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Original Research | Open Access

Constraint-induced movement therapy through telerehabilitation for upper extremity function in stroke

Hiba ShamweelNeha Gupta( )
Amity Institute of Physiotherapy, Amity University, Noida 201301, Uttar Pradesh, India
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Abstract

Background

Stroke is considered to be a leading cause of impairment. After experiencing strokes, patients are frequently left with impaired motor function, making it difficult to carry out daily tasks. The most extensively researched method for treating stroke patients in recent decades is CIMT (constraint-induced movement therapy), which was developed to treat upper limb deficits following stroke. CIMT entails limiting the use of the unaffected limb, altering behavior to increase the use of the affected limb, and finally, mass-training of the affected limb.

Objective

The current study aimed to determine the effectiveness of CIMT through TR for upper extremity function in stroke patients.

Materials and methods

Thirty post-stroke participants were selected on the basis of inclusion and exclusion criteria, and allocated into group A and group B. Group A was treated with CIMT in the physiotherapy department and group B was treated with CIMT through TR. Outcome measures were the Fugl-Meyer Assessment scale for upper extremities (FMA-UE), the Wolf Motor Function Test (WMFT), and the Motor Activity Log (MAL).

Results

Both groups showed significant improvements in FMA-UE, WMFT and MAL-A0U, MAL-Q0M scores. However, there were no significant differences between groups A and B in FMA-UE, WMFT, MAL-AOU, and MAL-QOM scores in the inter-group analysis.

Conclusion

CIMT via TR was equally effective than CIMT in physiotherapy department for upper extremity function in stroke. Further studies should be conducted to identify the long-term effectiveness of this approach.

References

1

Srivastava A, Pandey SK. Rehabilitation outcomes in stroke: an observational study. Indian J Phys Med Rehabil. 2020;31(1):1–3. https://doi.org/10.5005/jpjournals-10066-0055.

2

Ali Kabalan, Mohammad S, Wael W, et al. Influence of CIMT on neuroplasticity and its functional consequences in early stroke patients. World J Pharm Pharmaceut Sci. 2020;9(7):208–221. https://doi.org/10.20959/wjpps20207-16293.

3

Eraifej J, Clark W, France B, et al. Effectiveness of upper limb functional electrical stimulation after stroke for the improvement of activities of daily living and motor function: a systematic review and meta-analysis. Syst Rev. 2017;6(1):40. https://doi.org/10.1186/s13643-017-0435-5.

4

Yun GJ, Chun MH, Park JY, et al. The synergic effects of mirror therapy and neuromuscular electrical stimulation for hand function in stroke patients. Ann Rehabil Med. 2011;35(3):316–321. https://doi.org/10.5535/arm.2011.35.3.316.

5

Sousa ASP, Moreira J, Silva C, et al. Usability of functional electrical stimulation in upper limb rehabilitation in post-stroke patients: a narrative review. Sensors. 2022;22(4):1409. https://doi.org/10.3390/s22041409.

6

Yoo C, Park J. Impact of task-oriented training on hand function and activities of daily living after stroke. J Phys Ther Sci. 2015;27(8):2529–2531. https://doi.org/10.1589/jpts.27.2529.

7

Kwakkel G, Veerbeek JM, van Wegen EEH, et al. Constraint-induced movement therapy after stroke. Lancet Neurol. 2015;14(2):224–234. https://doi.org/10.1016/S1474-4422(14)70160-7.

8

Jeon HS, Woo YK, Yi CH, et al. Effect of intensive training with a spring-assisted hand orthosis on movement smoothness in upper extremity following stroke: a pilot clinical trial. Top Stroke Rehabil. 2012;19(4):320–328. https://doi.org/10.1310/tsr1904-320.

9

Fleet A, Che M, Mackay-Lyons M, et al. Examining the use of constraint-induced movement therapy in Canadian neurological occupational and physical therapy. Physiother Can. 2014;66(1):60–71. https://doi.org/10.3138/ptc.2012-61.

10

Taub E. The behavior-analytic origins of constraint-induced movement therapy: an example of behavioral neurorehabilitation. Behav Anal. 2012;35(2):155–178. https://doi.org/10.1007/BF03392276.

11

Smith MA, Tomita MR. Combined effects of Telehealth and modified constraint-induced movement therapy for individuals with chronic hemiparesis. Int J Telerehabilitation. 2020;12(1):51–62. https://doi.org/10.5195/ijt.2020.6300.

12

Cramer SC, Dodakian L, Le V, et al. Efficacy of home-based telerehabilitation vs In-clinic therapy for adults after stroke: a randomized clinical trial. JAMA Neurol. 2019;76(9):1079–1087. https://doi.org/10.1001/jamaneurol.2019.1604.

13

Ciortea VM, Motoașcă I, Ungur RA, et al. Telerehabilitation—a viable option for the recovery of post-stroke patients. Appl Sci. 2021;11(21):10116. https://doi.org/10.3390/app112110116.

