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document
Modified constraint-induced movement therapy improved upper limb function in subacute poststroke patients : a small-scale clinical trial . BACKGROUND Constraint-induced movement therapy ( CIMT ) has been advocated as a means of facilitating motor function in poststroke patients ; however , the evidence for its efficacy is controversial . OBJECTIVE To evaluate the effect of modified CIMT on improving paretic arm function in poststroke patients during a subacute rehabilitation period . METHODS A single-blinded randomized controlled trial was conducted at the Loewenstein Rehabilitation Hospital , Israel . Twenty-eight subacute stroke patients with arm paresis after a first ischemic stroke in the middle cerebral artery area were randomized into a modified CIMT or control group by a 1:2 ratio . The modified CIMT group received 1-hour daily physical rehabilitation sessions for 2 weeks . The unaffected arm was restrained during the sessions . Subjects were encouraged to wear a restrictive mitten up to 4 hours a day . The control group received similar intensive regular rehabilitation . Three upper limb function tests , developed for this study , were used as outcome measures . The subjects were asked to perform the following tasks , with the affected hand for 30 seconds : ( 1 ) transfer pegs from a saucer to a pegboard ; ( 2 ) grasp , carry , and release a hard rubber ball ; and ( 3 ) " eating , " using a spoon to remove the jelly from the plate , bring it towards the mouth , and then place it on another plate . The number of repetitions in each test was recorded as an outcome . RESULTS The modified CIMT group showed significantly higher changes in all 3 tests compared to the standard rehabilitation group . CONCLUSION Our study provides additional support for the use of modified CIMT during a subacute rehabilitation period of poststroke patients . CIMT may facilitate functional improvement of a plegic hand .
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Intervention_Physical
Modified constraint-induced movement therapy
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Intervention_Physical
Constraint-induced movement therapy ( CIMT )
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Intervention_Physical
CIMT
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Intervention_Physical
modified CIMT
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Intervention_Control
control
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Intervention_Physical
CIMT
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Intervention_Physical
physical rehabilitation
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Intervention_Physical
restrictive mitten
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Intervention_Physical
CIMT
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Intervention_Physical
modified CIMT
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Intervention_Physical
CIMT
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Outcome_Other
The number of repetitions in each test
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Participant_Condition
subacute poststroke
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Participant_Condition
poststroke
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Participant_Sample-size
Twenty-eight
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Participant_Condition
subacute stroke
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Participant_Condition
ischemic stroke