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Cognitive status does not predict motor gain from post stroke constraint-induced movement therapy

BOE EW; PEDERSEN AD; PEDERSEN AR; NIELSEN JF; BLICHER JU
NEUROREHABILITATION , 2014, vol. 34, n° 1, p. 201-207
Doc n°: 169594
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-131011
Descripteurs : AD6 - MANIFESTATIONS NEUROCOMPORTEMENTALES - FONCTIONS COGNITIVES, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

Constraint-Induced Movement Therapy (CIMT) is an evidence-based
rehabilitation intervention for stroke. Several factors influence the motor gain
from CIMT, including age and level of impairment.
However, it is currently
unknown to what extent cognitive status affects motor gain during CIMT.
The aim of this study was to investigate whether cognitive and
emotional status affects motor improvement during two weeks of CIMT and retention
of the gain at three months follow-up. METHODS:
Twenty stroke patients (3-12
months post stroke) completed two weeks of CIMT. Motor performance was measured
using the Wolf Motor Function Test (WMFT). Cognitive and emotional status was
measured with a comprehensive neuropsychological test battery and a questionnaire
on emotional status. All measures were performed at baseline, after two weeks of
training, and at three months follow-up. RESULTS: We found no significant
correlation between cognitive or emotional measures at baseline and improvement
in motor performance post training. Also, cognitive and emotional status did not
correlate with motor retention at three months follow-up. CONCLUSIONS: We found
no evidence to support that cognitive performance in stroke patients can predict
motor gain from CIMT.

Langue : ANGLAIS

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