Effects of sling and voluntary constraint during constraint-induced movement therapy for the arm after stroke: a randomized, prospective, single-centre, blinded observer rated study

Krawczyk, Maciej; Sidaway, Marta; Radwańska, Anna; Zaborska, Joanna; Ujma, Renata; Członkowska, Anna

doi:10.1177/0269215512442661

Cited by 11 publications

(8 citation statements)

References 31 publications

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“…Forced use therapy was investigated in 6 RCTs (N=165)(59, 60, 65, 67-69, 79) (see supplementary web appendix 5) and did not show an added value for self-reported amount of arm-hand use in daily life and self-reported quality of arm-hand movement in daily life (Figure 2) (see also supplementary web appendix 6). …”

Section: Effects Of (M)cimtmentioning

confidence: 99%

“…References: (a) 33-35, 37, 38, 43, 45, 46, 49, 50, 57, 62, 64, 70, 71, 73, 80, 82; (b) 39, 42; (c) 55, 73; (d) 46, 82; (e) 46, 75; (f) 28; (g) 31, 33- 43, 45- 47, 51-56, 73, 75-78, 80-82; (h) 28; (i) 34, 37, 41, 43, 46, 52, 54, 55, 57, 61-64, 70-73, 75, 77, 78, 80-82; (j) 67, 69; (k) 28; (l) 34, 36, 37, 41, 43, 46, 49-52, 54, 55, 57, 61, 62, 64, 70-73, 75, 77, 78, 80-82; (m) 67, 69, 79; (n) 41, 47, 52, 54, 62-64, 66, 71; (o) 53, 81, 82; (p) 81, 82.…”

Section: Figurementioning

confidence: 99%

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Constraint-induced movement therapy after stroke

Kwakkel¹,

Veerbeek²,

Wegen³

et al. 2015

The Lancet Neurology

422

304

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Constraint-induced movement therapy (CIMT) was developed to overcome upper limb impairments after stroke and is the most investigated intervention for treating stroke patients in the previous decades. This review describes the current evidence regarding: original CIMT and modified versions of CIMT (mCIMT). Meta-analysis showed strong evidence favoring both types of CIMT in terms of motor function, arm-hand activities and self-reported arm-hand functioning in daily life, immediately after treatment and at long-term follow-up, whereas no evidence was found for constraining alone (Forced Use (FU) therapy). No evidence was found that type of CIMT, intensity of practice or timing did affect outcome. Although the underlying mechanism that drive (m)CIMT is still poorly understood, recent kinematic conducted studies suggests that improvements introduced by original CIMT or mCIMT are mainly based on adaptation by learning to optimize the use of intact end-effectors by selecting patients with some voluntary motor control of wrist and finger extensors post stroke.

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Section: Effects Of (M)cimtmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

Constraint-induced movement therapy after stroke

Kwakkel¹,

Veerbeek²,

Wegen³

et al. 2015

The Lancet Neurology

422

304

View full text Add to dashboard Cite

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“… 45 A mCIMT study with random assignment comparing protocols with and without restraint in 24 patients found similar motor improvements after a one-year follow-up. 46 A recent study, 47 evolving 47 participants, showed no difference between two groups of post stroke patients treated with a combination of CIMT and physiotherapy plus different constraint regimens (sling versus voluntary constraint). It seems that using a sling were not an advantage over voluntary constraint.…”

Section: Discussionmentioning

confidence: 98%

Similar effects of two modified constraint-induced therapy protocols on motor impairment, motor function and quality of life in patients with chronic stroke

et al. 2015

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Modified constraint-induced movement therapy (CIMT) protocols show motor function and real-world arm use improvement. Meanwhile it usually requires constant supervision by physiotherapists and is therefore more expensive than customary care. This study compared the preliminary efficacy of two modified CIMT protocols. A two-group randomized controlled trial with pre and post treatment measures and six months follow-up was conducted. Nineteen patients with chronic stroke received 10 treatment sessions distributed three to four times a week over 22 days. CIMT3h_direct group received 3 hours of CIMT supervised by a therapist (n=10) while CIMT1.5h_direct group had 1.5 hours of supervised CIMT+1.5 hours home exercises supervised by a caregiver (n=9). Outcome measures were the Fugl-Meyer Assessment, the Motor Activity Log, and the Stroke Specific Quality of Life Scale. The modified CIMT protocols were feasible and well tolerated. Improvements in motor function, real-world arm use and quality of life did not differ significantly between treated groups receiving either 3 or 1.5 hours mCIMT supervised by a therapist.

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“…뇌졸중은 암, 심장병과 함께 주요 사망 원인의 하나로써 유병률이 점차 증가하고 있으며, 생존율은 높아지고 있으 나 기능 장애로 인한 많은 치료비가 지불되고 있다 1,2) . 뇌 의 병변 부위에 따라 손상된 뇌의 반대쪽에 감각 및 운동 장애와 같은 신경학적 손상을 일으키며, 특히 뇌졸중으로 인한 운동결함은 뇌 손상 반대쪽 신체에 발생하는 편마비 가 나타난다 3,4) . 또한 이러한 근육의 약화와 운동기능의 손상으로 인하여 팔다리의 움직임이 감소되고 일생상활 을 어렵게 한다 5,6) .…”

Section: 서론»»»unclassified

Comparison of Tension According to the Type of Sling Cord during the Bridging Exercise with Sling in Stroke Patients

Jang¹,

Chang²

2019

J Korean Med Rehabil

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Objectives The purpose of this study was to examine comparison of tension according to the type of sling cord during the bridging exercise with sling in stroke patients. Methods Twenty six stroke patients were recruited for this study. Subjects were randomly performed sling bridging exercise with three types of sling cords such as nonelastic cord with affected side-nonelastic cord with non affected side (NC-NC), nonelastic cord with affected side-elastic cord with non affected side (NC-EC), and elastic cord with affected side-nonelastic cord with non affected side (EC-NC). They were measured tension with a tensiometer of sling cord during the bridging exercise with sling. Results The tension of sling cord was significantly different in affected side, non affected side, and tension ratio of affected side/non affected side. There were significant differences tension in NC-EC from NC-NC and EC-NC and the NC-EC method was increased tension of affected side and decreased tension of non affected side. Conclusions These results showed that the NC-EC method was improved the symmetry of affected side and non affected side. Sling exercise with appropriate type of sling cord should be increased activities of affected side and improved recovery in stroke patients. (J

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Effects of sling and voluntary constraint during constraint-induced movement therapy for the arm after stroke: a randomized, prospective, single-centre, blinded observer rated study

Abstract: Voluntary activity constraint in the intact arm is equivalent to sling, standard constraint during massed practice of paretic arm.

Cited by 11 publications

References 31 publications

Constraint-induced movement therapy after stroke

Constraint-induced movement therapy after stroke

Similar effects of two modified constraint-induced therapy protocols on motor impairment, motor function and quality of life in patients with chronic stroke

Comparison of Tension According to the Type of Sling Cord during the Bridging Exercise with Sling in Stroke Patients

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