Faculty Information |
|
Article types | Original article |
Language | English |
Refereed paper | Refereed |
Title | A one-year follow-up after modified constraint-induced movement therapy for chronic stroke patients with paretic arm: a prospective case series study. |
Journal | Formal name:Topics in stroke rehabilitation Abbreviation:Top Stroke Rehabil ISSN code:1074-9357(Print)1074-9357(Linking) |
Volume, Number, Page | 22(1),pp.18-25 |
Papers・Author | Takebayashi Takashi, Amano Satoru, Hanada Keisuke, Umeji Atsushi, Takahashi Kayoko, Marumoto Kohei, Kodama Norihiko, Koyama Tetsuo, Domen Kazuhisa |
Publication date | 2015/02 |
Papers・Description | BACKGROUND:Despite the confirmed short-term effects of constraint-induced movement therapy, the long-term effects have not been sufficiently verified in terms of functional improvement of the affected arm.OBJECTIVE:To evaluate the long-term effects and relationship between arm use in activities of daily living and arm improvement with modified constraint-induced movement therapy in chronic stroke patients.METHODS:At 1 year after completing modified constraint-induced movement therapy, arm function (Fugl-Meyer Assessment) and amount of daily arm use (motor activity log) were assessed.RESULTS:Fourteen post-stroke patients with mild to moderate impairment of arm function were analyzed. One year after completing modified constraint-induced movement therapy, participants consistently showed improvemRESULTS:ents in arm function and amount of daily arm use (analysis of variance: Fugl-Meyer Assessment, P RESULTS:<RESULTS: 0.001; Motor Activity Log, P RESULTS:<RESULTS: 0.001). For the Fugl-Meyer Assessment, post-hoc tests detected significant improvements (pre versus post, P = 0.009; pre versus 1 year, P RESULTS:<RESULTS: 0.0001; post versus 1 year, P RESULTS:<RESULTS: 0.036). For the Motor Activity Log, post-hoc tests also detected significant improvements (pre versus post, P = 0.0001; pre versus 1 year, P RESULTS:<RESULTS: 0.0001; post versus 1 year, P = 0.0014). The magnitude of the change in Fugl-Meyer Assessment score correlated significantly with the change in Motor Activity Log score (R = 0.778, P = 0.001).CONCLUSIONS:Among post-stroke patients with mild to moderate impairments of arm function, modified constraint-induced movement therapy without any other rehabilitation after intervention may improve arm function and increase arm use for 1 year. In addition, increasing arm use may represent an important factor in improving arm function, and vice versa. |
DOI | 10.1179/1074935714Z.0000000028 |
PMID | 25776117 |