Article

OBJECTIVE: To examine the effect of constraint-induced movement therapy and
modified constraint-induced movement therapy on activity
and participation of
patients with stroke (i.e. the effect of different treatment durations and
frequency) by reviewing the results of randomized controlled trials. Data
sources: A systematic literature search was conducted in MEDLINE, CINAHL, EMBASE,
PEDro, OTSeeker, CENTRAL and by manual search. REVIEW METHODS: Randomized
controlled trials for patients over 18 years old with stroke and published in
Finnish, Swedish, English or German were included. Studies were collected up to
the first week in May 2011. The evidence was high, moderate, low or no evidence
according to the quality of randomized controlled trial and the results of
meta-analyses. RESULTS: Search resulted in 30 papers reporting constraint-induced
movement therapy, including 27 randomized controlled trials published between
2001 and 2011. Constraint-induced movement therapy practice for 60-72 hours over
two weeks produced better mobility (i.e. ability to carry, move and handle
objects) with high evidence compared to control treatment. Constraint-induced
movement therapy for 20-56 hours over two weeks, 30 hours over three weeks and
15-30 hours over 10 weeks improved mobility of the affected upper extremity.
However, with self-care as an outcome measure, only 30 hours of
constraint-induced movement therapy practice over three weeks demonstrated an
improvement. CONCLUSION: Constraint-induced movement therapy and modified
constraint-induced movement therapy proved to be effective on affected hand
mobility and to some extent self-care on the World Health Organization's
International Classification of Functioning, Disability and Health activity and
participation component, but further studies are needed to find out the optimal
treatment protocols for constraint-induced movement therapy.

Langue : ANGLAIS