None listed
Conditions
Brief summary
Constraint induced movement therapy is a family of techniques that have been implemented to increase function in stroke patients. In Brazil there are already some published studies with the technique and although all studies showing positive results of TCI, the variability of these results is large. The aims of the study is to compare the results of the intervention protocol complete with the effects obtained in studies conducted in Brazil. The patients with chronic stroke underwent two weeks of treatment with three components of the technique for three hours a day. They were assessed using the Motor Activity Log (MAL) and Wolf Motor Funtion Test (WMFT). The evaluator administered standardized assessments before the participant constraint-induced training (pretest), after constraint-induced training (posttest), and 1, 3 and 6 months posttraining (follow-ups).
Interventions
Constraint Induced intervention protocol with the three fundamentals of the technique apliedone on one with a physiotherapist. These include 1) repetitive, task oriented training of the more impaired Upper Extremity for three hours a day for 10 consecutive weekdays; 2) applying a transfer package of adherence-enhancing behavioral methods designed to transfer gains made in clinical setting to the patient´s real-world environment ; and 3) constraining the patient to use the more impaired Upper Ext
Constraint Induced intervention protocol with the three fundamentals of the technique apliedone on one with a physiotherapist. These include 1) repetitive, task oriented training of the more impaired Upper Extremity for three hours a day for 10 consecutive weekdays; 2) applying a transfer package of adherence-enhancing behavioral methods designed to transfer gains made in clinical setting to the patient´s real-world environment ; and 3) constraining the patient to use the more impaired Upper Extremity during walking hours over de course of treatment, sometimes by restraining the less impaired UE 'They were assessed using the Motor Activity Log (MAL) and Wolf Motor Funtion Test (WMFT). The evaluator administered standardized assessments before the participant constraint-induced training (pretest), after constraint-induced training (posttest), and 1, 3 and 6 months posttraining (follow-ups).
Sponsors
Natalia Duarte Pereira
Study design
Allocation
Non-randomised trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Chronic stroke (more than six months); an amount of use score less than 2.5 on the Motor Activity Log; minimal score on the Mini-Mental State Examination according to Bertolucci, et al.; shoulder, elbow, wrist, or fingers; Modified Ashworth Scale score greater than 2 in any joint; no balance problems sufficient to compromise safety when wearing the mitt.
Exclusion criteria
participant without active motion of at least 45 degrees of flexion and shoulder abduction, 20 degrees of elbow extension, 10 degrees of wrist extension, 10 degrees of abduction / extension of the thumb and at least 10 degrees of extension in more than two fingers of the thumb
Outcome results
None listed