Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability
Bonifer NM, Anderson KM, Arciniegas DB. Constraint-induced movement therapy after stroke: efficacy for patients with minimal upper-extremity motor ability. To examine the effects of constraint-induced movement therapy (CIMT) on chronic moderate-to-severe upper-extremity motor impairment after stroke...
Gespeichert in:
| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2005-09, Vol.86 (9), p.1867-1873 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1873 |
|---|---|
| container_issue | 9 |
| container_start_page | 1867 |
| container_title | Archives of physical medicine and rehabilitation |
| container_volume | 86 |
| creator | Bonifer, Nancy M. Anderson, Kristin M. Arciniegas, David B. |
| description | Bonifer NM, Anderson KM, Arciniegas DB. Constraint-induced movement therapy after stroke: efficacy for patients with minimal upper-extremity motor ability.
To examine the effects of constraint-induced movement therapy (CIMT) on chronic moderate-to-severe upper-extremity motor impairment after stroke.
Within-subjects design; pre- and posttesting as well as 1-month follow-up.
Outpatient clinic within a rehabilitation hospital.
Twenty participants, each greater than 12 months poststroke.
Three weeks of CIMT including restraint of the nonparetic upper extremity and 6 hours of training a day.
Fugl-Meyer Assessment (FMA), Graded Wolf Motor Function Test (GWMFT), and Motor Activity Log (MAL).
There was a statistically significant effect of treatment on upper-extremity motor impairment as assessed by the FMA, the MAL, and the functional ability scale of the GWMFT. There was a trend toward an effect of CIMT on mean speed of performance on the GWMFT. Post hoc analysis showed significant differences between motor impairment scores between pretreatment and posttreatment assessments, and improvements in motor impairment scores remained stable 1 month after completion of formal treatment. Improvements appeared to be mostly in the use of the involved upper extremity for bimanual activities.
CIMT conferred significant changes in objective measures in subjects with chronic moderate-to-severe impairments after stroke. Additional studies of long-term benefits of this treatment on poststroke motor impairments and related functional disabilities are warranted. |
| doi_str_mv | 10.1016/j.apmr.2005.04.002 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68617603</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999305003552</els_id><sourcerecordid>68617603</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-14a1db34cf0df98e6c9db57642f72bb9127462f3d7390b73235a0b9381fd0f473</originalsourceid><addsrcrecordid>eNp9kU1rGzEQhkVJSdwkf6CHokt6260-drWrkIsxbhtIaKEJ7U1opRGRu1-R5FD_-8jYkFtPw8AzLzPPIPSRkpISKr5sSj0PoWSE1CWpSkLYO7SgNWdFy-ifE7QghPBCSsnP0IcYN7kVNaen6IwK2lJZiwUKq2mMKWg_puJ2tFsDFt9PLzDAmPDDEwQ97_DSJQj4VwrTX7jGa-e80WaH3RTwT518RiP-7dMTvvejH3SPH-cZQrH-lwIMPu1yYsrssvN97i7Qe6f7CJfHeo4ev64fVt-Lux_fblfLu8LwtkoFrTS1Ha-MI9bJFoSRtqsbUTHXsK6TlDWVYI7bhkvSNZzxWpNO8pY6S1zV8HP0-ZA7h-l5CzGpwUcDfa9HmLZRiVbQRhCeQXYATZhiDODUHPIZYacoUXvTaqP2ptXetCKVyqbz0Kdj-rYbwL6NHNVm4OoI6Gh074IejY9vXMNoywTN3M2Bg-zixUNQ0WSl-RE-gEnKTv5_e7wCLd-dMA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68617603</pqid></control><display><type>article</type><title>Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Bonifer, Nancy M. ; Anderson, Kristin M. ; Arciniegas, David B.</creator><creatorcontrib>Bonifer, Nancy M. ; Anderson, Kristin M. ; Arciniegas, David B.</creatorcontrib><description>Bonifer NM, Anderson KM, Arciniegas DB. Constraint-induced movement therapy after stroke: efficacy for patients with minimal upper-extremity motor ability.
To examine the effects of constraint-induced movement therapy (CIMT) on chronic moderate-to-severe upper-extremity motor impairment after stroke.
Within-subjects design; pre- and posttesting as well as 1-month follow-up.
Outpatient clinic within a rehabilitation hospital.
Twenty participants, each greater than 12 months poststroke.
Three weeks of CIMT including restraint of the nonparetic upper extremity and 6 hours of training a day.
Fugl-Meyer Assessment (FMA), Graded Wolf Motor Function Test (GWMFT), and Motor Activity Log (MAL).
