Effect of Modified Constrain Induced Movement Therapy on Fatigue and Motor Performance in Sub Acute Stroke

Mushtaq, Wassim; Hamdani, Nusrat; Noohu, Majumi M.; Raghavan, S.

doi:10.1016/j.jstrokecerebrovasdis.2020.105378

Cited by 6 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 44 studies [11,12,20–61] with 1779 patients and 13 interventions were included. The fundamental characteristics of the included studies are presented in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…The fundamental characteristics of the included studies are presented in Table 2. Among the included studies, 24 studies [12,[21][22][23][32][33][34][37][38][39][40][41][42][43]47,49,[54][55][56][57][58][59][60][61] were conducted in Asia, eight studies [24,26,27,31,35,48,52,53] in Europe, seven studies [25,28,29,44,45,50,51] in North America, two studies [36,46] in South America, two studies [11,31] in Africa and one study [20]…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Effect of different constraint-induced movement therapy protocols on recovery of stroke survivors with upper extremity dysfunction: a systematic review and network meta-analysis

Gao¹,

Zhang²,

Long³

et al. 2023

International Journal of Rehabilitation Research

View full text Add to dashboard Cite

We aimed to assess and rank comparative efficacy of different constraint-induced movement therapy (CIMT) protocols on motor function of upper extremity and activities of daily living (ADL) in stroke survivors. A comprehensive search was conducted in PubMed, EMBASE, Web of Science and Cochrane Library to identify randomized controlled trials on CIMT. Included studies were evaluated using the revised Cochrane risk of bias tool. Then a random-effects network meta-analysis was performed within a frequentist framework using Stata v16.0. Of the 1150 studies retrieved, 44 studies with 1779 participants were included. In terms of motor recovery of upper extremity, CIMT combined with trunk restraint, in which the less affected arm was constrained at least 4 h but no more than 6 h per day, ranked as the most effective intervention for the improvement of the Fugl-Meyer Assessment-Upper Extremity and the Action Research Arm Test score. In terms of ADL improvement, constraining the less affected arm for at least 4 h but no more than 6 h per day in CIMT combined with trunk restraint, was found to significantly improve the Motor Activity Log of quality of movement scale and amount of use scale score. The protocol of CIMT combined with trunk restraint, in which the less affected arm was constrained at least 4 h but no more than 6 h per day, ranked the highest in this analysis and might be considered in practice.

show abstract

“…A total of 44 studies [11,12,20–61] with 1779 patients and 13 interventions were included. The fundamental characteristics of the included studies are presented in Table 2.…”

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Effect of different constraint-induced movement therapy protocols on recovery of stroke survivors with upper extremity dysfunction: a systematic review and network meta-analysis

Gao¹,

Zhang²,

Long³

et al. 2023

International Journal of Rehabilitation Research

View full text Add to dashboard Cite

show abstract

“…Fifteen articles (60%) showed statistically significant improvement in motor and functional outcomes through use of CIMT/mCIMT and concluded that CIMT is superior to conventional therapy in overcoming non-use of affected upper limb and the resulting impairment in acute or subacute phase post stroke. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] Two articles (8%) showed that CIMT brings about limited improvements functionally but does not reduce significant disability and is not superior to conventional therapy in motor gains. [30,31] Most of the articles (50%) have denied long term gains or improvements lasting more than six months after use of CIMT; with 1 article (4%) specifically denying any effects lasting post six months.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Constraint Induced Movement Therapy (CIMT) in Comparison with Other Therapeutic Interventions in Treatment of Adult Stroke Patients: A Systematic Review

