Group-based constraint-induced movement therapy in the rehabilitation of chronic poststroke patients

This study aimed to describe the effects of a 90-minute group-based constraint-induced movement therapy protocol (CIMT) on upper extremity (UE) rehabilitation in poststroke patients. The study was a case series clinical study with 6 patients with chronic stroke admitted to the institutional integrat...

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Bibliographic Details
Published in:	Medicine (Baltimore) Vol. 100; no. 8; p. e24864
Main Authors:	Galvão, Fábio R.O., Silvestre, Maria C.A., Gomes, Camila L.A., Pereira, Nayara K.F., Nóbrega, Viviane T.B., Lima, Wellington S., Gondim, Afonson L.M., Cacho, Enio W.A., Cacho, Roberta O.
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins 26-02-2021
Subjects:	Aged Aged, 80 and over Exercise Therapy - methods Female Humans Male Occupational Therapy - methods Stroke Rehabilitation - methods Study Protocol Clinical Trial Upper Extremity - physiopathology
Online Access:	Get full text
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Summary:	This study aimed to describe the effects of a 90-minute group-based constraint-induced movement therapy protocol (CIMT) on upper extremity (UE) rehabilitation in poststroke patients. The study was a case series clinical study with 6 patients with chronic stroke admitted to the institutional integrated clinic. Ten 90-minute CIMT sessions were administered, based on the principles of the original therapy. On completion of the protocol, participants underwent group care once a week, for 1 hour a day. For comparison purposes, the Wolf Motor Function Test (WMFT), Motor Activity Log (MAL), and Canadian Occupational Performance Measure (COPM) were applied on admission, shortly after completing the protocol, and 3 months after completion. In addition, the MAL and shaping tasks were applied daily. There was a statistically significant difference only in the MAL Amount of Use Scale applied daily between the 2nd (3.56) and 9th (3.31) and 2nd and 10th days (4.49) (P = .004), with a moderate effect size (d' = 0.46), and in the average value of shaping repetitions between the 1st (16.10) and 2nd (6.00) and 1st and 10th tasks (7.00) (P = .014), with a moderate effect size (d' = 0.35). The 90-minute CIMT protocol resulted in significant improvements in use of the more affected arm in activities of daily living during the 2-week protocol. Additional research with a larger sample and a control group is needed to confirm its effectiveness.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	0025-7974 1536-5964
DOI:	10.1097/MD.0000000000024864