Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke
Dettmers C, Teske U, Hamzei F, Uswatte G, Taub E, Weiller C. Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke. To evaluate the effectiveness of a distributed version of constraint-induced movement therapy (CIMT). Within-subjects con...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2005-02, Vol.86 (2), p.204-209 |
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| creator | Dettmers, Christian Teske, Ulrike Hamzei, Farsin Uswatte, Gitendra Taub, Edward Weiller, Cornelius |
| description | Dettmers C, Teske U, Hamzei F, Uswatte G, Taub E, Weiller C. Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke.
To evaluate the effectiveness of a distributed version of constraint-induced movement therapy (CIMT).
Within-subjects control intervention study.
Outpatient rehabilitation center.
Eleven persons with chronic stroke. All had active extension of at least 20° at the wrist and at least 10° for each finger of the more-affected hand.
Intensive motor training of the more-affected arm for 3 hours a day for 20 days; restraint of the other arm for 9.3 hours daily to limit its use. This intervention provides the same amount of training as provided in the conventional CIMT therapy protocol (60h) but distributes training time over twice the number of days.
Real-world (Motor Activity Log) and laboratory motor activity (Wolf Motor Function Test, Frenchay Arm Test, Nine Hole Peg Test), strength (grip force) and spasticity (Ashworth Scale), and quality of life (QOL; Stroke Impact Scale) were assessed.
Participants showed significant improvements in more-affected arm real-world motor activity, laboratory motor activity, strength and spasticity, as well as in some aspects of QOL, up to 6 months after treatment (
P.05).
Distributed CIMT is a promising intervention for improving motor function and QOL in patients with chronic stroke. |
| doi_str_mv | 10.1016/j.apmr.2004.05.007 |
| format | Article |
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To evaluate the effectiveness of a distributed version of constraint-induced movement therapy (CIMT).
Within-subjects control intervention study.
Outpatient rehabilitation center.
Eleven persons with chronic stroke. All had active extension of at least 20° at the wrist and at least 10° for each finger of the more-affected hand.
Intensive motor training of the more-affected arm for 3 hours a day for 20 days; restraint of the other arm for 9.3 hours daily to limit its use. This intervention provides the same amount of training as provided in the conventional CIMT therapy protocol (60h) but distributes training time over twice the number of days.
Real-world (Motor Activity Log) and laboratory motor activity (Wolf Motor Function Test, Frenchay Arm Test, Nine Hole Peg Test), strength (grip force) and spasticity (Ashworth Scale), and quality of life (QOL; Stroke Impact Scale) were assessed.
Participants showed significant improvements in more-affected arm real-world motor activity, laboratory motor activity, strength and spasticity, as well as in some aspects of QOL, up to 6 months after treatment (
P.05).
Distributed CIMT is a promising intervention for improving motor function and QOL in patients with chronic stroke.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2004.05.007</identifier><identifier>PMID: 15706544</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Arm - physiology ; Biological and medical sciences ; Evaluation studies ; Exercise Therapy ; Female ; Hand Strength ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Physical therapy techniques ; Quality of Life ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recovery of function ; Rehabilitation ; Stroke ; Stroke Rehabilitation ; Treatment effectiveness ; Treatment Outcome ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 2005-02, Vol.86 (2), p.204-209</ispartof><rights>2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-85473cf0222d3775a7bd43298f50e612b52ffb15c397abbeaeb4a0b206dfc4803</citedby><cites>FETCH-LOGICAL-c450t-85473cf0222d3775a7bd43298f50e612b52ffb15c397abbeaeb4a0b206dfc4803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2004.05.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16525872$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15706544$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dettmers, Christian</creatorcontrib><creatorcontrib>Teske, Ulrike</creatorcontrib><creatorcontrib>Hamzei, Farsin</creatorcontrib><creatorcontrib>Uswatte, Gitendra</creatorcontrib><creatorcontrib>Taub, Edward</creatorcontrib><creatorcontrib>Weiller, Cornelius</creatorcontrib><title>Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Dettmers C, Teske U, Hamzei F, Uswatte G, Taub E, Weiller C. Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke.
To evaluate the effectiveness of a distributed version of constraint-induced movement therapy (CIMT).
Within-subjects control intervention study.
Outpatient rehabilitation center.
Eleven persons with chronic stroke. All had active extension of at least 20° at the wrist and at least 10° for each finger of the more-affected hand.
Intensive motor training of the more-affected arm for 3 hours a day for 20 days; restraint of the other arm for 9.3 hours daily to limit its use. This intervention provides the same amount of training as provided in the conventional CIMT therapy protocol (60h) but distributes training time over twice the number of days.
Real-world (Motor Activity Log) and laboratory motor activity (Wolf Motor Function Test, Frenchay Arm Test, Nine Hole Peg Test), strength (grip force) and spasticity (Ashworth Scale), and quality of life (QOL; Stroke Impact Scale) were assessed.
Participants showed significant improvements in more-affected arm real-world motor activity, laboratory motor activity, strength and spasticity, as well as in some aspects of QOL, up to 6 months after treatment (
P.05).
