A META-ANALYSIS OF CONSTRAINT-INDUCED MOVEMENT THERAPY AFTER STROKE

被引:38
作者
Thrane, Gyrd [1 ,2 ]
Friborg, Oddgeir [3 ]
Anke, Audny [2 ,4 ]
Indredayik, Bent [5 ,6 ]
机构
[1] Univ Tromso, Dept Hlth & Care Sci, NO-9037 Tromso, Norway
[2] Univ Hosp North Norway, Dept Rehabil, Tromso, Norway
[3] Univ Tromso, Dept Psychol, NO-9037 Tromso, Norway
[4] Univ Tromso, Fac Hlth Sci, Dept Clin Med, NO-9037 Tromso, Norway
[5] Norwegian Univ Sci & Technol, Fac Med, Dept Neurosci, N-7034 Trondheim, Norway
[6] Univ Trondheim Hosp, St Olavs Hosp, Stroke Unit, Trondheim, Norway
关键词
constraint-induced movement therapy; adult; cerebral stroke; meta-analysis; ICF; UPPER EXTREMITY FUNCTION; RANDOMIZED CONTROLLED-TRIAL; EXCITE TRIAL; CONVENTIONAL THERAPY; TRUNK RESTRAINT; SUBACUTE STROKE; MOTOR CONTROL; FORCED USE; ARM; REHABILITATION;
D O I
10.2340/16501977-1859
中图分类号
R49 [康复医学];
学科分类号
100232 [康复医学];
摘要
Objective: To evaluate the effect of constraint-induced movement therapy in adult stroke patients and to examine the impact of time since stroke and various treatment modalities. Data sources: PubMed, EMBASE, Cochrane and PEDro trial registers were searched for clinical trials published before November 2012. Study selection: Randomized or quasi-randomized controlled trials of constraint-induced movement therapy lasting 2-7 h/day for 8-28 days were included. Data extraction: Measurements were classified into the following categories: arm motor function, arm motor activity, activities of daily living, and participation. A pooled standardized mean difference (SMD) was calculated for each category. Moderators were: trial quality, behavioural techniques, amount of training, time since stroke, shaping, and the nature of the control group. Data synthesis: Of 3,842 records initially screened 23 trials were included. A small post-treatment effect was found on arm motor function (SMD 0.28, 95% confidence interval (CI) 0.11-0.44). Meanwhile, a moderate effect on arm motor activity was found post-treatment (SMD 0.51, 95% CI 0.30-0.73) and at 3-6 months follow-up (SMD 0.41, 95% CI 0.08-0.74). Conclusion: Constraint-induced movement therapy can improve arm motor function and improve arm motor activities and may have a lasting effect on arm motor activity.
引用
收藏
页码:833 / 842
页数:10
相关论文
共 54 条
[1]
The effects of constraint-induced therapy on precision grip: A preliminary study [J].
Alberts, JL ;
Butler, AJ ;
Wolf, SL .
NEUROREHABILITATION AND NEURAL REPAIR, 2004, 18 (04) :250-258
[2]
Constraint-induced movement therapy during early stroke rehabilitation [J].
Boake, Corwin ;
Noser, Elizabeth A. ;
Ro, Tony ;
Baraniuk, Sarah ;
Gaber, Mary ;
Johnson, Ruth ;
Salmeron, Eva T. ;
Tran, Thao M. ;
Lai, Jenny M. ;
Taub, Edward ;
Moye, Lemuel A. ;
Grotta, James C. ;
Levin, Harvey S. .
NEUROREHABILITATION AND NEURAL REPAIR, 2007, 21 (01) :14-24
[3]
Bonaiuti D, 2007, Eura Medicophys, V43, P139
[4]
Borenstein M., 2021, INTRO META ANAL, DOI DOI 10.1002/9780470743386
[5]
Corbetta D, 2010, EUR J PHYS REHAB MED, V46, P537
[6]
Short- and long-term outcome of constraint-induced movement therapy after stroke: a randomized controlled feasibility trial [J].
Dahl, A. E. ;
Askim, T. ;
Stock, R. ;
Langorgen, E. ;
Lydersen, S. ;
Indredavik, B. .
CLINICAL REHABILITATION, 2008, 22 (05) :436-447
[7]
Very Early Constraint-Induced Movement during Stroke Rehabilitation (VECTORS) A single-center RCT [J].
Dromerick, A. W. ;
Lang, C. E. ;
Birkenmeier, R. L. ;
Wagner, J. M. ;
Miller, J. P. ;
Videen, T. O. ;
Powers, W. J. ;
Wolf, S. L. ;
Edwards, D. F. .
NEUROLOGY, 2009, 73 (03) :195-201
[8]
Relationships between upper-limb functional limitation and self-reported disability 3 months after stroke [J].
Dromerick, Alexander W. ;
Lang, Catherine E. ;
Birkenmeier, Rebecca ;
Hahn, Michele G. ;
Sahrmann, Shirley A. ;
Edwards, Dorothy F. .
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, 2006, 43 (03) :401-408
[9]
Does the application of constraint-induced movement therapy during acute rehabilitation reduce arm impairment after ischemic stroke? [J].
Dromerick, AW ;
Edwards, DF ;
Hahn, M .
STROKE, 2000, 31 (12) :2984-2988
[10]
Remodeling the brain - Plastic structural brain changes produced by different motor therapies after stroke [J].
Gauthier, Lynne V. ;
Taub, Edward ;
Perkins, Christi ;
Ortmann, Magdalene ;
Mark, Victor W. ;
Uswatte, Gitendra .
STROKE, 2008, 39 (05) :1520-1525