Comparison of Constraint-Induced Movement Therapy and Bilateral Treatment of Equal Intensity in People With Chronic Upper-Extremity Dysfunction After Cerebrovascular Accident

Hayner, Kate A; Gibson, Ginny; Giles, Gordon Muir

doi:10.5014/ajot.2010.08027

Cited by 48 publications

(39 citation statements)

References 55 publications

(71 reference statements)

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“…[695][696][697][698][699] Recent trials comparing bilateral training with CIMT or modified CIMT indicate that they may have similar efficacy for individuals with preserved isolated wrist and finger movement. [700][701][702] For individuals with more severe paresis, the potential for recovery of upper extremity function is greatly reduced, particularly later after stroke. 674 Robotic therapy can deliver larger amounts of upper extremity movement practice for these individuals.…”

Section: Iib Bmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,068

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Iib Bmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,068

840

View full text Add to dashboard Cite

show abstract

“…Standard motor rehabilitation involves an eclectic mix of these approaches due to weak evidence for their effectiveness [97][98][99]102,103]. In contrast to conventional methods, the most evident method for the upper limb, constraint-induced movement therapy (CIMT), does not utilize the interlimb-coupling concept [104][105][106]. The coupling movements may be used as an adjunct to the evident protocols.…”

Section: Clinical Implication In Stroke Rehabilitationmentioning

confidence: 99%

Interlimb neural coupling: Implications for poststroke hemiparesis

Arya

Pandian

2014

Annals of Physical and Rehabilitation Medicine

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Interlimb coordination is essential to perform goal-directed daily tasks and purposeful locomotion. The coordination occurs due to spatiotemporal coupling of movements, which also comprises interactions in segmental kinematics, joint dynamics, and muscle activity. Neuroanatomical and neurophysiological linkages at the spinal and brain level are responsible for the coordination. The linkage is termed "neural coupling". According to the task demand, the coupling may occur between two upper limbs or two lower limbs or all four limbs. Central pattern generators play a key role in interlimb coordination by regulating the rhythmic upper and lower limb movements. Neuroanatomically, multiple areas of both cerebral hemispheres via the corpus callosum interact and control the bimanual upper limb movements. There is an interhemispheric synchronization and disinhibition to control the coupled bimanual upper and lower limb movements. Movement of the upper limb also enhances neuromuscular recruitment of the lower limb. In stroke, bimanual motor impairments exist in the form of asymmetry and reduced coordination, which may be related to weakness of the ipsilateral body side lesser than the contralateral side. The aim of the present review was to understand the interlimb coordination and neural coupling and its implication in stroke rehabilitation. The review suggests incorporating the movements of bilateral upper and lower limbs either simultaneously or consecutively for hemiparetic subjects. Further, the conventional and contemporary rehabilitation methods need to be reconsidered while utilizing the coupling concept.

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“…Recent approaches used by occupational therapists in rehabilitation include the use of virtual reality programs (Rand, Weiss, & Katz, 2009) and therapies that are designed to be delivered at a higher dose than traditional approaches (for example constraint-induced movement therapy) (Hayner, Gibson, & Giles, 2010;Walker & Pink, 2009). While these approaches are well supported by the literature, widespread integration into clinical practice has not occurred (Laver, George, Thomas, Deutsch, & Crotty, 2011;Wolf et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Preferences for rehabilitation service delivery: A comparison of the views of patients, occupational therapists and other rehabilitation clinicians using a discrete choice experiment

Laver

Ratcliffe

George

et al. 2012

Aus Occup Therapy J

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Background/aim Understanding the differences in preferences of patients and occupational therapists for the way in which rehabilitation services are provided is important. In particular, it is unknown whether new approaches to rehabilitation such as high intensity therapy and virtual reality programs are more or less acceptable than traditional approaches. Methods A discrete choice experiment was conducted to assess and compare the acceptability of these new approaches, relative to other characteristics of the rehabilitation program. The study included patients participating in a stroke or medical rehabilitation program (n = 100), occupational therapists (n = 23) and other clinicians (n = 91) working in rehabilitation settings at three hospitals in South Australia. Data were analysed using a conditional (fixed‐effects) logistic regression model. Results The model coefficient attached to very high intensity therapy programs (defined as six hours per day) was negative and highly statistically significant for both patients and therapists indicating aversion for this option. In addition, other rehabilitation clinicians and patients were strongly averse to the use of virtual reality programs (as evidenced by the negative and highly statistically significant coefficient attached to this attribute for both groups) relative to occupational therapists. Conclusion The comparison of the views of patients, occupational therapists and other rehabilitation clinicians revealed some differences. All participants (patients and clinicians) showed an inclination for programs that resulted in the best recovery. However, patients expressed stronger preferences than clinicians for traditional therapy approaches. As a group, occupational therapists were most likely to accept approaches such as virtual reality suggesting changes away from traditional delivery methods will be more readily integrated into practice.

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Comparison of Constraint-Induced Movement Therapy and Bilateral Treatment of Equal Intensity in People With Chronic Upper-Extremity Dysfunction After Cerebrovascular Accident

Abstract: High-intensity occupational therapy using a CIMT or a bilateral approach can improve UE function in people with chronic UE dysfunction after CVA. Treatment intensity rather than restraint may be the critical therapeutic factor.

Cited by 48 publications

References 55 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Interlimb neural coupling: Implications for poststroke hemiparesis

Preferences for rehabilitation service delivery: A comparison of the views of patients, occupational therapists and other rehabilitation clinicians using a discrete choice experiment

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