Effects of Constraint-induced Movement Therapy on Different Severities of the Motor Deficit of Upper Extremity after Stroke
- VernacularTitle:强制性使用运动疗法在不同程度上肢功能障碍脑卒中患者中的效力
- Author:
Chang-Shui WENG
;
Jun WANG
;
Xiao-yan PAN
;
Gang WANG
;
Sheng BI
;
Jun XU
;
Zengzhi YU
;
Limin ZHANG
;
Liping GAO
;
Chunnuan HUO
- Publication Type:Journal Article
- Keywords:
constraint-induced movement therapy, stroke, upper extremity, rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2006;12(3):237-239
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo determine the efficacy of constraint-induced movement therapy(CIMT) on different severity of the motor deficit of upper extremity after stroke.Methods27 stroke patients who had upper-limb hemiparesis and learned nonuse were allocated either to the moderate group(n=12) or the severe group(n=15) according to severity of initial motor deficit of upper extremity by Upper Extremity Function Test(UEFT).The two group patients were given CIMT,involving restriction of movement of the intact upper extremity by placing it in a sling for 90% of waking hours for 12 days and training(by repetitive practice,shaping) of the more affected extremity for 6 hours on the 10 weekdays during that period.Outcome were measured with UEFT.ResultsThere was no significant difference in treatment gain on the UEFT between the moderate patients and the severe patients(P>0.05).However,the Effect Size for the severe patients(ES=2.2) was larger than for the moderate patients(ES=1.8) at the quality of movement(UEFT).ConclusionCIMT is an effective rehabilitation technique for different severity of the motor deficit of upper extremity after stroke,especially in severe stroke patients.
