Featured Research

from universities, journals, and other organizations

Use Of A Restraining Device In The Subacute Phase After A Stroke No Better Than Rehabilitation Alone

Date:
August 3, 2009
Source:
American Physical Therapy Association
Summary:
Restraining the use of some patients' unaffected upper limb during the subacute phase following stroke does not appear to generate greater improvements in motor impairment and capacity than standard rehabilitation alone, according to a pilot study.

Restraining the use of some patients' unaffected upper limb during the subacute phase following stroke does not appear to generate greater improvements in motor impairment and capacity than standard rehabilitation alone, according to a pilot study published in the June issue of Physical Therapy, the scientific journal of the American Physical Therapy Association (APTA).

Research shows that patients who have arm paresis (partial loss of movement or impaired movement) after stroke initially use primarily the side unaffected by the stroke in order to be as independent as possible. Avoidance of the affected upper limb is a behavior called "learned nonuse."1

To help patients overcome learned nonuse, researchers applied the restraining component of constraint-induced movement therapy (CIMT) in combination with standard rehabilitation. Classic CIMT is a therapy technique where a restraining device is used on the unaffected limb during 90 percent of waking time, with the affected limb trained through intensive and repetitive exercises for six hours per day during a two-week period.

According to Ann M. Hammer, PT, Msc, physical therapist researcher and doctoral student at Φrebro University in Φrebro, Sweden, "The specific aim of our study was to investigate any differences in motor impairment and capacity between a group of patients wearing a restraining sling and receiving rehabilitation training and those who were receiving rehabilitation training alone. We found that the changes in the restrained group did not differ from the changes in the standard training group for any of the outcome measures. Both groups improved over time."

Researchers randomly assigned patients, one to six months following stroke, to either the CIMT group or the standard training group. All patients trained five days per week for two weeks.

"The patients enrolled in this pilot study did not get the training amount and intensity that patients have received in other studies where a benefit of CIMT was found to be superior to traditional care. The combined results of this pilot study and other studies suggest the need to match the treatment to the level of severity, but also indicate a continued need to investigate the optimal timing of interventions as well as duration and intensity," Hammer said. "Our findings will be used to help design future clinical trials that we hope will help us arrive at a definitive conclusion regarding the clinical implementation of forced use for upper-limb rehabilitation."


Story Source:

The above story is based on materials provided by American Physical Therapy Association. Note: Materials may be edited for content and length.


Journal Reference:

  1. Taub E, Miller NE, Novack TA, et al. Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil, 1993;74:347-354

Cite This Page:

American Physical Therapy Association. "Use Of A Restraining Device In The Subacute Phase After A Stroke No Better Than Rehabilitation Alone." ScienceDaily. ScienceDaily, 3 August 2009. <www.sciencedaily.com/releases/2009/08/090803185834.htm>.
American Physical Therapy Association. (2009, August 3). Use Of A Restraining Device In The Subacute Phase After A Stroke No Better Than Rehabilitation Alone. ScienceDaily. Retrieved August 28, 2014 from www.sciencedaily.com/releases/2009/08/090803185834.htm
American Physical Therapy Association. "Use Of A Restraining Device In The Subacute Phase After A Stroke No Better Than Rehabilitation Alone." ScienceDaily. www.sciencedaily.com/releases/2009/08/090803185834.htm (accessed August 28, 2014).

Share This




More Mind & Brain News

Thursday, August 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Alice in Wonderland Syndrome

Alice in Wonderland Syndrome

Ivanhoe (Aug. 27, 2014) — It’s an unusual condition with a colorful name. Kids with “Alice in Wonderland” syndrome see sudden distortions in objects they’re looking at or their own bodies appear to change size, a lot like the main character in the Lewis Carroll story. Video provided by Ivanhoe
Powered by NewsLook.com
Stopping Schizophrenia Before Birth

Stopping Schizophrenia Before Birth

Ivanhoe (Aug. 27, 2014) — Scientists have long called choline a “brain booster” essential for human development. Not only does it aid in memory and learning, researchers now believe choline could help prevent mental illness. Video provided by Ivanhoe
Powered by NewsLook.com
Personalized Brain Vaccine for Glioblastoma

Personalized Brain Vaccine for Glioblastoma

Ivanhoe (Aug. 27, 2014) — Glioblastoma is the most common and aggressive brain cancer in humans. Now a new treatment using the patient’s own tumor could help slow down its progression and help patients live longer. Video provided by Ivanhoe
Powered by NewsLook.com
Brain Surgery in 3-D

Brain Surgery in 3-D

Ivanhoe (Aug. 27, 2014) — Neurosurgeons now have a new approach to brain surgery using the same 3D glasses you’d put on at an IMAX movie theater. Video provided by Ivanhoe
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins