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Rehabilitation of stroke patients with plegic hands: Randomized controlled trial of expanded Constraint-Induced Movement therapy.

Published on Mar 8, 2018in Restorative Neurology and Neuroscience1.839
· DOI :10.3233/RNN-170792
Gitendra Uswatte40
Estimated H-index: 40
(UAB: University of Alabama at Birmingham),
Edward Taub77
Estimated H-index: 77
(UAB: University of Alabama at Birmingham)
+ 6 AuthorsVictor W. Mark23
Estimated H-index: 23
(UAB: University of Alabama at Birmingham)
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Abstract
  • References (42)
  • Citations (4)
References42
Newest
#1Samar Hatem (Vrije Universiteit Brussel)H-Index: 8
#2Geoffroy Saussez (UCL: Université catholique de Louvain)H-Index: 2
Last. Yannick Bleyenheuft (UCL: Université catholique de Louvain)H-Index: 16
view all 7 authors...
Stroke is one of the leading causes for disability worldwide. Motor function deficits due to stroke affect the patients’ mobility, their limitation in daily life activities, their participation in society and their odds of returning to professional activities. All of these factors contribute to a low overall quality of life. Rehabilitation training is the most effective way to reduce motor impairments in stroke patients. This multiple systematic review focuses both on standard treatment methods ...
108 CitationsSource
#1Annette Sterr (University of Surrey)H-Index: 33
#2Darragh O’Neill (UCL: University College London)H-Index: 7
Last. Katherine Herron (UCL: University College London)H-Index: 6
view all 4 authors...
CI therapy is effective in patients with relatively good levels of residual arm function but its applicability to patients with low functioning hemiparesis is not entirely clear. In the present study we examined the feasibility and efficacy of the CI therapy concept in patients with very limited upper arm function prior to treatment, and further tested how the length of daily shaping training and constraining the good arm affects treatment outcome. In a baseline-controlled design, 65 chronic pat...
6 CitationsSource
#1Keh-chung Lin (NTU: National Taiwan University)H-Index: 32
#2Pai-Chuan Huang (CGU: Chang Gung University)H-Index: 5
Last. Wen Ling HuangH-Index: 2
view all 5 authors...
Background. Mirror therapy (MT) and mesh glove (MG) afferent stimulation may be effective in reducing motor impairment after stroke. A hybrid intervention of MT combined with MG (MT + MG) may broaden aspects of treatment benefits. Objective. To demonstrate the comparative effects of MG + MT, MT, and a control treatment (CT) on the outcomes of motor impairments, manual dexterity, ambulation function, motor control, and daily function. Methods. Forty-three chronic stroke patients with mild to mode...
26 CitationsSource
#1Ching-yi Wu (CGU: Chang Gung University)H-Index: 33
#2Pai-Chuan Huang (CGU: Chang Gung University)H-Index: 5
Last. Hsiu Wen YangH-Index: 2
view all 5 authors...
Abstract Objective To compare the effects of mirror therapy (MT) versus control treatment (CT) on movement performance, motor control, sensory recovery, and performance of activities of daily living in people with chronic stroke. Design Single-blinded, randomized controlled trial. Setting Four hospitals. Participants Outpatients with chronic stroke (N=33) with mild to moderate motor impairment. Interventions The MT group (n=16) received upper extremity training involving repetitive bimanual, sym...
60 CitationsSource
#1Edward Taub (UAB: University of Alabama at Birmingham)H-Index: 77
#2Gitendra Uswatte (UAB: University of Alabama at Birmingham)H-Index: 40
Last. Staci Bishop-McKay (UAB: University of Alabama at Birmingham)H-Index: 5
view all 9 authors...
Background and Purpose— Constraint-induced movement therapy is a set of treatments for rehabilitating motor function after central nervous system damage. We assessed the roles of its 2 main components. Methods— A 2×2 factorial components analysis with random assignment was conducted. The 2 factors were type of training and presence/absence of a set of techniques to facilitate transfer of therapeutic gains from the laboratory to the life situation (Transfer Package; TP). Participants (N=40) were ...
69 CitationsSource
#1Holm ThiemeH-Index: 5
#2Maria BaynH-Index: 1
Last. Johann BehrensH-Index: 14
view all 6 authors...
Objective:To evaluate the effects of individual or group mirror therapy on sensorimotor function, activities of daily living, quality of life and visuospatial neglect in patients with a severe arm paresis after stroke.Design:Randomized controlled trial.Setting:Inpatient rehabilitation centre.Subject:Sixty patients with a severe paresis of the arm within three months after stroke.Interventions:Three groups: (1) individual mirror therapy, (2) group mirror therapy and (3) control intervention with ...
62 CitationsSource
#1Edward Taub (UAB: University of Alabama at Birmingham)H-Index: 77
#2Gitendra Uswatte (UAB: University of Alabama at Birmingham)H-Index: 40
Last. Staci Bishop-McKay (UAB: University of Alabama at Birmingham)H-Index: 5
view all 8 authors...
