What is the long-term benefit of constraint-induced movement therapy? A four-year follow-up.

Summary, in English

Objective: To evaluate the long-term benefits of constraint-induced movement therapy in chronic stroke.Design: A four-year follow-up after constraint-induced group therapy assessing arm and hand function and self-reported daily hand use.Subjects: Fourteen post-stroke individuals (six women and eight men; mean age 59.6 +/- 12.7 years, range 23-75 years) with mild to moderate impairments of hand function. OUTCOME MEASURES: The Sollerman hand function test and the Motor Activity Log test.Results: Four years after constraint-induced group therapy the participants had maintained their hand function, as measured by the Sollerman hand function test. The self-reported use and quality of movements of the more affected hand, as measured by the Motor Activity Log test, had decreased compared to post-treatment and three months follow-up (P < 0.01), but was still significantly higher than pre-treatment (P < 0.05).Conclusion: There seems to be a long-term benefit of constraint-induced group therapy. Hand function was maintained over time and daily hand use had increased compared to pre-treatment. To provide guidelines about the clinical use of constraint-induced movement therapy further, larger and controlled studies are needed.

• Författare: Christina Brogårdh; Ulla-Britt Flansbjer; Jan Lexell
• Avdelning/ar: Människan i rörelse: hälsa och rehabilitering; Rehabiliteringsmedicin; Neurokirurgi
• Publiceringsår: 2009
• Språk: Engelska
• Sidor: 418-423
• Publikation/Tidskrift/Serie: Clinical Rehabilitation
• Volym: 23
• Länkar: http://www.ncbi.nlm.nih.gov/pubmed/19349341?dopt=Abstract; http://dx.doi.org/10.1177/0269215508099861
• Dokumenttyp: Artikel i tidskrift
• Förlag: SAGE Publications
• Ämne: Other Medical Sciences not elsewhere specified
• Status: Published
• Forskningsgrupp: Human Movement: health and rehabilitation; Rehabilitation medicine
• ISBN/ISSN/Övrigt: ISSN: 1477-0873