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Effect of modified constraint-induced movement therapy on the activities of daily living of patients with acute stroke

Authors :
Wei-ming ZHANG
Shuai YANG
Yi-jun WANG
Xin HE
Jian-chun LU
Qing XIE
Source :
Chinese Journal of Contemporary Neurology and Neurosurgery, Vol 15, Iss 4, Pp 280-284 (2015)
Publication Year :
2015
Publisher :
Tianjin Huanhu Hospital, 2015.

Abstract

Objective To observe the rehabilitation effect of modified constraint-induced movement therapy (mCIMT) on activities of daily living (ADL) in patients with acute ischemic stroke. Methods A total of 60 patients in acute stage of cerebral stroke with limb dysfunction admitted in Ruijin Hospital from December 2012 to May 2013, were randomly divided into routine rehabilitation treatment group (control group, N = 30) and mCIMT group (N = 30). Control group was given routine rehabilitation training, 60 min each time, twice per day, 5 d per week; mCIMT group received mCIMT treatment with the similar frequency. After 2-week training, all patients were transferred to rehabilitation center for 4-week continous training. The total treatment period was 6 weeks. All of those patients received assessment before treatment and 2 weeks, 6 weeks, 12 weeks after treatment on the ability of daily living and motor function, including the modified Barthel Index (mBI), Fugl-Meyer Assessment (FMA) and Berg Balance Scale (BBS). Results Patients in both groups got increased mBI (P = 0.004, 0.000, 0.000), FMA (upper limb: P = 0.000, for all) and BBS scores (P = 0.005, 0.000, 0.000) 2, 6, 12 weeks after treatment. FMA (lower limb) score was increased 6 and 12 weeks after treatment (P = 0.000, for all). Compared to the control group, patients in mCIMT group got increased mBI (P = 0.000, for all), FMA (upper limb: P = 0.000, for all; lower limb: P = 0.000, for all) and BBS scores (P = 0.000, for all) 2, 6, 12 weeks after treatment. Conclusions mCIMT has positive therapeutic effects on the motor function of limbs in hemiplegic patients with stroke in acute stage, which can improve the balance ability and the ability of daily life, so as to raise the quality of life of patients. The efficacy of mCIMT is superior to general routine rehabilitation treatment. DOI: 10.3969/j.issn.1672-6731.2015.04.006

Details

Language :
English, Chinese
ISSN :
16726731
Volume :
15
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Chinese Journal of Contemporary Neurology and Neurosurgery
Publication Type :
Academic Journal
Accession number :
edsdoj.41c1f2a2f2be4daea62de210555abf46
Document Type :
article