Constraint-induced movement therapy in hemiplegia: a single-subject study
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/12048 |
Resumo: | Constraint-induced movement therapy (CIMT) consists of restraining movement of the non-affected arm while providing intensive training of the affected upper extremity. Positive results have been reported after CIMT in individuals with hemiparesis due to stroke. This study is a longitudinal, ABA-design documentation of the effects of CIMT on upper extremity function of an individual with chronic left hemiparesis. Baseline phases (A) lasted two weeks and intervention (B) involved restrain of the non-affected arm with a splint and five three-hour weekly sessions of training of the affected arm, for two weeks. During the six study weeks upper extremity function was assessed by means of the Action Research Arm (ARA) and movement quality and dexterity were assessed with the Wolf Motor Function Test (WMFT), five times a week. Quality and frequency of use of the upper extremity were assessed by the Motor Activity Log (MAL) once a week. Collected data were statistically analysed. Results showed significant gains in quality of movement (WMFT) during intervention (p;0.05). As to dexterity (WMFT) and functioning (ARA), significant gain trends were detected during the first four weeks, performance having stabilised thereafter (p>;0.05). MAL analysis did not detect any clinically relevant change. This study thus documented motor performance gains after CIMT in a patient with chronic hemiparesis. |
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Constraint-induced movement therapy in hemiplegia: a single-subject study Terapia de movimento induzido pela restrição na hemiplegia: um estudo de caso único Acidente cerebral vascularExtremidade superiorHemiplegia^i1^sreabilitaTerapia por exercícioExercise therapyHemiplegia^i2^srehabilitatStrokeUpper extremity Constraint-induced movement therapy (CIMT) consists of restraining movement of the non-affected arm while providing intensive training of the affected upper extremity. Positive results have been reported after CIMT in individuals with hemiparesis due to stroke. This study is a longitudinal, ABA-design documentation of the effects of CIMT on upper extremity function of an individual with chronic left hemiparesis. Baseline phases (A) lasted two weeks and intervention (B) involved restrain of the non-affected arm with a splint and five three-hour weekly sessions of training of the affected arm, for two weeks. During the six study weeks upper extremity function was assessed by means of the Action Research Arm (ARA) and movement quality and dexterity were assessed with the Wolf Motor Function Test (WMFT), five times a week. Quality and frequency of use of the upper extremity were assessed by the Motor Activity Log (MAL) once a week. Collected data were statistically analysed. Results showed significant gains in quality of movement (WMFT) during intervention (p;0.05). As to dexterity (WMFT) and functioning (ARA), significant gain trends were detected during the first four weeks, performance having stabilised thereafter (p>;0.05). MAL analysis did not detect any clinically relevant change. This study thus documented motor performance gains after CIMT in a patient with chronic hemiparesis. A terapia de movimento induzido por restrição (TMIR) tem mostrado resultados positivos em indivíduos hemiparéticos após acidente vascular cerebral; consiste na contenção do membro superior não-afetado e treinamento intensivo do membro afetado. Este estudo visou documentar longitudinalmente os efeitos da TMIR na funcionalidade do membro superior de um indivíduo com hemiparesia esquerda crônica. Neste estudo de caso único tipo ABA, as fases linha de base (A) duraram duas semanas e a intervenção (B) compreendeu a contenção do membro sadio com um splint e cinco sessões semanais de 3 horas de treino do membro superior afetado, durante duas semanas. As medidas de funcionalidade Action Research Arm (ARA) e de qualidade de movimento e destreza Wolf Motor Function Test (WMFT) foram coletadas cinco vezes por semana, e a medida de qualidade e freqüência de uso do membro superior, Motor Activity Log (MAL), uma vez por semana por seis semanas. Os dados coletados foram tratados estatisticamente. Os resultados mostram ganhos significativos na qualidade de movimento (WMFT) durante a intervenção (p;0,05). Quanto à destreza (WMFT) e funcionalidade (ARA), foram detectadas tendências significativas de ganho durante as quatro primeiras semanas; após a intervenção, houve estabilização do desempenho (pUniversidade de São Paulo. Faculdade