There was a statistically significant effect of treatment on upper-extremity motor impairment as assessed by the FMA, the MAL, and the functional ability scale of the GWMFT. There was a trend toward an effect of CIMT on mean speed of performance on the GWMFT. Post hoc analysis showed significant differences between motor impairment scores between pretreatment and posttreatment assessments, and improvements in motor impairment scores remained stable 1 month after completion of formal treatment. Improvements appeared to be mostly in the use of the involved upper extremity for bimanual activities.
CIMT conferred significant changes in objective measures in subjects with chronic moderate-to-severe impairments after stroke. Additional studies of long-term benefits of this treatment on poststroke motor impairments and related functional disabilities are warranted.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2005.04.002</identifier><identifier>PMID: 16181956</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Ambulatory Care ; Analysis of Variance ; Biological and medical sciences ; Cohort Studies ; Confidence Intervals ; Disability Evaluation ; Exercise Therapy - methods ; Female ; Hemiparesis ; Hemiplegia - etiology ; Hemiplegia - physiopathology ; Hemiplegia - rehabilitation ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Motor Skills - physiology ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Physical Therapy Modalities ; Probability ; Prognosis ; Prospective Studies ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Range of Motion, Articular - physiology ; Recovery of Function ; Rehabilitation ; Risk Assessment ; Severity of Illness Index ; Stroke ; Stroke - complications ; Stroke - diagnosis ; Stroke Rehabilitation ; Treatment Outcome ; Upper Extremity - physiology ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 2005-09, Vol.86 (9), p.1867-1873</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-c384t-14a1db34cf0df98e6c9db57642f72bb9127462f3d7390b73235a0b9381fd0f473</citedby><cites>FETCH-LOGICAL-c384t-14a1db34cf0df98e6c9db57642f72bb9127462f3d7390b73235a0b9381fd0f473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999305003552$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17218261$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16181956$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bonifer, Nancy M.</creatorcontrib><creatorcontrib>Anderson, Kristin M.</creatorcontrib><creatorcontrib>Arciniegas, David B.</creatorcontrib><title>Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Bonifer NM, Anderson KM, Arciniegas DB. Constraint-induced movement therapy after stroke: efficacy for patients with minimal upper-extremity motor ability.
To examine the effects of constraint-induced movement therapy (CIMT) on chronic moderate-to-severe upper-extremity motor impairment after stroke.
Within-subjects design; pre- and posttesting as well as 1-month follow-up.
Outpatient clinic within a rehabilitation hospital.
Twenty participants, each greater than 12 months poststroke.
Three weeks of CIMT including restraint of the nonparetic upper extremity and 6 hours of training a day.
Fugl-Meyer Assessment (FMA), Graded Wolf Motor Function Test (GWMFT), and Motor Activity Log (MAL).
There was a statistically significant effect of treatment on upper-extremity motor impairment as assessed by the FMA, the MAL, and the functional ability scale of the GWMFT. There was a trend toward an effect of CIMT on mean speed of performance on the GWMFT. Post hoc analysis showed significant differences between motor impairment scores between pretreatment and posttreatment assessments, and improvements in motor impairment scores remained stable 1 month after completion of formal treatment. Improvements appeared to be mostly in the use of the involved upper extremity for bimanual activities.
CIMT conferred significant changes in objective measures in subjects with chronic moderate-to-severe impairments after stroke. Additional studies of long-term benefits of this treatment on poststroke motor impairments and related functional disabilities are warranted.</description><subject>Aged</subject><subject>Ambulatory Care</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>Disability Evaluation</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Hemiparesis</subject><subject>Hemiplegia - etiology</subject><subject>Hemiplegia - physiopathology</subject><subject>Hemiplegia - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Motor Skills - physiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Physical Therapy Modalities</subject><subject>Probability</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Stroke - diagnosis</subject><subject>Stroke Rehabilitation</subject><subject>Treatment Outcome</subject><subject>Upper Extremity - physiology</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>eNp9kU1rGzEQhkVJSdwkf6CHokt6260-drWrkIsxbhtIaKEJ7U1opRGRu1-R5FD_-8jYkFtPw8AzLzPPIPSRkpISKr5sSj0PoWSE1CWpSkLYO7SgNWdFy-ifE7QghPBCSsnP0IcYN7kVNaen6IwK2lJZiwUKq2mMKWg_puJ2tFsDFt9PLzDAmPDDEwQ97_DSJQj4VwrTX7jGa-e80WaH3RTwT518RiP-7dMTvvejH3SPH-cZQrH-lwIMPu1yYsrssvN97i7Qe6f7CJfHeo4ev64fVt-Lux_fblfLu8LwtkoFrTS1Ha-MI9bJFoSRtqsbUTHXsK6TlDWVYI7bhkvSNZzxWpNO8pY6S1zV8HP0-ZA7h-l5CzGpwUcDfa9HmLZRiVbQRhCeQXYATZhiDODUHPIZYacoUXvTaqP2ptXetCKVyqbz0Kdj-rYbwL6NHNVm4OoI6Gh074IejY9vXMNoywTN3M2Bg-zixUNQ0WSl-RE-gEnKTv5_e7wCLd-dMA</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>Bonifer, Nancy M.