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Effectiveness of Constraint-Induced Movement Therapy : A systematic review

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Effectiveness of Constraint-Induced Movement Therapy : A systematic review

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Samenvatting

Stroke is the third leading cause of death in the western world and paresis of the muscles of one side of the body is the most common physical consequence. Over half of the patients with upper limb paresis resulting from stroke will suffer from long-term impaired arm function and an enduring disability in daily life. Constraint-Induced Movement Therapy (CIMT) or ‘forced use’ is one of the treatment possibilities for patients who suffer from hemiplegia following a stroke. It is defined as a treatment method in which the use of the paretic arm is stimulated by temporary immobilization of the non-paretic arm or functional restriction with a splint, glove or sling. The aim of the systematic review therefore was to elaborate the effectiveness of Constraint-Induced Movement Therapy for patients aged between 45 to 85 years who suffered a stroke at least six months ago in comparison to traditional therapy. To answer the research question a literature search using the keywords, Constraint-Induced Movement Therapy, CI – Therapy, Forced Use, CVA, Stroke and Hemiplegia was conducted in databases such as Cinahl, Cochrane Library, Google Scholar, PEDro, PiCarta, Pub Med and Science Direct. The search revealed 224 possibly relevant articles of which six fulfilled the inclusion criteria. These six articles were judged with the PEDro scale and further analyzed. The articles which scored highest on the PEDro Scale had a higher impact on the conclusion of the systematic review than the articles which scored less. The included studies used different forms of Constraint-Induced Movement Therapy and outcome measurements which made the comparision between the articles difficult. The findings among the included articles were contradictive concerning the effectiveness of Constraint-Induced Movement Therapy compaired to traditional treatment. Due to these contradictive findings within the included studies it was hard to draw a clear conclusion. Studies that scored lower than eight on the PEDro Scale (Taub et al. 1993, Suputtitada et al. 2004 & Wu et al. 2007), did show significant results in favour to Constraint-Induced Movement Therapy. Page et al. 2008 and van der Lee et al. 1999 do not support the findings that Constraint-Induced Movement Therapy is more effective than traditional therapy. Consequently, it can be concluded that Constraint-Induced Moment Therapy, although promising, is not more effective than traditional therapy for patients aged 45 to 85 years within the chronic phase of stroke. The findings of this systematic review therefore do not support the use Constraint-Induced Movement Therapy in daily practice.

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OrganisatieHogeschool van Amsterdam
InstituutGezondheid
Gepubliceerd in
Jaar2009
TypeBachelorscriptie
TaalEngels

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