Effect of mCIMT on Upper Extremity Functions of Stroke Patients With Right/Left Hemiplegia
Effect of mCIMT on Upper Extremity Functions of Stroke Patients With Right/Left Hemiplegia
The investigators aimed To analyze effect of modified constraint induced movement therapy on
 upper extremity functions and quality of life of subacute and chronic phase stroke patients
 with right/left hemisphere damage. A total of 40 patients (20 patients with right hemiplegia
 and 20 patients with left hemiplegia) were enrolled in our prospective, randomized and
 controlled trial. Patients were randomized in to three groups. The first group consists of 10
 right hemiplegia patients and the second group consists of 10 left hemiplegia patients. First
 and second group of patients had 10 sessions of constraint induced movement therapy as groups
 of 4, 5 days a week. Each patient had modified constraint induced movement therapy 1 hour a
 day with professional support and performed home program by themselves 3 hours a day.
 Patients' less affected hands were limited by the help of a glove %50 of the time they were
 awake. Patients were examined before treatment, just after treatment and 3 months after
 treatment using Box-Block Test, cubes lined, card turned and object gripped in 30 seconds,
 time it takes to grip and carry a water filled glass to their mouth and putting it back,
 Motor Activity Log (MAL), Stroke Impact Scale, Fugl-Meyer Motor Assessment Scale.
For the rehabilitation of the paretic upper extremity, the use of constraint induced movement
 therapy and the use of modified constraint induced movement therapy are the most effective
 treatment strategies. The investigators aimed To analyze effect of modified constraint
 induced movement therapy on upper extremity functions and quality of life of subacute and
 chronic phase stroke patients with right/left hemisphere damage.

 A total of 40 patients (20 patients with right hemiplegia and 20 patients with left
 hemiplegia) were enrolled in our prospective, randomized and controlled trial. Patients were
 randomized in to three groups. The first group consists of 10 right hemiplegia patients and
 the second group consists of 10 left hemiplegia patients. First and second group of patients
 had 10 sessions of constraint induced movement therapy as groups of 4, 5 days a week. Each
 patient had modified constraint induced movement therapy 1 hour a day with professional
 support and performed home program by themselves 3 hours a day. Patients' less affected hands
 were limited by the help of a glove %50 of the time they were awake. 10 patients with right
 hemiplegia and 10 patients with left hemiplegia formed the control group and these patients
 were in line for inpatient rehabilitation programme. Patients were examined before treatment,
 just after treatment and 3 months after treatment using Box-Block Test, cubes lined, card
 turned and object gripped in 30 seconds, time it takes to grip and carry a water filled glass
 to their mouth and putting it back, Motor Activity Log (MAL), Stroke Impact Scale, Fugl-Meyer
 Motor Assessment Scale. Wilcoxon Signed Ranks test and Friedman test were used for intragroup
 comparison of data and Kruskal-Wallis test was used to compare data between groups.
Inclusion Criteria:

 -  Patients in subacute and chronic period (3 months after stroke)

 -  Modified Ashworth scale in the hemiplegic arm with 3 or more spasticity

 -  No pain in the hemiplegic arm

 -  MMSE 20 and above

 -  Without major medical problems

 -  No previous stroke history

 -  Adequate stability to walk when healthy arm is immobilized

 -  Active 20 degrees wrist extension and 10 degrees interphalangeal and
 metacarpophalangeal extension (these movements should be repeated 3 times in 1 minute)

 Exclusion Criteria:

 -  Bilateral stroke or brainstem affected

 -  Active 20-degree wrist extension and 10-degree interphalangeal and metacarpophalangeal
 extension

 -  Global aphasia or cognitive disorders that may affect understanding of test
 instructions

 -  Patients with major medical problems that may affect participation

 -  Existence of neglect