The effect of Constraint-Induced Movement Therapy on upper extremity after stroke (a review article)

Introduction: In people who have had a stroke, Paresis of the upper extremity is a common impairment. Constraint-induced movement therapy (CIMT) is an approach to rehabilitation of upper extremity motor dysfunction after stroke that involved the forced use of the affected arm by restraining the unaffected arm. This review aimed to investigate the effect of CIMT on upper extremity in patient with stroke-related hemiparesis.Methods and Materials: PubMed, EMBASE, Cochrane and PEDro were searched for clinical trials published before 2016. We included randomized control trials and quasi- randomized control trials that studied the effects of CIMT on upper extremity of patients with stroke-related hemiparesis compared with other rehabilitative techniques, or none.Results: The included articles showed heterogeneous effects of CIMT on upper extremity because of difference in CIMT protocols, sample size and quality features of the articles. CIMT was associated with a small post-treatment effect on arm motor function.Conclusion: CIMT was associated with limited improvements in motor impairment and motor function. It is appear there is no strong evidence for superiority of CIMT in comparison with other interventions. Information on the optimal dose of CIMT, optimal starting time and the long-term effects of CIMT is scarce, so further trials are required.

کلیدواژه ها:

Stroke ، Rehabilitation ، Upper extremity ، Constraint-induced movement therapy