A clinical study of modified constraint-induced movement therapy for upper extremity motor recovery in stroke patients
- VernacularTitle:改良强制性使用运动疗法对脑卒中偏瘫患者上肢功能影响的临床研究
- Author:
Wenqing WANG
;
Yina DUAN
;
Li XU
;
Hongwei WANG
;
Ruizhi XIE
;
Jingjing FENG
;
Xinyang FANG
;
Wu HUANG
;
Yamei LIU
- Publication Type:Journal Article
- Keywords:
Modified constraint-induced movement therapy;
Stroke;
Upper-extremity;
Motor function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2008;30(5):320-323
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of a modified version of constraint-induced movement therapy(MCIMT)on motor recovery in the upper extremities of stroke patients. Methods Twenty-seven stroke patients were randomly divided into a treatment group(n=14)and a routine group(n=13).The Bobath approach and functional arm exercise were administered to the patients in the routine group(2 h/d,5 times a week)for ten weeks.The MCIMT administered to the treatment group involved restriction of the functional arm by a sling during 90%of waking time and during training(by shaping)of the affected extremity(1 hour per day,three times a week)in addition to activities of daily living exercise for at least 2 hours every day.The main outcome measures were the ten items of the simplified test for evaluating hand function(STEF)and Wolf's Motor Function Test(WMFT). Results No significant difference was observed between the 2 groups with regard to WMFT and STEF scores before treatment.After treatment,both groups had improved their WMFT and STEF scores significantly,but there was a significant difference between the treatment and the control groups with regard to WMFT scores and 7 items of the STEF test. Conclusion Modified constraint-induced movement therapy is effective not only for promoting motor recovery of the upper extremity,but also for improving the flexibility and velocity of movement instroke patients.
