Effect of Modified Constraint-Induced Movement Therapy on Upper Extremity Function for Stroke Patients with Right/Left Arm Paresis: A Single-Blind     Randomized Controlled Trial

Cansın Medin Ceylan; Ekin İlke Şen; Tugce Karaagac; Tuğba Şahbaz; Ayse Yalıman

Makale detayları

Effect of Modified Constraint-Induced Movement Therapy on Upper Extremity Function for Stroke Patients with Right/Left Arm Paresis: A Single-Blind Randomized Controlled Trial

Yazarlar:

Cansın Medin Ceylan | Ekin İlke Şen | Tugce Karaagac | Tuğba Şahbaz | Ayse Yalıman

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri | Klinik Tıp Bilimleri (Diğer)

Dergi:

Ahi Evran Tıp Dergisi Vol.7 Issue 2, pp.155-164

Belge Tipi:

Makale

Yayın Tarihi:

7/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001291845

pISSN:

2619-9203

Anahtar kelimeler:

Özet:

 Purpose: Stroke is one of the most common causes of disability because of functional, cognitive, and psychological issues. Motor deficits in the afflicted upper extremity affect about 50 of stroke survivors. This study aimed to evaluate the effects of modified constraint-induced movement therapy mCIMT on hemiparetic rightleft upper limb functions and quality of life QOL. Materials and Methods: In this prospective, randomized, controlled and single-blind study, 40 patients were assigned to the right-mCIMT n10, left-mCIMT n10, and control n20. mCIMT was applied 4hday, 2 weeks, 10 sessions. A conventional rehabilitation program was applied to all patients. Patients were evaluated using the Fugl-Meyer Motor Assessment FMA, Motor Activity Log MAL, Stroke Impact Scale SIS, Box-Block Test BBT, the number of repetitions in shaping exercises, and the duration of task exercise. Results: There was a statistically significant improvement in the FMA of the left-mCIMT group p0.040. Both mCIMT groups showed statistically significant improvements in the MAL-amount of use AoU and MAL-quality of use QoU, the number of repetitions in the shaping exercises, and the BBT p0.05. The activity of daily living, hand function, and stroke recovery domains of the SIS were increased significantly in both groups p0.01. There was a statistically significant increase in the strength domain of the SIS in the left-CIMT group p0.037. Conclusions: mCIMT was effective in improving motor functions, dexterity, and QOL in patients with rightleft arm paresis. These positive effects continued for 3 months. Although left mCIMT had a positive effect on arm motor impairment, further research is needed.

 Purpose: Stroke is one of the most common causes of disability because of functional, cognitive, and psychological issues. Motor deficits in the afflicted upper extremity affect about 50 of stroke survivors. This study aimed to evaluate the effects of modified constraint-induced movement therapy mCIMT on hemiparetic rightleft upper limb functions and quality of life QOL. Materials and Methods: In this prospective, randomized, controlled and single-blind study, 40 patients were assigned to the right-mCIMT n10, left-mCIMT n10, and control n20. mCIMT was applied 4hday, 2 weeks, 10 sessions. A conventional rehabilitation program was applied to all patients. Patients were evaluated using the Fugl-Meyer Motor Assessment FMA, Motor Activity Log MAL, Stroke Impact Scale SIS, Box-Block Test BBT, the number of repetitions in shaping exercises, and the duration of task exercise. Results: There was a statistically significant improvement in the FMA of the left-mCIMT group p0.040. Both mCIMT groups showed statistically significant improvements in the MAL-amount of use AoU and MAL-quality of use QoU, the number of repetitions in the shaping exercises, and the BBT p0.05. The activity of daily living, hand function, and stroke recovery domains of the SIS were increased significantly in both groups p0.01. There was a statistically significant increase in the strength domain of the SIS in the left-CIMT group p0.037. Conclusions: mCIMT was effective in improving motor functions, dexterity, and QOL in patients with rightleft arm paresis. These positive effects continued for 3 months. Although left mCIMT had a positive effect on arm motor impairment, further research is needed.

 Purpose: Stroke is one of the most common causes of disability because of functional, cognitive, and psychological issues. Motor deficits in the afflicted upper extremity affect about 50 of stroke survivors. This study aimed to evaluate the effects of modified constraint-induced movement therapy mCIMT on hemiparetic rightleft upper limb functions and quality of life QOL. Materials and Methods: In this prospective, randomized, controlled and single-blind study, 40 patients were assigned to the right-mCIMT n10, left-mCIMT n10, and control n20. mCIMT was applied 4hday, 2 weeks, 10 sessions. A conventional rehabilitation program was applied to all patients. Patients were evaluated using the Fugl-Meyer Motor Assessment FMA, Motor Activity Log MAL, Stroke Impact Scale SIS, Box-Block Test BBT, the number of repetitions in shaping exercises, and the duration of task exercise. Results: There was a statistically significant improvement in the FMA of the left-mCIMT group p0.040. Both mCIMT groups showed statistically significant improvements in the MAL-amount of use AoU and MAL-quality of use QoU, the number of repetitions in the shaping exercises, and the BBT p0.05. The activity of daily living, hand function, and stroke recovery domains of the SIS were increased significantly in both groups p0.01. There was a statistically significant increase in the strength domain of the SIS in the left-CIMT group p0.037. Conclusions: mCIMT was effective in improving motor functions, dexterity, and QOL in patients with rightleft arm paresis. These positive effects continued for 3 months. Although left mCIMT had a positive effect on arm motor impairment, further research is needed.