Abstract Objective To determine whether the combination of Constraint-Induced Movement Therapy (CIMT) and conventional rehabilitation techniques can produce meaningful motor improvement in chronic stroke patients with initially fisted hands. Design Case series. Setting University hospital outpatient laboratory. Participants Consecutive sample (N=6) >1 year poststroke with plegic hands. Interventions Treatment consisted of an initial period of 3 weeks (phase A) when adaptive equipment in the home...
48 CitationsSource
#1Timea Hodics (UTSW: University of Texas Southwestern Medical Center)H-Index: 4
#2Kyle Nakatsuka (SMU: Southern Methodist University)H-Index: 2
Last. John C. Pezzullo (Georgetown University)H-Index: 38
view all 6 authors...
Abstract Hodics TM, Nakatsuka K, Upreti B, Alex A, Smith PS, Pezzullo JC. Wolf Motor Function Test for characterizing moderate to severe hemiparesis in stroke patients. Objective To extend the applicability of the Wolf Motor Function Test (WMFT) to describe the residual functional abilities of moderate to severely affected stroke patients. Design Data were collected as part of 2 double-blind, sham-controlled, randomized interventional studies: the Transcranial Direct Current Stimulation (tDCS) i...
46 CitationsSource
#1Lynne V. GauthierH-Index: 13
#2Edward TaubH-Index: 77
Last. Gitendra UswatteH-Index: 40
view all 5 authors...
Background and Purpose—Although the motor deficit after stroke is clearly due to the structural brain damage that has been sustained, this relationship is attenuated from the acute to chronic phases. We investigated the possibility that motor impairment and response to constraint-induced movement therapy in patients with chronic stroke may relate more strongly to the structural integrity of brain structures remote from the lesion than to measures of overt tissue damage. Methods—Voxel-based morph...
57 CitationsSource
#1Marian E. Michielsen (EUR: Erasmus University Rotterdam)H-Index: 5
#2Ruud W. SellesH-Index: 28
Last. Johannes B. J. BussmannH-Index: 41
view all 9 authors...
Objective. To evaluate for any clinical effects of home-based mirror therapy and subsequent cortical reorganization in patients with chronic stroke with moderate upper extremity paresis. Methods. A total of 40 chronic stroke patients (mean time post .onset, 3.9 years) were randomly assigned to the mirror group (n = 20) or the control group (n = 20) and then joined a 6-week training program. Both groups trained once a week under supervision of a physiotherapist at the rehabilitation center and pr...
209 CitationsSource
Cited By4
Newest
#1C. Renner (Leipzig University)H-Index: 10
#2C Brendel (Leipzig University)
Last. Horst Hummelsheim (Leipzig University)H-Index: 13
view all 3 authors...
Abstract Objective To compare the effects of unilateral and bilateral arm training on arm impairment in severely affected stroke patients. Design Single-blinded, randomized, controlled trial. Setting Inpatient rehabilitation center. Participants Sixty-nine first time subacute patients with stroke and a non-functional hand. Patients were stratified according to lesion location post-hoc. Interventions Repetitive bilateral arm training on an “arm-cycle” followed by synchronized bilateral repetitive...
Source
#1Beverley Turtle (Ulster University)
#2Alison Porter-Armstrong (RMIT: RMIT University)H-Index: 13
Last. May Stinson (RMIT: RMIT University)H-Index: 9
view all 3 authors...
IntroductionThe graded Wolf Motor Function Test assesses upper limb function following stroke. Clinical utility is limited by the requirement to video record for scoring purposes. This study aimed ...
Source
This report discusses how a number of currently incurable diseases might be treated by advances developed as the result of current ongoing research on monkeys. The diseases discussed include Parkinson9s disease, amyotrophic lateral sclerosis, spinal cord injury, peripheral neuropathy, and stroke. Finally, the report discusses the devastating effect the animal rights movement and adverse publicity can have on basic neurobiological research on monkeys.
1 CitationsSource
#1Beverley Turtle (Ulster University)
#2Alison Porter-Armstrong (RMIT: RMIT University)H-Index: 13
Last. May Stinson (RMIT: RMIT University)H-Index: 9
view all 3 authors...
IntroductionAdapted from the Wolf Motor Function Test, the graded Wolf Motor Function Test is an upper limb activity assessment for use following stroke and brain injury. The aim of this systematic...
Source
#2Gustavo José Luvizutto (American Physical Therapy Association)H-Index: 7
Last. Rodrigo BazanH-Index: 8
view all 13 authors...
ABSTRACTBackground: Upper extremity impairment is present in most of people with stroke. The use of the affected upper extremity can be impacted not only by physical impairment but also by abehavio...
Source
#1Janis J. Daly (UF: University of Florida)H-Index: 6
#2Jessica McCabeH-Index: 7
Last. Svetlana Pundik (Case Western Reserve University)H-Index: 11
view all 6 authors...
Background. Effective treatment methods are needed for moderate/severely impairment chronic stroke. Objective. The questions were the following: (1) Is there need for long-dose therapy or is there ...
2 CitationsSource
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