Article

Reducing compensatory strategies during repetitive upper-limb
training may be helpful in relearning motor skills. OBJECTIVE: To explore the
effects of modified constraint-induced movement therapy (mCIMT), additionally
modified by adding trunk restraint (TR), on upper-limb function and activities of
daily living (ADLs) in early post-stroke patients.
METHODS: Twenty-four
participants with early stroke were randomly assigned to mCIMT combined with TR
(mCIMT + TR) or mCIMT alone. Each group underwent twenty sessions (1 h/d, 5 d/wk
for 4 weeks). Patients were assessed with the action research arm test (ARAT),
the Fugl-Meyer Assessment-Upper extremity (FMA-UE), the Modified Barthel index
(MBI), the Maximal elbow extension angle during reaching (MEEAR), and Motor
Activity Logs (MAL-AOU and MAL-QOM). RESULTS: The mCIMT + TR group exhibited
greater improvement in the ARAT, FMA-UE, MBI, MEEAR, and MAL-AOU, and MAL-QOM
than the mCIMT group. Statistical analyses showed significant differences in ARAT
(P = 0.003), FMA-UE (P = 0.042), MBI (P = 0.001), MEEAR (P = 0.002), and MAL-AOU
(P = 0.005) between the groups. CONCLUSION: Modified CIMT combined with TR may be
more effective than mCIMT alone in improving upper-limb function and ADLs in patients with early stroke.
- Thérapie de contrainte induite

Langue : ANGLAIS