학술논문
Improvement of gait and balance function in chronic post-stroke patients induced by Lower Extremity – Constraint Induced Movement Therapy: a randomized controlled clinical trial.
Document Type
Article
Author
Source
Subject
*CONSTRAINT-induced movement therapy
*MOTOR ability
*PHYSICAL therapy
*SUPERVISION of employees
*MEDICAL protocols
*LEG
*EXERCISE therapy
*HEMIPLEGIA
*STATISTICAL sampling
*BLIND experiment
*GAIT in humans
*TREATMENT effectiveness
*RANDOMIZED controlled trials
*EXERCISE intensity
*DIAGNOSIS
*DESCRIPTIVE statistics
*CHRONIC diseases
*NEUROPSYCHOLOGICAL tests
*STROKE patients
*QUALITY assurance
*POSTURAL balance
*ACTIVITIES of daily living
*EVALUATION
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Language
ISSN
0269-9052
Abstract
To evaluate the effects of Lower Extremity – Constraint Induced Movement Therapy on gait function and balance in chronic hemiparetic patients. Randomized, controlled, single-blinded study. We recruited chronic post stroke patients and allocated them to Lower Extremity – Constraint Induced Movement Tharapy (LE-CIMT) or Control Group. The LE-CIMT group received this protocol 2.5 hour/day for 15 followed days, including: 1) intensive supervised training, 2) use of shaping as a strategy for motor training, and 3) application of a transfer package. The control group received conventional physiotherapy for 2.5 hours/day for 15 followed days. Outcomes were assessed at baseline, after the interventions, and after 6 months, through 6-minute walk test and Mini-Balance Evaluation Systems Test; 10-meter walk test, Timed Up and Go, 3-D gait analysis, and Lower Extremity – Motor Activity Log. LE-CIMT was superior on the Assistance and confidence subscale of Lower Extremity – Motor Activity Log, Mini-BESTest and 6-minute walk test. The effect size for all outcomes was small when comparing both groups. LE-CIMT showed clinically significant differences in daily activities, balance, and gait capacity, with no clinically significant difference for spatiotemporal parameters. The LE-CIMT protocol had positive outcomes on balance, performance, and confidence perception. [ABSTRACT FROM AUTHOR]