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Constraint-induced ...
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Brogårdh, ChristinaUmeå universitet,Lund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Human Movement: health and rehabilitation,Lund University Research Groups,Institutionen för samhällsmedicin och rehabilitering
(författare)
Constraint-induced movement therapy in patients with stroke: a pilot study on effects of small group training and of extended mitt use
- Artikel/kapitelEngelska2006
Förlag, utgivningsår, omfång ...
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2016-07-01
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SAGE Publications,2006
Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:5e64aad3-2d85-439d-9332-e422454d7364
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https://lup.lub.lu.se/record/411214URI
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https://doi.org/10.1191/0269215506cr937oaDOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-5086URI
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Språk:engelska
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Sammanfattning på:engelska
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Objective: (1) To evaluate constraint-induced movement therapy for chronic stroke patients modified into group practice to limit the demand on therapist resources. (2) To explore whether extended mitt use alone may enhance outcome. Design: A combined case-control and randomized controlled study with pre- and post-treatment measures by blinded observers. Setting: A university hospital rehabilitation department. Participants: Sixteen stroke patients (nine men and seven women; mean age 56.7 years; on average 28.9 months post stroke, five of whom were 6-9 months post stroke) with moderate motor impairments in the contralateral upper limb. Intervention: Constraint-induced therapy (mitt on the less affected hand 90% of waking hours for 12 days) with 2-3 patients per therapist and 6 h of group training per day. After the training period, the patients were randomized either to using the mitt at home every other day for two-week periods for another three months (in total 21 days) or to no further treatment. Outcome measures: Modified Motor Assessment Scale, Sollerman Hand Function Test, Two-Point Discrimination test and Motor Activity Log. Results: The mean motor performance improved significantly after two weeks of constraint-induced group therapy on Motor Assessment Scale (1.44 (95% confidence interval (95% CI) 0.59-2.28) points; P = 0.003) and on Sollerman Hand Function Test (3.81 (95% CI 0.26-7.36) points; P = 0.037) but showed no sensory change in the Two-Point Discrimination Test (P = 0.283). The median difference in self-reported motor ability (Motor Activity Log) also improved (P < 0.001). However, no additional effect was seen from wearing a mitt for another three months. Conclusion: Constraint-induced group therapy, allowing several patients per therapist, seems to be a feasible alternative to improve upper limb motor function. The restraint alone, extended in time, did not enhance the treatment effect.
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Sjolund, BHUmeå universitet,Institutionen för samhällsmedicin och rehabilitering
(författare)
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Människan i rörelse: hälsa och rehabiliteringForskargrupper vid Lunds universitet
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Clinical Rehabilitation: SAGE Publications20:3, s. 218-2271477-08730269-2155
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