Tuesday, August 25, 2015

Home CIMT No Help for Limb Function - Constraint of unaffected arm at home shows no objective benefit

I'm sure if someone were to actually dig into this, the actual following of the protocol was not done correctly. So I don't consider this a valid research conclusion. But if we had even a minimally functional stroke association we could ask them to analyze this. But we don't. So fuck yourself while our stroke associations twiddle their thumbs and do nothing for survivors.
http://www.medpagetoday.com/Cardiology/Strokes/53220?xid=nl_mpt_cardiodaily_2015-08-25&eun=g0d3r
Constraint-induced movement therapy (CIMT) at home helps perceived use of the stroke-affected arm for daily activities but not for motor function compared with conventional in-office therapy, a German trial showed.
Quality of movement improved in both groups after 4 weeks of therapy but the change from baseline was greater in those getting the "modified form of CIMT that trains arm use in daily activities within the home environment" (0.56 versus 0.31, P=0.0156), Anne Barzel, MD, of the University Medical Center in Hamburg, Germany, and colleagues reported in the September issue of Lancet Neurology.
Both groups also improved in motor function performance time but to a similar degree (-25.60% and -27.52% over baseline, respectively, P=0.8152).
Serious adverse events occurred at a roughly similar rate in the two groups, with none deemed related to the study intervention.
"Yet, in view of the small clinical improvement, we suggest that future studies explore whether the effect of home CIMT can be increased through an intensified support in daily practice, for example via electronic devices with videos or apps," the group concluded, also calling for research into which patients might benefit the most.
The trial included 156 adult patients with upper limb dysfunction persistent at 6 months post-stroke who were cluster-randomized by practice (71 therapy practices in northern Germany participated) to 4 weeks of CIMT at home or in the office.

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