Article

OBJECTIVE: To evaluate the effect of constraint-induced movement therapy in adult
stroke patients and to examine the impact of time since stroke and various
treatment modalities. DATA SOURCES: PubMed, EMBASE, Cochrane and PEDro trial
registers were searched for clinical trials published before November 2012. STUDY
SELECTION: Randomized or quasi-randomized controlled trials of constraint-induced
movement therapy lasting 2-7 h/day for 8-28 days were included. DATA EXTRACTION:
Measurements were classified into the following categories: arm motor function,
arm motor activity, activities of daily living, and participation. A pooled
standardized mean difference (SMD) was calculated for each category. Moderators
were: trial quality, behavioural techniques, amount of training, time since
stroke, shaping, and the nature of the control group. DATA SYNTHESIS: Of 3842
records initially screened 23 trials were included. A small post-treatment effect
was found on arm motor function (SMD 0.28, 95% confidence interval (CI)
0.11-0.44). Meanwhile, a moderate effect on arm motor activity was found
post-treatment (SMD 0.51, 95% CI 0.30-0.73) and at 3-6 months follow-up (SMD
0.41, 95% CI 0.08-0.74). CONCLUSION: Constraint-induced movement therapy can
improve arm motor function and improve arm motor activities and may have a
lasting effect on arm motor activity.

Langue : ANGLAIS