Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke

Larissa Salgado Oliveira Rocha; Geisa Crissy Bandeira Gama; Rodrigo Santiago Barbosa Rocha; Letícia de Barros Rocha; Caroline Prudente Dias; Luciane Lobato Sobral Santos; Márcio Clementino de Souza Santos; Maria Imaculada de Lima Montebelo; Rosana Macher Teodori

doi:10.1016/j.jstrokecerebrovasdis.2021.105774

Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke

J Stroke Cerebrovasc Dis. 2021 Jun;30(6):105774. doi: 10.1016/j.jstrokecerebrovasdis.2021.105774. Epub 2021 Apr 10.

Authors

Larissa Salgado Oliveira Rocha¹, Geisa Crissy Bandeira Gama², Rodrigo Santiago Barbosa Rocha³, Letícia de Barros Rocha², Caroline Prudente Dias², Luciane Lobato Sobral Santos³, Márcio Clementino de Souza Santos², Maria Imaculada de Lima Montebelo⁴, Rosana Macher Teodori⁴

Affiliations

¹ Physiotherapy Course at the State University of Pará; Belém, Brazil; Postgraduate in Human Movement Sciences at the Methodist University of Piracicaba; Piracicaba, Brazil. Electronic address: lari1980@gmail.com.
² Physiotherapy Course at the State University of Pará; Belém, Brazil.
³ Physiotherapy Course at the State University of Pará; Belém, Brazil; Postgraduate in Human Movement Sciences at the Methodist University of Piracicaba; Piracicaba, Brazil.
⁴ Postgraduate in Human Movement Sciences at the Methodist University of Piracicaba; Piracicaba, Brazil.

PMID: 33848906
DOI: 10.1016/j.jstrokecerebrovasdis.2021.105774

Abstract

This blind randomized clinical trial evaluated the effect of CIMT on the functionality and quality of life (QOL) of chronic hemiparetics. Thirty volunteers were divided into two groups: Control (CG) and CIMT (CIMTG); evaluated before and after 12 and 24 intervention sessions. The scales used were: adapted Fugl-Meyer Motor Assessment (FMA), Modified Ashworth, Stroke Specific Quality Of Life (SS-QOL) and the Functional Reach Test (FRT). The scores for all FMA variables in the CIMTG increased until the 24th session, differing from the pre-treatment. In the CG, the scores increased for pain, coordination/ speed and sensitivity. In the FRT there was an increase in the scores in both groups; after the 12th and 24th sessions, the result of the CIMTG was superior to the CG. For the SS-QOL in the CIMTG, the general score and most of the variables increased, as well as in the CG. Muscle tone in CIMTG was lower compared to CG after 24 sessions. Both protocols used in the study were effective, the CIMT protocol showed benefits in recovering the functionality of the paretic upper limb, in the functional range and in reducing muscle tone, with a consequent improvement in quality of life.

Keywords: Neuronal plasticity; Paresis, stroke; Physiotherapy; Upper extremity.

Publication types

Randomized Controlled Trial

MeSH terms

Aged
Brazil
Exercise Therapy*
Female
Functional Status
Humans
Male
Middle Aged
Motor Activity*
Paresis / diagnosis
Paresis / physiopathology
Paresis / rehabilitation*
Patient Compliance
Prospective Studies
Quality of Life*
Recovery of Function
Stroke / diagnosis
Stroke / physiopathology
Stroke / therapy*
Stroke Rehabilitation*
Time Factors
Treatment Outcome
Upper Extremity / innervation*