Randomized Trial of Distributed Constraint-Induced Therapy Versus Bilateral Arm Training for the Rehabilitation of Upper-Limb Motor Control and Function After Stroke

Wu, Ching‐yi; Chuang, Li-Ling; Lin, Keh‐chung; Chen, Hsieh-Ching; Tsay, Pei-Kwei

doi:10.1177/1545968310380686

Cited by 106 publications

(121 citation statements)

References 53 publications

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“…The result of the present study contradicts with [32,33] The authors revealed that unilateral arm training produced greater functional gains and use of the paretic arm in daily life than bilateral arm training .The unilateral arm training group also obtained a higher improvement in WMFTTime score than the bilateral arm training group, thus demonstrating larger improvements in the temporal efficiency of motor function. The contradiction of these results with the results of the current study may be due working on small sample sizes and using bilateral arm training of asymmetrical type not symmetrical type with weight as in the current study.…”

Section: Discussioncontrasting

confidence: 99%

Effect of Weighted Hand Movements on Hand Function in Chronic Stroke Patients

Zakaria¹,

Ragab²,

Ali³

2017

IJPR

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Background: Hand dysfunction is a common problem of stroke patients and it is the main cause of impairment of the upper limb. Finding new method to improve hand performance will decrease the disability of chronic stroke patients.Aim of the study: to study the effect of bilateral hand training with weight on the non paretic hand on the hand performance and time of performance in chronic stroke patients. Materials and Methods:Thirty left chronic stroke patients participated in this study. The patients were assigned randomly into two equal groups. Group one (G1) received unilateral hand training and group two (G2) received bilateral hand training with weight on non affected hand. Both groups assessed two times before starting training program and after two months of training by Fugl meyer assessment scale, Wolf motor function test and hand dynamometer for the motor performance, time of performance and hand grip respectively.Results: the patients in G2 showed significant improvement in the hand performance (P<.0001) and significant decrease in the time of performance (P<.001) and also significant improvement of hand grip (P<.0001). Conclusion:Bilateral hand movement with weight on the non affected hand has a significant effect on improving hand performance and decreasing the time of performance and increasing hand grip than unilateral hand movement.

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Section: Discussioncontrasting

confidence: 99%

Effect of Weighted Hand Movements on Hand Function in Chronic Stroke Patients

Zakaria¹,

Ragab²,

Ali³

2017

IJPR

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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

1,912

715

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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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“…Furthermore, the mCIMT has been used for 2 hours per day, five days per week for 3 weeks [56]. The mCIMT protocols described here have reported a significant improvement in the affected upper limb motor function [1,8,56]. Another experiment utilized the mCIMT for two weeks in 15 patients who were divided into two training groups.…”

Section: Several Investigations Have Been Conducted In Order Tomentioning

confidence: 99%

“…It is known that this technique provides positive results regarding the improvement of the affected upper limbs, resulting in increased quality of life for the patient [5]. Researchers relate these behavioral gains with enlargement of the cortical excitability area [7,8], and neurophysiologic principles and neuroimaging tools promote an understanding of how this reorganization of the central nervous system influences the recovery process of the individual [9].…”

Section: Introductionmentioning

confidence: 99%

Neurorestorative Effects of Constraint-Induced Movement Therapy after Stroke: An Integrative Review

Lucas¹,

Ribeiro²,

Cagy³

et al. 2013

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Stroke has been considered as one of the main causes of death and of motor and cognitive sequels. Especially, many patients with upper limb hemiparesis improved their motor action and showed meaningful cortical changes after treatment with constraint-induced movement therapy. Therefore, this review aims to verify the literature about neuroimaging and behavioral evidences in the cortical reorganization through the use of the constraint-induced movement therapy. So, we conducted the literature research in indexed journals from many databases like Pubmed, Medline, Cochrane Database, Lilacs and Scielo. We concluded that the behavioral and neuroimaging studies using traditional and modified constraint-induced movement therapy promote cortical reorganization.

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Randomized Trial of Distributed Constraint-Induced Therapy Versus Bilateral Arm Training for the Rehabilitation of Upper-Limb Motor Control and Function After Stroke

Cited by 106 publications

References 53 publications

Effect of Weighted Hand Movements on Hand Function in Chronic Stroke Patients

Effect of Weighted Hand Movements on Hand Function in Chronic Stroke Patients

Guidelines for Adult Stroke Rehabilitation and Recovery

Neurorestorative Effects of Constraint-Induced Movement Therapy after Stroke: An Integrative Review

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