14

Singh P, Pradhan B. Study to assess the effectiveness of modified constraintinduced movement therapy in stroke subjects: a randomized controlled trial. Ann Indian Acad Neurol. 2013;16(2):180–184. https://doi.org/10.4103/0972-2327.112461.

15

Hernández ED, Galeano CP, Barbosa NE, et al. Intra- and inter-rater reliability of fugl-meyer assessment of upper extremity in stroke. J Rehabil Med. 2019;51(9):652–659. https://doi.org/10.2340/16501977-2590.

16

Edwards DF, Lang CE, Wagner JM, et al. An evaluation of the Wolf Motor Function Test in motor trials early after stroke. Arch Phys Med Rehabil. 2012;93(4):660–668. https://doi.org/10.1016/j.apmr.2011.10.005.

17

van der Lee JH, Beckerman H, Knol DL, et al. Clinimetric properties of the motor activity log for the assessment of arm use in hemiparetic patients. Stroke. 2004;35(6):1410–1414. https://doi.org/10.1161/01.STR.0000126900.24964.7e.

18

Uswatte G, Taub E, Lum P, et al. Tele-rehabilitation of upper-extremity hemiparesis after stroke: proof-of-concept randomized controlled trial of in-home Constraint-Induced Movement therapy. Restor Neurol Neurosci. 2021;39(4):303–318. https://doi.org/10.3233/RNN-201100.

19

Alon G, Levitt AF, McCarthy PA. Functional electrical stimulation enhancement of upper extremity functional recovery during stroke rehabilitation: a pilot study. Neurorehabilitation Neural Repair. 2007;21(3):207–215. https://doi.org/10.1177/1545968306297871.

20

Uswatte G, Taub E, Bowman MH, et al. Rehabilitation of stroke patients with plegic hands: randomized controlled trial of expanded Constraint-Induced Movement therapy. Restor Neurol Neurosci. 2018;36(2):225–244. https://doi.org/10.3233/RNN-170792.

21

Kamalakannan S, Gudlavalleti ASV, Gudlavalleti VSM, et al. Incidence & prevalence of stroke in India: a systematic review. Indian J Med Res. 2017;146(2):175–185. https://doi.org/10.4103/ijmr.IJMR_516_15.

22

Ke C, Gupta R, Xavier D, et al. Divergent trends in ischaemic heart disease and stroke mortality in India from 2000 to 2015: a nationally representative mortality study. Lancet Global Health. 2018;6(8): e914–e923. https://doi.org/10.1016/S2214-109X(18)30242-0.

23
Mary Matteliano, T. B., et al.: Modified Constraint-Induced Movement Therapy: An Internet Based Approach for Individuals with Chronic Hemiparesis. Website online: https://www.researchgate.net/publication/301290293_Modified_Constraint_Induced_Movement_Therapy_An_Internet_Based_Approach_for_Individuals_with_Chronic_Hemiparesis_AOTA_conference_Chicago_2016 (Access Date: 4 September 2022).
24

Barzel A, Ketels G, Stark A, et al. Home-based constraint-induced movement therapy for patients with upper limb dysfunction after stroke (HOMECIMT): a cluster-randomised, controlled trial. Lancet Neurol. 2015;14(9):893–902. https://doi.org/10.1016/S1474-4422(15)00147-7.

25

Nikolaev VA, Nikolaev AA. Recent trends in telerehabilitation of stroke patients: a narrative review. NeuroRehabilitation. 2022;51(1):1–22. https://doi.org/10.3233/NRE-210330.

26

Holden MK, Dyar TA, Dayan-Cimadoro L. Telerehabilitation using a virtual environment improves upper extremity function in patients with stroke. IEEE Trans Neural Syst Rehabil Eng. 2007;15(1):36–42. https://doi.org/10.1109/TNSRE.2007.891388.

27

Kairy D, Veras M, Archambault P, et al. Maximizing post-stroke upper limb rehabilitation using a novel telerehabilitation interactive virtual reality system in the patient's home: study protocol of a randomized clinical trial. Contemp Clin Trials. 2016;47:49–53. https://doi.org/10.1016/j.cct.2015.12.006.

28

Johansson T, Wild C. Telerehabilitation in stroke care—a systematic review. J Telemed Telecare. 2011;17(1):1–6. https://doi.org/10.1258/jtt.2010.100105.

29

Knepley KD, Mao JZ, Wieczorek P, et al. Impact of telerehabilitation for strokerelated deficits. Telemed J e Health. 2021;27(3):239–246. https://doi.org/10.1089/tmj.2020.0019.

Journal of Neurorestoratology
Article number: 100108
Cite this article:
Shamweel H, Gupta N. Constraint-induced movement therapy through telerehabilitation for upper extremity function in stroke. Journal of Neurorestoratology, 2024, 12(2): 100108. https://doi.org/10.1016/j.jnrt.2024.100108

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Received: 17 July 2023
Revised: 07 January 2024
Accepted: 24 January 2024
Published: 12 March 2024
© 2024 The Authors.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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