Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effect of Modified Constraint Induced Movement Therapy on Upper Extremity Performance in Chronic Stroke Patients


Affiliations
1 Department of Physiotherapy, Pad.Dr.D.Y.Patil University, Navi Mumbai, India
     

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Introduction: There are various techniques practiced in upper limb rehabilitation in stroke patients. One of the effective techniques is constraint induced movement therapy.But adherence to this intense protocol is difficult. So a shorter protocol, Modified constraint induced movement therapy (MCIMT) was introduced.

Objective: To study the effect of modified constraint induced movement therapy as an adjunct to conventional therapy on upper extremity performance in chronic stroke patients.

Methodology: After the ethics committee approval an informed consent was taken from the participants. 30 subjects, known cases of chronic stroke, out of which 15 were divided into the experimental group and the other 15 formed the control group. Experimental group received Modified constraint induced movement therapy along with conventional therapy. They were evaluated for motor function in terms of fugl Meyer scale and the wolf motor function test, functional use of affected upper extremity in ADL using the motor activity log.

Results: Experimental group showed statistically significant improvement in all outcome measures. Conclusion: Modified constraint induced movement therapy as an adjunct to conventional therapy was effective in improving the motor function and functional use of the affected upper extremity in chronic stroke patients.


Keywords

Modified Constraint Induced Movement Therapy, Chronic Stroke
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  • Constraint-induced movement therapy”, American Stroke Association

  • Deluca, S. C., Echols, K., Law, C. R., Ramey, S. L. (2006). “Pediatric constraint-induced therapy for children wih cerebral palsy: Randomized, controlled, crossover trial”. Journal of Child Neurology 21: 931–940.

  • Sutcliffe, T. L., Logan, W. J., Fehlings, D. L. (2009). “Constraint-induced movement therapy is associated with increased contralateral cortical activity on functional magnetic resonance imaging”. Journal of Child Neurology 24: 1230– 1235.

  • Taub, E; G Uswatte (1999). “Constraint-induced movement therapy: a new family of techniques with broad application to physical rehabilitation - a clinical review”. Journal of Rehabilitation Research & Development 36 (3): 237–51.

  • Lin, K; C Wu, T Wei, C Lee, J Liu (2007). “Effects of modified constraint-induced movement therapy on reach-to-grasp movements and functional performance after chronic stroke: a randomized controlled study”. Clinical Rehabilitation 21 (12): 1075–86.

  • Wolf, S; Carolee Winstein, J. Philip Miller, Edward Taub, Gitendra Uswatte, David Morris, Carol Giuliani, Kathye E. Light, Deborah Nichols- Larsen, (2006). “Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After Stroke”. The Journal of the American Medical Association 296 (17): 2095–2104.

  • O’Sullivan, Susan B. (2007). Physical Therapy 5th Edition. Chapter 13: F.A. Davis Company. pp. 484–487. ISBN 0-8036-1247-8.

  • Pidcock, FS; Garcia T; Trovato MK; Schultz SC; Brady KD (2009). “Pediatric constraint-induced movement therapy: a promising intervention for childhood hemiparesis”. Topics in Stroke Rehabilitation 16 (5): 339–345..

  • Huang, H.; Fetters, L., Hale, J., McBride, A. (2009). “Bound for Success: A Systematic Review of Constraint-Induced Movement Therapy in Children With Cerebral Palsy Supports Improved Arm and Hand Use”. Physical Therapy 89 (11): 1126–1141..

  • Taub, E.; Morris, D.M. (2001). “Constraint- Induced Movement Therapy to Enhance Recovery after Stroke”. Current Atherosclerosis Reports 3 (4): 279–286..

  • Siebers, A; Oberg, Skargren (2010). “The effects of modified constraint-induced movement therapy on spasticity and motor function of the affected arm in patients with chronic stroke”. Physiotherapy Canada 62 (4): 388–396

  • Shi YX, Tian JH, Yang KH, Zhao YModified constraint-induced movement therapy versus traditional rehabilitation in patients with upperextremity dysfunction after stroke: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2011 Jun;92(6):972-82.

  • . Stephen J. Page, PhD, SueAnn Sisto, PhD, PT, Peter Levine, BA, PTA, Robert E. McGrath, PhD in their study on Efficacy of Modified Constraint- Induced Movement Therapy in Chronic Stroke. Archives of Physical Medicine and Rehabilitation, Volume 85, Issue 1, Pages 14-18, January 2004

  • Page SJ, Sisto SA, Johnston MV, Levine P, Hughes M. Modified constraint induced therapy in subacute stroke: a case study. Arch Phys Med Rehabil 2002;83:286-90.

  • Stephen J Page, Peter Levine in their study on Modified Constraint-Induced Therapy in Patients With Chronic StrokeExhibiting Minimal Movement Ability in the Affected Arm. Phys Ther. 2007 Jul;87(7):872-8.

  • Liepert, J., Uhde, I., Graf, S., Leidner, O., & Weiller, C. (2001). Motor cortex plasticity duringforceduse therapy in stroke patients: a preliminary study. Journal of neurology Vol.248, No. 4, (April 2001), pp. 315-321, ISSN 0340-5354

  • Urška Puh (2012). Brain Plasticity Induced by Constraint-Induced Movement Therapy: Relationship of fMRI and Movement Characteristics, Functional Magnetic Resonance Imaging - Advanced Neuroimaging Applications, Prof. Rakesh Sharma (Ed.), ISBN: 978-953-51- 0541-1, InTech


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  • Effect of Modified Constraint Induced Movement Therapy on Upper Extremity Performance in Chronic Stroke Patients

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Authors

Mahale Rutuja
Department of Physiotherapy, Pad.Dr.D.Y.Patil University, Navi Mumbai, India
Karajgi Asmita
Department of Physiotherapy, Pad.Dr.D.Y.Patil University, Navi Mumbai, India
Yardi Sujata
Department of Physiotherapy, Pad.Dr.D.Y.Patil University, Navi Mumbai, India

Abstract


Introduction: There are various techniques practiced in upper limb rehabilitation in stroke patients. One of the effective techniques is constraint induced movement therapy.But adherence to this intense protocol is difficult. So a shorter protocol, Modified constraint induced movement therapy (MCIMT) was introduced.

Objective: To study the effect of modified constraint induced movement therapy as an adjunct to conventional therapy on upper extremity performance in chronic stroke patients.

Methodology: After the ethics committee approval an informed consent was taken from the participants. 30 subjects, known cases of chronic stroke, out of which 15 were divided into the experimental group and the other 15 formed the control group. Experimental group received Modified constraint induced movement therapy along with conventional therapy. They were evaluated for motor function in terms of fugl Meyer scale and the wolf motor function test, functional use of affected upper extremity in ADL using the motor activity log.

Results: Experimental group showed statistically significant improvement in all outcome measures. Conclusion: Modified constraint induced movement therapy as an adjunct to conventional therapy was effective in improving the motor function and functional use of the affected upper extremity in chronic stroke patients.


Keywords


Modified Constraint Induced Movement Therapy, Chronic Stroke

References