Article

This study aimed to qualify the improvements of modified
constraint-induced movement therapy (m-CIMT) on the lower limb of stroke patients
via assessing the centre of mass (COM) displacement and the basic gait
parameters. METHODS: A total of 22 hemiplegic patients after stroke with
first-time clinical cerebral infarction or haemorrhagic cerebrovascular accident
were included in this study from May to December, 2014.
The patients were
randomly divided into m-CIMT group and the conventional therapy group (control
group), and received corresponding training for five days/week for four weeks.
The COM displacement and gait parameters were assessed by three-dimensional
segmental kinematics method in pre-intervention and post- intervention therapy.
RESULTS: After four weeks of m-CIMT, the COM displacement on sagittal plane of
paretic leg during stance phase was increased (pre: 91.04 +/- 4.39 cm, post:
92.38 +/- 4.58 cm, p < 0.05) and swing range of frontal plane was remarkably
decreased (pre: 10.15 +/- 3.05 cm, post: 7.83 +/- 1.90 cm, p < 0.001). Meantime,
the normalised swing range of COM in m-CIMT was superior to that in control
group. Moreover, the gait parameters, including velocity (0.27 m/s), step width
(0.10 m), step length (0.22 m) and swing time percentage (29.80%), were
significantly improved by post-interventions of m-CIMT (p < 0.05). CONCLUSION:
The m-CIMT intervention improves the COM displacement in sagittal and frontal
plane, as well as gait parameters. These suggest that m-CIMT intervention may be
feasible and effective for the rehabilitation of hemiplegic gait. Implications
for Rehabilitation Segmental kinematics method was used to estimate the
displacement of the COM. m-CIMT interventions improved the COM displacement of
patients after stroke. m-CIMT interventions improved the hemiplegic gait
parameters.

Langue : ANGLAIS