Deans' stroke musings: To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, December 9, 2019

To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke

Except they don't bother to tell you that CIMT is only possible to be used if your penumbra is still viable. In my case, because nothing was done to stop the neuronal cascade of death in the first week, everything in the penumbra died. I have seen nothing that brings back functions that were controlled by what is now dead brain. 5.5 billion dead neurons is hard to recover from. Try it some time.

To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke

ana Batool
1
, Nabila Soomro
2
, Fareeha Amjad
3
, Rabia Fauz
4

ABSTRACT

Objective: To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke.
Method:

A sample of 42 patients was recruited from the Physiotherapy Department of IPM&R and Neurology OPD of Civil Hospital Karachi through non probability purposive sampling technique. Twenty one patients were placed to each experimental and control groups. Experimental group was treated with Constraint Induced Movement Therapy (CIMT) and control group was treated with motor relearning programme (MRP) for three consecutive weeks. Pre and post treatment measurements were determined by upper arm section of Motor Assessment Scale (MAS) and Self Care item of Functional Independence Measure (FIM) Scale.
Results:
Intra group analysis showed statistically significant results (p-value<0.05) However, advanced hand activities item of MAS in MRP group showed insignicant result (p-value=0.059). Self-care items of FIM Scale also showed signicant result (p-value<0.05) except dressing upper body item (p-value<0.059) in CIMT group and grooming and dressing upper body
items (p-value=0.059 & 0.063) in MRP group showed insignificant p-values.
Conclusion:
CIMT group showed more significant improvement in motor function and self-care
performance of hemiplegic upper extremity as compared to MRP group in patients with sub-acute stroke assessed by the MAS and FIM scales. Thus CIMT is proved to be more statistically
significant and clinically effective
intervention in comparison to motor relearning programme among the patients aged between 35-60 years. Further studies are needed to evaluate CIMT effects in acute and chronic post stroke population.
KEY WORDS:
Constraint movement therapy, Motor learning programme, Physiotherapy, Rehabilitation, Stroke.
doi: http://dx.doi.org/10.12669/pjms.315.7910
How to cite this:
Batool S, Soomro N, Amjad F, Fauz R. To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke. Pak J Med Sci 2015;31(5):1167-1171.