in structured intervention sessions for use of the
more affected upper-extremity in task-oriented activities with trunk restraint
for 1 hour per day, and with the less affected upper-extremity restrained for 5
hours per day weeks. The mCIMT group followed the same protocol without trunk
restraint. MAIN OUTCOME MEASURES: The outcome measures included the action
research arm test (ARAT), the Fugl-Meyer assessment (FMA), the modified Barthel
index (MBI), the motor activity log (MAL) and the maximal elbow extension angle
during reaching (MEEAR) were completed at baseline and post intervention.
RESULTS: The mCIMT combined with trunk restraint group exhibited more improved in
the ARAT, FMA, MBI, MAL and MEEAR compared with the mCIMT group. Statistical
analyses showed significantly different in ARAT (P = 0.046), FMA (P = 0.008), MBI
(P = 0.001), MAL-AOU (P = 0.024), MAL-QOM (P = 0.010) and MEEAR (P = 0.001)
between groups. CONCLUSIONS: These results suggest that mCIMT combined with trunk
restraint is more helpful to improve upper-extremity function than mCIMT only in
subacute stroke patients with moderate motor impairment.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS