The first sentence on learned nonuse already tells me they don't understand the problem. The problem is usually dead brain; this is not dead brain rehab.
Damn it all, it is NOT learned nonuse. It is the actual inability to use it because of dead neurons. If you had dead brain rehab protocols, this fake learned nonuse idea would cease to exist!
Modified Constraint Induced Movement Therapy for Lower Extremities’ Rehabilitation in Patients with Stroke: A Narrative Review of Literature
Rumana Khatun A. Pathan1, Vivek H. Ramanandi2, Roshni G. Kachhadiya3,
Hemanshi N. Vekariya4
1,3,4Post graduate Student, SPB Physiotherapy College, Veer Narmad South Gujarat University, Surat, India.
2Associate Professor, SPB Physiotherapy College, Veer Narmad South Gujarat University, Surat, India.
Corresponding Author: Dr. Vivek H. Ramanandi
DOI: https://doi.org/10.52403/ijhsr.20240213
of the affected limb for longer periods. Modified Constraint Induced Movement Therapy (m-CIMT) is
a form of rehabilitation therapy that limits the unaffected side and through repeated and concentrated
training improve the function of the paretic side. Use of m-CIMT for lower extremities rehabilitation is
relatively less explored avenue. Aim of the present study was to review literature evaluating the
effectiveness of m-CIMT for recovery of lower extremities (LE) function in stroke patients.
Methodology: Articles published in English language from 2011 to 2022 were searched from various
online databases. Out of total 6 search results, 5 full texts were screened and selected for review based
on selection criteria. The review included randomized control trial, pilot study, and experimental study
designs.
Result: The review of available literature suggested that m-CIMT is an effective approach for LE
rehabilitation in stroke patient. It has showed promising results on outcomes such as gait parameters,
balance, ambulation, and symmetry.
Conclusion: Based on this review, it can be concluded that m-CIMT intervention is effective for
rehabilitation of paretic LE function in patient with stroke and therefore it may be used in addition to a
conventional treatment.
Hemanshi N. Vekariya4
1,3,4Post graduate Student, SPB Physiotherapy College, Veer Narmad South Gujarat University, Surat, India.
2Associate Professor, SPB Physiotherapy College, Veer Narmad South Gujarat University, Surat, India.
Corresponding Author: Dr. Vivek H. Ramanandi
DOI: https://doi.org/10.52403/ijhsr.20240213
ABSTRACT
Background: Learned non-use is a common complication after stroke in patients who neglects the useof the affected limb for longer periods. Modified Constraint Induced Movement Therapy (m-CIMT) is
a form of rehabilitation therapy that limits the unaffected side and through repeated and concentrated
training improve the function of the paretic side. Use of m-CIMT for lower extremities rehabilitation is
relatively less explored avenue. Aim of the present study was to review literature evaluating the
effectiveness of m-CIMT for recovery of lower extremities (LE) function in stroke patients.
Methodology: Articles published in English language from 2011 to 2022 were searched from various
online databases. Out of total 6 search results, 5 full texts were screened and selected for review based
on selection criteria. The review included randomized control trial, pilot study, and experimental study
designs.
Result: The review of available literature suggested that m-CIMT is an effective approach for LE
rehabilitation in stroke patient. It has showed promising results on outcomes such as gait parameters,
balance, ambulation, and symmetry.
Conclusion: Based on this review, it can be concluded that m-CIMT intervention is effective for
rehabilitation of paretic LE function in patient with stroke and therefore it may be used in addition to a
conventional treatment.
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