Distributed CIMT is a promising intervention for improving motor function and QOL in patients with chronic stroke.</description><subject>Adult</subject><subject>Aged</subject><subject>Arm - physiology</subject><subject>Biological and medical sciences</subject><subject>Evaluation studies</subject><subject>Exercise Therapy</subject><subject>Female</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Physical therapy techniques</subject><subject>Quality of Life</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recovery of function</subject><subject>Rehabilitation</subject><subject>Stroke</subject><subject>Stroke Rehabilitation</subject><subject>Treatment effectiveness</subject><subject>Treatment Outcome</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoMo7uzqH_Agueit23x2usGLrLoKC14UvIUkXcGM3clskl6Yf2-GGdibuSRVeeqleBB6Q0lPCR0-7HtzWHPPCBE9kT0h6hnaUclZNzL6-znaEUJ4N00Tv0LXpexbOUhOX6IrKlV7CrFD9XMoNQe7VZixT3nFyWOXYmuaEGsX4ry59rWmR1ghVlz_QDaHIw7rIbdewX6LroYUzYLTVl1aAZs444fNLKEeT3FL8K3nK2TcYtNfeIVeeLMUeH25b9Cvr19-3n7r7n_cfb_9dN85IUntRikUd54wxmaulDTKzoKzafSSwECZlcx7S6XjkzLWggErDLGMDLN3YiT8Br0_57ZVHzYoVa-hOFgWEyFtRQ9K0LGdBrIz6HIqJYPXhxxWk4-aEn1yrff65FqfXGsidXPdht5e0je7wvw0cpHbgHcXwBRnFp9NdKE8cYNkclSscR_PHDQXjwGyLi5AbNpDBlf1nML_9vgHTomf-A</recordid><startdate>20050201</startdate><enddate>20050201</enddate><creator>Dettmers, Christian</creator><creator>Teske, Ulrike</creator><creator>Hamzei, Farsin</creator><creator>Uswatte, Gitendra</creator><creator>Taub, Edward</creator><creator>Weiller, Cornelius</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050201</creationdate><title>Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke</title><author>Dettmers, Christian ; Teske, Ulrike ; Hamzei, Farsin ; Uswatte, Gitendra ; Taub, Edward ; Weiller, Cornelius</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-85473cf0222d3775a7bd43298f50e612b52ffb15c397abbeaeb4a0b206dfc4803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arm - physiology</topic><topic>Biological and medical sciences</topic><topic>Evaluation studies</topic><topic>Exercise Therapy</topic><topic>Female</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Physical therapy techniques</topic><topic>Quality of Life</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Recovery of function</topic><topic>Rehabilitation</topic><topic>Stroke</topic><topic>Stroke Rehabilitation</topic><topic>Treatment effectiveness</topic><topic>Treatment Outcome</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dettmers, Christian</creatorcontrib><creatorcontrib>Teske, Ulrike</creatorcontrib><creatorcontrib>Hamzei, Farsin</creatorcontrib><creatorcontrib>Uswatte, Gitendra</creatorcontrib><creatorcontrib>Taub, Edward</creatorcontrib><creatorcontrib>Weiller, Cornelius</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dettmers, Christian</au><au>Teske, Ulrike</au><au>Hamzei, Farsin</au><au>Uswatte, Gitendra</au><au>Taub, Edward</au><au>Weiller, Cornelius</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>86</volume><issue>2</issue><spage>204</spage><epage>209</epage><pages>204-209</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Dettmers C, Teske U, Hamzei F, Uswatte G, Taub E, Weiller C. Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke.
To evaluate the effectiveness of a distributed version of constraint-induced movement therapy (CIMT).
Within-subjects control intervention study.
Outpatient rehabilitation center.
Eleven persons with chronic stroke. All had active extension of at least 20° at the wrist and at least 10° for each finger of the more-affected hand.
Intensive motor training of the more-affected arm for 3 hours a day for 20 days; restraint of the other arm for 9.3 hours daily to limit its use. This intervention provides the same amount of training as provided in the conventional CIMT therapy protocol (60h) but distributes training time over twice the number of days.
Real-world (Motor Activity Log) and laboratory motor activity (Wolf Motor Function Test, Frenchay Arm Test, Nine Hole Peg Test), strength (grip force) and spasticity (Ashworth Scale), and quality of life (QOL; Stroke Impact Scale) were assessed.
Participants showed significant improvements in more-affected arm real-world motor activity, laboratory motor activity, strength and spasticity, as well as in some aspects of QOL, up to 6 months after treatment (
P.05).
Distributed CIMT is a promising intervention for improving motor function and QOL in patients with chronic stroke.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15706544</pmid><doi>10.1016/j.apmr.2004.05.007</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Arm - physiology Biological and medical sciences Evaluation studies Exercise Therapy Female Hand Strength Humans Male Medical sciences Middle Aged Miscellaneous Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Physical therapy techniques Quality of Life Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Recovery of function Rehabilitation Stroke Stroke Rehabilitation Treatment effectiveness Treatment Outcome Vascular diseases and vascular malformations of the nervous system |
| title | Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke |
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