de Medicina2008-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/1204810.1590/S1809-29502008000300014Fisioterapia e Pesquisa; Vol. 15 No. 3 (2008); 298-303 Fisioterapia e Pesquisa; Vol. 15 Núm. 3 (2008); 298-303 Fisioterapia e Pesquisa; v. 15 n. 3 (2008); 298-303 2316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/12048/13825Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessVaz, Daniela VirgíniaAlvarenga, Rafaela FernandesMancini, Marisa CottaPinto, Tatiana Pessoa da SilvaFurtado, Sheyla Rossana CavalcantiTirado, Marcella Guimarães Assis2012-05-13T15:50:32Zoai:revistas.usp.br:article/12048Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2012-05-13T15:50:32Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Constraint-induced movement therapy in hemiplegia: a single-subject study Terapia de movimento induzido pela restrição na hemiplegia: um estudo de caso único |
title |
Constraint-induced movement therapy in hemiplegia: a single-subject study |
spellingShingle |
Constraint-induced movement therapy in hemiplegia: a single-subject study Vaz, Daniela Virgínia Acidente cerebral vascular Extremidade superior Hemiplegia^i1^sreabilita Terapia por exercício Exercise therapy Hemiplegia^i2^srehabilitat Stroke Upper extremity |
title_short |
Constraint-induced movement therapy in hemiplegia: a single-subject study |
title_full |
Constraint-induced movement therapy in hemiplegia: a single-subject study |
title_fullStr |
Constraint-induced movement therapy in hemiplegia: a single-subject study |
title_full_unstemmed |
Constraint-induced movement therapy in hemiplegia: a single-subject study |
title_sort |
Constraint-induced movement therapy in hemiplegia: a single-subject study |
author |
Vaz, Daniela Virgínia |
author_facet |
Vaz, Daniela Virgínia Alvarenga, Rafaela Fernandes Mancini, Marisa Cotta Pinto, Tatiana Pessoa da Silva Furtado, Sheyla Rossana Cavalcanti Tirado, Marcella Guimarães Assis |
author_role |
author |
author2 |
Alvarenga, Rafaela Fernandes Mancini, Marisa Cotta Pinto, Tatiana Pessoa da Silva Furtado, Sheyla Rossana Cavalcanti Tirado, Marcella Guimarães Assis |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Vaz, Daniela Virgínia Alvarenga, Rafaela Fernandes Mancini, Marisa Cotta Pinto, Tatiana Pessoa da Silva Furtado, Sheyla Rossana Cavalcanti Tirado, Marcella Guimarães Assis |
dc.subject.por.fl_str_mv |
Acidente cerebral vascular Extremidade superior Hemiplegia^i1^sreabilita Terapia por exercício Exercise therapy Hemiplegia^i2^srehabilitat Stroke Upper extremity |
topic |
Acidente cerebral vascular Extremidade superior Hemiplegia^i1^sreabilita Terapia por exercício Exercise therapy Hemiplegia^i2^srehabilitat Stroke Upper extremity |
description |
Constraint-induced movement therapy (CIMT) consists of restraining movement of the non-affected arm while providing intensive training of the affected upper extremity. Positive results have been reported after CIMT in individuals with hemiparesis due to stroke. This study is a longitudinal, ABA-design documentation of the effects of CIMT on upper extremity function of an individual with chronic left hemiparesis. Baseline phases (A) lasted two weeks and intervention (B) involved restrain of the non-affected arm with a splint and five three-hour weekly sessions of training of the affected arm, for two weeks. During the six study weeks upper extremity function was assessed by means of the Action Research Arm (ARA) and movement quality and dexterity were assessed with the Wolf Motor Function Test (WMFT), five times a week. Quality and frequency of use of the upper extremity were assessed by the Motor Activity Log (MAL) once a week. Collected data were statistically analysed. Results showed significant gains in quality of movement (WMFT) during intervention (p;0.05). As to dexterity (WMFT) and functioning (ARA), significant gain trends were detected during the first four weeks, performance having stabilised thereafter (p>;0.05). MAL analysis did not detect any clinically relevant change. This study thus documented motor performance gains after CIMT in a patient with chronic hemiparesis. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12048 10.1590/S1809-29502008000300014 |
url |
https://www.revistas.usp.br/fpusp/article/view/12048 |
identifier_str_mv |
10.1590/S1809-29502008000300014 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12048/13825 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 15 No. 3 (2008); 298-303 Fisioterapia e Pesquisa; Vol. 15 Núm. 3 (2008); 298-303 Fisioterapia e Pesquisa; v. 15 n. 3 (2008); 298-303 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713733425889280 |