Auwal Abdullahi1,2, Naima Umar Aliyu3, Ushotanefe Useh4, Muhammad Aliyu Abba1, Mukadas Oyeniran Akindele1,4, Steven Truijen2, Wim Saeys2. 1. Department of Physiotherapy, Bayero, University Kano, PMB 3011, Gwarzo Road, Kano, Nigeria. 2. Department of Physiotherapy and Rehabilitation Sciences, University of Antwerp, Antwerp, D.R.312, 2610 Wilrijk, Belgium. 3. Department of Physiotherapy, Muhammad Abdullahi Wase Teaching Hospital, Kano, Off Audu Bako Way, Nassarawa G.R.A, PMB, 3160 Kano, Nigeria. 4. Lifestyle Diseases Research Entity, Faculty of Health Sciences, North-West University, South Africa.
Abstract
Background: Constraint-induced movement therapy (CIMT) is used for the rehabilitation of motor function after stroke. Objectives: The aim of this study was to compare the effects of lower limb CIMT that uses number of repetition of tasks with the one that uses number of hours of practice. Method: The study was a randomized clinical trial approved by the Ethics Committee of Kano State Ministry of Health. Fifty-eight people with stroke participated in the study. Groups 1 and 2 performed daily 600 repetitions and 3 hours of task practice, respectively, 5 times weekly for 4 weeks. Motor impairment (primary outcome), balance, functional mobility, knee extensor spasticity, walking speed and endurance, and exertion before and after commencement of activities were assessed at baseline and postintervention. The data was analyzed using Friedmann and Mann-Whitney U tests. Result: The results showed that there was only significant difference (p < 0.05) in knee extensor spasticity (group 1 (median = 0(0), mean rank = 27.50); group 2 (median = 0(0), mean rank = 31.64)), exertion before commencement of activities (group 1 (median = 0(0.5), mean rank = 21.90); group 2 (median = 1(0.5), mean rank = 37.64)), and exertion after commencement of activities (group 1 (median = 1(1), mean rank = 20.07); group 2 (median = 1(0), mean rank = 39.61) postintervention in favour of the experimental group (group 1)). Conclusion: The group 1 protocol is more effective at improving outcomes after stroke.
RCT Entities:
Background: Constraint-induced movement therapy (CIMT) is used for the rehabilitation of motor function after stroke. Objectives: The aim of this study was to compare the effects of lower limb CIMT that uses number of repetition of tasks with the one that uses number of hours of practice. Method: The study was a randomized clinical trial approved by the Ethics Committee of Kano State Ministry of Health. Fifty-eight people with stroke participated in the study. Groups 1 and 2 performed daily 600 repetitions and 3 hours of task practice, respectively, 5 times weekly for 4 weeks. Motor impairment (primary outcome), balance, functional mobility, knee extensor spasticity, walking speed and endurance, and exertion before and after commencement of activities were assessed at baseline and postintervention. The data was analyzed using Friedmann and Mann-Whitney U tests. Result: The results showed that there was only significant difference (p < 0.05) in knee extensor spasticity (group 1 (median = 0(0), mean rank = 27.50); group 2 (median = 0(0), mean rank = 31.64)), exertion before commencement of activities (group 1 (median = 0(0.5), mean rank = 21.90); group 2 (median = 1(0.5), mean rank = 37.64)), and exertion after commencement of activities (group 1 (median = 1(1), mean rank = 20.07); group 2 (median = 1(0), mean rank = 39.61) postintervention in favour of the experimental group (group 1)). Conclusion: The group 1 protocol is more effective at improving outcomes after stroke.
Authors: E Taub; N E Miller; T A Novack; E W Cook; W C Fleming; C S Nepomuceno; J S Connell; J E Crago Journal: Arch Phys Med Rehabil Date: 1993-04 Impact factor: 3.966
Authors: Disa K Sommerfeld; Elsy U-B Eek; Anna-Karin Svensson; Lotta Widén Holmqvist; Magnus H von Arbin Journal: Stroke Date: 2003-12-18 Impact factor: 7.914