Constraint-induced movement therapy for rehabilitationtreatmentin people with stroke

Stroke is a disease that affects the arteries leading to and within the brain. It is the No. 5 cause of death and a leading cause of disability in the United States. A strokeoccurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts (or ruptures). When that happens, part of the brain cannotget the blood (and oxygen) it needs, so it and brain cells die and one of the main causes of acquired adult disability. After a stroke, people can suffer from paralysisof an arm, and, even if some movement control remains, use it less than the unaffected arm. The paralysis makes arm movements, such as reaching, grasping, and manipulating objects difficult. In turn, this causes many difficulties in activities of daily life, such as bathing, dressing, eating and using the toilet. Constraintinducedmovement therapy (CIMT) is an approach to stroke rehabilitation that involves the forced use and massed practice of the affected arm by restraining the unaffected arm. This has been proposed as a useful tool for recovering abilities in everyday activities. During CIMT the unaffected arm is restrained so it cannot be used, which means the affected arm has to be used instead. The unaffected arm and hand are prevented from moving with a glove or a special arm rest.In people who have had a stroke, upper limb paresis affects many activities of daily life. Reducing disability is therefore a major aim of rehabilitative interventions. Despite preserving or recovering movement ability after stroke, sometimes people do not fully realize this ability in their everyday activities.

کلیدواژه ها:

stroke ، rehabilitation ، upper limb ، Constraint-induced movement therapy ، forced use