 Amaç: İnme, fonksiyonel, bilişsel ve psikolojik sorunlar nedeniyle engelliliğin en yaygın nedenlerinden biridir. Etkilenen üst ekstremitedeki motor kusurlar, inme geçirenlerin yaklaşık 50sini etkiler. Çalışmanın amacı modifiye Zorunlu Kullanım Tedavisinin mZKT hemiparetik sağsol üst ekstremite fonksiyonları ve yaşam kalitesi QOL üzerindeki etkilerini değerlendirmektir. Araçlar ve Yöntem: Bu prospektif, randomize, kontrollü ve tek kör çalışmada, 40 hasta sağ-mZKT n10, sol-mZKT n10 ve kontrol n20 olarak gruplanmıştır. mZKT 4 saatgün, 2 hafta, 10 seans uygulanmıştır. Tüm hastalara konvansiyonel rehabilitasyon programı uygulanmıştır. Hastalar Fugl-Meyer Motor Skala FMS, Motor Aktivite Günlüğü MAG, İnme etki ölçeği İEÖ, Kutu Blok Testi KBT, şekillendirme egzersizlerindeki tekrar sayısı ve görev egzersiz süresi kullanılarak değerlendirilmıştır. Bulgular: Sol mZKT grubunun FMSsında istatistiksel olarak anlamlı bir iyileşme saptanmıştır p0.040. Her iki mZKT grubu, MAG kullanım miktarında ve MAL kullanım kalitesinde, şekillendirme egzersizlerinin tekrar sayısında ve KBTde p0.05 istatistiksel olarak anlamlı gelişmeler göstermiştir. İEÖnün günlük yaşam aktivitesi, el fonksiyonu ve inme iyileşme alanları her iki grupta da anlamlı olarak artmıştır p0.01. Sol-ZKT grubunda İEÖnün kuvvet alanında istatistiksel olarak anlamlı bir artış saptanmıştır p0.037. Sonuç: mZKT, sağsol kol parezisi olan hastalarda motor fonksiyonları, el becerisini ve yaşam kalitesini iyileştirmede etkili saptanmıştır. Bu olumlu etkiler üç aya kadar devam etmiştir. mZKT nin sol üst ekstremitede kol motor bozukluğu üzerinde olumlu bir etkisi olmasına rağmen, daha fazla araştırmaya ihtiyaç vardır.

Makale detayları

Effect of Modified Constraint-Induced Movement Therapy on Upper Extremity Function for Stroke Patients with Right/Left Arm Paresis: A Single-Blind Randomized Controlled Trial

Yazarlar:

Cansın Medin Ceylan | Ekin İlke Şen | Tugce Karaagac | Tuğba Şahbaz | Ayse Yalıman

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri | Klinik Tıp Bilimleri (Diğer)

Dergi:

Ahi Evran Tıp Dergisi Vol.7 Issue 2, pp.155-164

Belge Tipi:

Makale

Yayın Tarihi:

7/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001291845

pISSN:

2619-9203

constraint-induced movement therapy

stroke

rehabilitation

upper limb

quality of lifezorunlu kullanım tedavisi

inme

rehabilitasyon

üst ekstremite

yaşam kalitesi

Sayı

Makale detayları

Yazarlar: Cansın Medin Ceylan | Ekin İlke Şen | Tugce Karaagac | Tuğba Şahbaz | Ayse Yalıman

Yayıncı: Kirsehir Ahi Evran University

Ana Başlıklar: Klinik Tıp Bilimleri | Klinik Tıp Bilimleri (Diğer)

Dergi: Ahi Evran Tıp Dergisi Vol.7 Issue 2, pp.155-164

Belge Tipi: Makale

Yayın Tarihi: 7/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001291845

pISSN: 2619-9203

Sayı

Yazarlar:

Cansın Medin Ceylan | Ekin İlke Şen | Tugce Karaagac | Tuğba Şahbaz | Ayse Yalıman

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri | Klinik Tıp Bilimleri (Diğer)

Dergi:

Ahi Evran Tıp Dergisi Vol.7 Issue 2, pp.155-164

Belge Tipi:

Makale

Yayın Tarihi:

7/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001291845

pISSN:

2619-9203