R.³

2022

Int J Sci Healthcare Res

View full text Add to dashboard Cite

Background: Stroke is a leading cause of adult disability. Among the various therapeutic modalities used for improving upper extremity function post stroke, Constraint Induced Movement Therapy (CIMT) is one of the most investigated interventions. Objectives: To review the available literature to find evidence for CIMT intervention in overcoming upper extremity impairment in adult stroke patients. Methods: A literature search was conducted on PubMed, Cochrane, EMBASE, CINAHL, and Google Scholar databases. Free full text articles from 2015 - April 2021 with interventional studies, comparing CIMT with other therapeutic interventions for stroke patients with unilateral upper limb involvement were reviewed Results: Twenty-five articles were reviewed after applying the inclusion exclusion criteria. Sample size in case of interventional studies ranged from 19-159 participants. Fifteen studies (60%) concluded that CIMT is superior to conventional therapy in overcoming non-use of affected upper limb, two articles (8%) concluded CIMT brings about limited improvements functionally. 50% studies denied long term gains or improvements, one article (4%) specifically denying any effects lasting post 6 months, three studies (12%) reported better results when CIMT was used in combination with other therapies, one study (4%) has shown Botox and CIMT combination to be a promising treatment method for improving motor function. Conclusion: We found CIMT a useful therapy in adult stroke patients with more studies showing a significant improvement in early phases of rehabilitation. Even if the articles have denied long-term gains or improvements beyond six months, none have shown deterioration in CIMT group Keywords: Adult stroke, Constraint induced movement therapy (CIMT), systematic review

show abstract

“…Regarding fatigue, the generation of force tends to decrease with fatigue and tends to impair movement’s motor control [ 27 , 28 ]. The origins of fatigue can be central or peripheral.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Ibuprofen Use on the Immune System Indicators and Force in Disabled Paralympic Powerlifters of Different Sport Levels

et al. 2022

View full text Add to dashboard Cite

Background: Paralympic powerlifting (PP) training is typically intense and causes fatigue and alterations in the immune system. Objective: To analyze whether IBU would affect performance and the immune system after training in PP. Methodology: 10 athletes at the national level (NL) and 10 at the regional level (RL) participated in the study, where force and blood indicators were evaluated after training. The study took place over three weeks: (1) familiarization and (2 and 3) comparison between recovery methods, with ibuprofen or placebo (IBU vs. PLA), 800 mg. In the evaluation of the force, the peak torque (PT), fatigue index (FI), and blood immune system biomarkers were analyzed. The training consisted of five sets of five repetitions with 80% of one maximum repetition (5 × 5, 80% 1RM) on the bench press. Results: The PT at the national level using IBU was higher than with PLA (p = 0.007, η2p = 0.347), and the FI in the NL was lower with IBU than with PLA (p = 0.002, η2p = 0.635), and when comparing the use of IBU, the NL showed less fatigue than the regional level (p = 0.004, η2p = 0.414). Leukocytes, with the use of IBU in the NL group, were greater than in the RL (p = 0.001, η2p = 0.329). Neutrophils, in the NL with IBU, were greater than in the RL with IBU and PLA (p = 0.025, η2p = 0.444). Lymphocytes, in NL with IBU were lower than in RL with IBU and PLA (p = 0.001, η2p = 0.491). Monocytes, in the NL with IBU and PLA, were lower than in the RL with IBU (p = 0.049, η2p = 0.344). For hemoglobin, hematocrit, and erythrocyte, the NL with IBU and PLA were higher than the RL with IBU and PLA (p < 0.05). Ammonia, with the use of IBU in the NL, obtained values higher than in the RL (p = 0.007), and with the use of PLA, the NL was higher than the RL (p = 0.038, η2p = 0.570). Conclusion: The training level tends to influence the immune system and, combined with the use of the IBU, it tends to improve recovery and the immune system.

show abstract

Effect of Modified Constrain Induced Movement Therapy on Fatigue and Motor Performance in Sub Acute Stroke

Cited by 6 publications

References 19 publications

Effect of different constraint-induced movement therapy protocols on recovery of stroke survivors with upper extremity dysfunction: a systematic review and network meta-analysis

Effect of different constraint-induced movement therapy protocols on recovery of stroke survivors with upper extremity dysfunction: a systematic review and network meta-analysis

Effectiveness of Constraint Induced Movement Therapy (CIMT) in Comparison with Other Therapeutic Interventions in Treatment of Adult Stroke Patients: A Systematic Review

Evaluation of Ibuprofen Use on the Immune System Indicators and Force in Disabled Paralympic Powerlifters of Different Sport Levels

Contact Info

Product

Resources

About