Document Detail

Constraint induced movement therapy: efficacy in a Turkish stroke patient population and evaluation by a new outcome measurement tool.
MedLine Citation:
PMID:  18946435     Owner:  NLM     Status:  MEDLINE    
AIM: The purpose of this study was to show if constraint induced movement therapy (CIMT) is effective in a Turkish stroke patient population and whether the effectiveness could be measured by a different evaluation tool, i.e. Kocaeli Functional Evaluation Test (KFET). METHODS: Twenty-five patients with subacute or chronic stroke were included in the study. At the beginning, all the patients received a conventional rehabilitation programme for 3 weeks. Seventeen patients who had no improvement in upper extremity functioning with this conventional programme received CIMT for 3 weeks. Active range of motion (ROM) and modified Ashworth scale of the plegic upper extremity were noted; Wolf Motor Function Test (WMFT) and KFET were performed to each patient before and after CIMT. RESULTS: Active ROM of shoulder flexion (P<0.001), abduction (P<0.001), and external rotation (P=0.005), wrist flexion (P=0.025), and extension (P<0.01) of the plegic upper extremity improved significantly after CIMT. There were significant improvements in functional ability scale (P<0.05 for all parameters) and performance time results of 13 (P<0.05 for all parameters) out of 15 parameters of WMFT. Significant improvements were observed in quality-ability scores of every subunit of each activity (P<0.05 for all parameters) and performance time scores (P<0.05 for all parameters) of KFET. CONCLUSIONS: CIMT is found to be a noteworthy treatment for improving the function of the hemiplegic upper extremity in this Turkish patient population.
N Dursun; E Dursun; I Sade; C Cekmece
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2008-10-23
Journal Detail:
Title:  European journal of physical and rehabilitation medicine     Volume:  45     ISSN:  1973-9095     ISO Abbreviation:  Eur J Phys Rehabil Med     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-07-03     Completed Date:  2010-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101465662     Medline TA:  Eur J Phys Rehabil Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  165-70     Citation Subset:  IM    
Department of Physical Medicine and Rehabilitation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
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MeSH Terms
Exercise Therapy / methods*
Middle Aged
Motor Activity / physiology
Range of Motion, Articular / physiology
Recovery of Function
Restraint, Physical / methods*
Stroke / physiopathology,  rehabilitation*
Treatment Outcome
Upper Extremity / physiopathology

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