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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
; and
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
2016-04-04 09:40:20
date last changed
2022-02-06 04:29:19
@article{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    = {{Taylor & Francis}},
  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}},
  doi          = {{10.2340/16501977-0312}},
  volume       = {{41}},
  year         = {{2009}},
}