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

Chinese Journal of Contemporary Neurology and Neurosurgery

卷:15

Jian-chun LU¹  Shuai YANG¹  Yi-jun WANG¹  Qing XIE¹  Xin HE¹  Wei-ming ZHANG¹ 

[1] Department of Rehabilitation, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China;

关键词: Stroke;    Exercise therapy;    Activities of daily living;    Rehabilitation;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective To observe the rehabilitation effect of modifiedconstraint-induced movement therapy (mCIMT) on activities of daily living (ADL)in patients with acute ischemic stroke.  Methods A total of 60patients in acute stage of cerebral stroke with limb dysfunction admitted inRuijin Hospital from December 2012 to May 2013, were randomly divided intoroutine rehabilitation treatment group (control group, N = 30) and mCIMT group(N = 30). Control group was given routine rehabilitation training, 60 min eachtime, twice per day, 5 d per week; mCIMT group received mCIMT treatment with thesimilar frequency. After 2-week training, all patients were transferred torehabilitation center for 4-week continous training. The total treatment periodwas 6 weeks. All of those patients received assessment before treatment and 2weeks, 6 weeks, 12 weeks after treatment on the ability of daily living andmotor function, including the modified Barthel Index (mBI), Fugl-MeyerAssessment (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 wasincreased 6 and 12 weeks after treatment (P = 0.000, for all). Comparedto the control group, patients in mCIMT group got increased mBI (P =0.000, for all), FMA (upper limb: P = 0.000, for all; lowerlimb: P = 0.000, for all) and BBS scores (P = 0.000, for all)2, 6, 12 weeks after treatment.  Conclusions mCIMT haspositive therapeutic effects on the motor function of limbs in hemiplegicpatients with stroke in acute stage, which can improve the balance ability andthe ability of daily life, so as to raise the quality of life of patients. Theefficacy of mCIMT is superior to general routine rehabilitation treatment.

 

DOI: 10.3969/j.issn.1672-6731.2015.04.006

【 授权许可】

Unknown