A 1-year follow-up after shortened constraint-induced movement therapy with and without mitt poststroke

Arch Phys Med Rehabil. 2010 Mar;91(3):460-4. doi: 10.1016/j.apmr.2009.11.009.

Abstract

Objective: To explore the long-term benefits of shortened constraint-induced movement therapy (CIMT) in the subacute phase poststroke.

Design: A 1-year follow-up after shortened CIMT (3h training/d for 2 wk) where the participants had been randomized to a mitt group or a nonmitt group.

Setting: A university hospital rehabilitation department.

Participants: Poststroke patients (N=20, 15 men, 5 women; mean age 58.8 y; on average 14.8 mo poststroke) with mild to moderate impairments of hand function.

Interventions: Not applicable.

Main outcome measures: The Sollerman hand function test, the modified Motor Assessment Scale, and the Motor Activity Log test. Assessments were made by blinded observers.

Results: One year after shortened CIMT, participants within both the mitt group and the nonmitt group showed statistically significant improvements in arm and hand motor performance and on self-reported motor ability compared with before and after treatment. No significant differences between the groups were found in any measure at any time.

Conclusions: Shortened CIMT seems to be beneficial up to 1 year after training, but the restraint may not enhance upper motor function. To determine which components of CIMT are most effective, larger randomized studies are needed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arm / physiopathology
  • Female
  • Follow-Up Studies
  • Hand / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Motion Therapy, Continuous Passive / methods*
  • Outcome Assessment, Health Care
  • Randomized Controlled Trials as Topic
  • Recovery of Function
  • Restraint, Physical*
  • Single-Blind Method
  • Stroke Rehabilitation*