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Shortened constraint-induced movement therapy in subacute stroke - No effect of using a restraint: A randomized controlled study with independent observers.

Brogårdh, Christina LU ; Vestling, Monika LU and Sjölund, Bengt H (2009) In Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine 41(4). p.231-236
Abstract
OBJECTIVE: To examine the effect of using a mitt during shortened constraint-induced movement therapy for patients in the subacute phase after stroke. SUBJECTS: Twenty-four patients with stroke (mean age 57.6 (standard deviation (SD) 8.5) years; average 7 weeks post-stroke) with mild to moderate impaired hand function. METHODS: The patients were randomized to mitt use or no mitt use on the less affected hand for 90% of waking hours for 12 days. All patients received 3 h of arm and hand training per day for 2 weeks. Assessments were made by blinded observers using the modified Motor Assessment Scale, the Sollerman hand function test, the 2-Point Discrimination test and Motor Activity Log test. RESULTS: Patients in both groups showed... (More)
OBJECTIVE: To examine the effect of using a mitt during shortened constraint-induced movement therapy for patients in the subacute phase after stroke. SUBJECTS: Twenty-four patients with stroke (mean age 57.6 (standard deviation (SD) 8.5) years; average 7 weeks post-stroke) with mild to moderate impaired hand function. METHODS: The patients were randomized to mitt use or no mitt use on the less affected hand for 90% of waking hours for 12 days. All patients received 3 h of arm and hand training per day for 2 weeks. Assessments were made by blinded observers using the modified Motor Assessment Scale, the Sollerman hand function test, the 2-Point Discrimination test and Motor Activity Log test. RESULTS: Patients in both groups showed significant improvements in arm and hand motor performance and on self- notreported motor ability after 2 weeks of therapy and at 3 months follow-up. However, no statistically significant differences between the groups were found in any measures at any point in time. CONCLUSION: In this study, no effect of using a restraint in patients with subacute stroke was found. Thus, this component in the constraint-induced therapy concept seems to be of minor importance for the outcome. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine
volume
41
issue
4
pages
231 - 236
publisher
Taylor & Francis
external identifiers
  • WOS:000264017200004
  • PMID:19247541
  • Scopus:61749092016
ISSN
1651-2081
DOI
10.2340/16501977-0312
language
English
LU publication?
yes
id
1f30ba27-0eb8-41bc-98b3-8e3169bf6bc2 (old id 1302055)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19247541?dopt=Abstract
date added to LUP
2009-03-04 15:27:38
date last changed
2016-11-13 04:29:56
@misc{1f30ba27-0eb8-41bc-98b3-8e3169bf6bc2,
  abstract     = {OBJECTIVE: To examine the effect of using a mitt during shortened constraint-induced movement therapy for patients in the subacute phase after stroke. SUBJECTS: Twenty-four patients with stroke (mean age 57.6 (standard deviation (SD) 8.5) years; average 7 weeks post-stroke) with mild to moderate impaired hand function. METHODS: The patients were randomized to mitt use or no mitt use on the less affected hand for 90% of waking hours for 12 days. All patients received 3 h of arm and hand training per day for 2 weeks. Assessments were made by blinded observers using the modified Motor Assessment Scale, the Sollerman hand function test, the 2-Point Discrimination test and Motor Activity Log test. RESULTS: Patients in both groups showed significant improvements in arm and hand motor performance and on self- notreported motor ability after 2 weeks of therapy and at 3 months follow-up. However, no statistically significant differences between the groups were found in any measures at any point in time. CONCLUSION: In this study, no effect of using a restraint in patients with subacute stroke was found. Thus, this component in the constraint-induced therapy concept seems to be of minor importance for the outcome.},
  author       = {Brogårdh, Christina and Vestling, Monika and Sjölund, Bengt H},
  issn         = {1651-2081},
  language     = {eng},
  number       = {4},
  pages        = {231--236},
  publisher    = {ARRAY(0x9a6be30)},
  series       = {Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine},
  title        = {Shortened constraint-induced movement therapy in subacute stroke - No effect of using a restraint: A randomized controlled study with independent observers.},
  url          = {http://dx.doi.org/10.2340/16501977-0312},
  volume       = {41},
  year         = {2009},
}