http://www.koomeshjournal.ir/browse.php?a_id=1822&sid=1&slc_lang=en
Article abstract:
Introduction: Weight bearing asymmetry is one of the basic causes of disturbance in
maintaining balance of hemiparesis patients that could complicate standing and
participation in activities of daily living in these patients. The purpose of
this study was to investigate the immediate effects of constraint induced
movement therapy technique using wedge on symmetry index as well as the
short-term effects of this technique on functional balance of chronic
hemiparesis patients.
Materials and Methods: In this quasi-experimental study, twenty-one hemiparesis patients by mean
age of 54.28 (±10.06) and the mean passed duration of injury 50.14 (±36.48)
months were selected by simple non-probability method. The symmetry index was
measured in three conditions: non-wedge, wedge 5ºand wedge 7.5º. Also,
functional balance of patients was measured with Functional Reach (FR) and
Timed Up and Go (TUG) tests before and after using of short-term constraint
induced movement therapy technique.
Results: According to the results of this study, symmetry index difference was
significant in both wedge 5º and wedge 7.5º conditions compared with no-wedge
condition (p<0.001), while it was not significant between wedge 5º and wedge
7.5º conditions. The mean scores of FR (P=0.012) and TUG (P=0.006) showed
significant changes after using the constraint induced movement therapy
technique
Conclusion: Constraint induced movement therapy technique caused immediate improvement
of weight bearing symmetry and improvement of functional balance in short-term
interval.
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