Comparing Two Different Modes of Task Practice During Lower Limb Constraint-Induced Movement Therapy in People with Stroke: A Randomized Clinical Trial

Overview

Journal Neural Plast

Specialty Neurology

Date 2021 Feb 19

PMID 33603778

Citations 12

Authors

Auwal Abdullahi

Naima Umar Aliyu

Ushotanefe Useh

Muhammad Aliyu Abba

Mukadas Oyeniran Akindele

Steven Truijen

Wim Saeys

Affiliations

Soon will be listed here.

Abstract

Background: Constraint-induced movement therapy (CIMT) is used for the rehabilitation of motor function after stroke.

Objectives: The aim of this study was to compare the effects of lower limb CIMT that uses number of repetition of tasks with the one that uses number of hours of practice.

Method: The study was a randomized clinical trial approved by the Ethics Committee of Kano State Ministry of Health. Fifty-eight people with stroke participated in the study. Groups 1 and 2 performed daily 600 repetitions and 3 hours of task practice, respectively, 5 times weekly for 4 weeks. Motor impairment (primary outcome), balance, functional mobility, knee extensor spasticity, walking speed and endurance, and exertion before and after commencement of activities were assessed at baseline and postintervention. The data was analyzed using Friedmann and Mann-Whitney tests.

Result: The results showed that there was only significant difference ( < 0.05) in knee extensor spasticity (group 1 (median = 0(0), mean rank = 27.50); group 2 (median = 0(0), mean rank = 31.64)), exertion before commencement of activities (group 1 (median = 0(0.5), mean rank = 21.90); group 2 (median = 1(0.5), mean rank = 37.64)), and exertion after commencement of activities (group 1 (median = 1(1), mean rank = 20.07); group 2 (median = 1(0), mean rank = 39.61) postintervention in favour of the experimental group (group 1)).

Conclusion: The group 1 protocol is more effective at improving outcomes after stroke.

Citing Articles

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Variation in the rate of recovery in motor function between the upper and lower limbs in patients with stroke: some proposed hypotheses and their implications for research and practice.

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