</creator><creator>Anderson, Kristin M.</creator><creator>Arciniegas, David B.</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>20050901</creationdate><title>Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability</title><author>Bonifer, Nancy M. ; Anderson, Kristin M. ; Arciniegas, David B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-14a1db34cf0df98e6c9db57642f72bb9127462f3d7390b73235a0b9381fd0f473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Ambulatory Care</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>Disability Evaluation</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Hemiparesis</topic><topic>Hemiplegia - etiology</topic><topic>Hemiplegia - physiopathology</topic><topic>Hemiplegia - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Motor Skills - physiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Physical Therapy Modalities</topic><topic>Probability</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Stroke - diagnosis</topic><topic>Stroke Rehabilitation</topic><topic>Treatment Outcome</topic><topic>Upper Extremity - physiology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bonifer, Nancy M.</creatorcontrib><creatorcontrib>Anderson, Kristin M.</creatorcontrib><creatorcontrib>Arciniegas, David B.</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>Bonifer, Nancy M.</au><au>Anderson, Kristin M.</au><au>Arciniegas, David B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>86</volume><issue>9</issue><spage>1867</spage><epage>1873</epage><pages>1867-1873</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Bonifer NM, Anderson KM, Arciniegas DB. Constraint-induced movement therapy after stroke: efficacy for patients with minimal upper-extremity motor ability.
To examine the effects of constraint-induced movement therapy (CIMT) on chronic moderate-to-severe upper-extremity motor impairment after stroke.
Within-subjects design; pre- and posttesting as well as 1-month follow-up.
Outpatient clinic within a rehabilitation hospital.
Twenty participants, each greater than 12 months poststroke.
Three weeks of CIMT including restraint of the nonparetic upper extremity and 6 hours of training a day.
Fugl-Meyer Assessment (FMA), Graded Wolf Motor Function Test (GWMFT), and Motor Activity Log (MAL).
There was a statistically significant effect of treatment on upper-extremity motor impairment as assessed by the FMA, the MAL, and the functional ability scale of the GWMFT. There was a trend toward an effect of CIMT on mean speed of performance on the GWMFT. Post hoc analysis showed significant differences between motor impairment scores between pretreatment and posttreatment assessments, and improvements in motor impairment scores remained stable 1 month after completion of formal treatment. Improvements appeared to be mostly in the use of the involved upper extremity for bimanual activities.
CIMT conferred significant changes in objective measures in subjects with chronic moderate-to-severe impairments after stroke. Additional studies of long-term benefits of this treatment on poststroke motor impairments and related functional disabilities are warranted.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16181956</pmid><doi>10.1016/j.apmr.2005.04.002</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-9993 |
| ispartof | Archives of physical medicine and rehabilitation, 2005-09, Vol.86 (9), p.1867-1873 |
| issn | 0003-9993 1532-821X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68617603 |
| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Ambulatory Care Analysis of Variance Biological and medical sciences Cohort Studies Confidence Intervals Disability Evaluation Exercise Therapy - methods Female Hemiparesis Hemiplegia - etiology Hemiplegia - physiopathology Hemiplegia - rehabilitation Humans Male Medical sciences Middle Aged Miscellaneous Motor Skills - physiology Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Physical Therapy Modalities Probability Prognosis Prospective Studies Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Range of Motion, Articular - physiology Recovery of Function Rehabilitation Risk Assessment Severity of Illness Index Stroke Stroke - complications Stroke - diagnosis Stroke Rehabilitation Treatment Outcome Upper Extremity - physiology Vascular diseases and vascular malformations of the nervous system |
| title | Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T12%3A15%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Constraint-Induced%20Movement%20Therapy%20After%20Stroke:%20Efficacy%20for%20Patients%20With%20Minimal%20Upper-Extremity%20Motor%20Ability&rft.jtitle=Archives%20of%20physical%20medicine%20and%20rehabilitation&rft.au=Bonifer,%20Nancy%20M.&rft.date=2005-09-01&rft.volume=86&rft.issue=9&rft.spage=1867&rft.epage=1873&rft.pages=1867-1873&rft.issn=0003-9993&rft.eissn=1532-821X&rft.coden=APMHAI&rft_id=info:doi/10.1016/j.apmr.2005.04.002&rft_dat=%3Cproquest_cross%3E68617603%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=68617603&rft_id=info:pmid/16181956&rft_els_id=S0003999305003552&rfr_iscdi=true |