Modified constraint-induced movement therapy for clients with chronic stroke: interrupted time series (ITS) design

Abstract

[Purpose] The purpose of this study was to investigate the impact that modified constraint-induced movement therapy has on upper extremity function and the daily life of chronic stroke patients. [Subjects and Methods] Modified constraint-induced movement therapy was conduct for 2 stroke patients with hemiplegia. It was performed 5 days a week for 2 weeks, and the participants performed their daily living activities wearing mittens for 6 hours a day, including the 2 hours of the therapy program. The assessment was conducted 5 times in 3 weeks before and after intervention. The upper extremity function was measured using the box and block test and a dynamometer, and performance daily of living activities was assessed using the modified Barthel index. The results were analyzed using a scatterplot and linear regression. [Results] All the upper extremity functions of the participants all improved after the modified constraint-induced movement therapy. Performance of daily living activities by participant 1 showed no change, but the results of participant 2 had improved after the intervention. [Conclusion] Through the results of this research, it was identified that modified constraint-induced movement therapy is effective at improving the upper extremity functions and the performance of daily living activities of chronic stroke patients.

Hand strengthening exercises in chronic stroke patients: Dose-response evaluation using electromyography

“…27 In addition, regaining muscle strength of the paretic arm and hand should be emphasized as this may improve the odds of meeting the inclusion criteria for certain interventions. For example, one of the most studied and successful forms of upper limb rehabilitation in chronic stroke patients, constraint-induced movement therapy, [28][29][30][31][32][33][34] often has strict mobility and strength requirements for participation. 30,35 Therefore, effective hand exercises to improve the grip strength and hand function in chronic stroke patients are warranted, as these will function as a necessary precursor for the successful addition of more functional rehabilitation practices.…”

Dual task training effects on balance and hand functions of stroke patients

“…This study used an interrupted time series (ITS) design. The ITS designs are characterized by the collection of multiple observations over time that are “interrupted” by an intervention or treatment 7 ) . The BBT is an evaluation tool that has been standardized for evaluating the dexterity of the arms.…”

Predictors of arm non-use in chronic stroke: a preliminary investigation

“…CIMT in chronic stroke shows evidence of efficacy in improving arm function as compared to traditional rehabilitation. [8][9][10][11][12][13] A recent meta-analysis of studies conducted with acute and post-acute stroke participants 14 showed evidence supporting improved arm function from CIMT. However, there was inconsistent evidence for improvements in actual amount of use in daily activities (as measured by the Motor Activity Log).…”