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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Modified constraint-induced movement therapy and modified forced-use therapy for stroke patients are both effective to promote balance and gait improvements

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Author(s):
Fuzaro, Amanda C. [1] ; Guerreiro, Carlos T. [1] ; Galetti, Fernanda C. [1] ; Juca, Renata B. V. M. [1] ; de Araujo, Joao E. [2]
Total Authors: 5
Affiliation:
[1] Univ Sao Paulo, Sch Med, Dept Biomech Med & Rehabil Locomotor Syst, Lab Neuropsychobiol & Motor Behav, BR-14049900 Ribeirao Preto, SP - Brazil
[2] USP, Lab Neuropsychobiol & Motor Behav, Dept Biomech Med & Rehabil Locomotor Syst, Sch Med, Course Phys Therapy, BR-14049900 Ribeirao Preto, SP - Brazil
Total Affiliations: 2
Document type: Journal article
Source: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 16, n. 2, p. 157-165, MAR-APR 2012.
Web of Science Citations: 13
Abstract

Background: Previous studies show that chronic hemiparetic patients after stroke, presents inabilities to perform movements in paretic hemibody. This inability is induced by positive reinforcement of unsuccessful attempts, a concept called learned non-use. Forced use therapy (FUT) and constraint induced movement therapy (CIMT) were developed with the goal of reversing the learned non-use. These approaches have been proposed for the rehabilitation of the paretic upper limb (PUL). It is unknown what would be the possible effects of these approaches in the rehabilitation of gait and balance. Objectives: To evaluate the effect of Modified FUT (mFUT) and Modified CIMT (mCIMT) on the gait and balance during four weeks of treatment and 3 months follow-up. Methods: This study included thirty-seven hemiparetic post-stroke subjects that were randomly allocated into two groups based on the treatment protocol. The non-paretic UL was immobilized for a period of 23 hours per day, five days a week. Participants were evaluated at Baseline, 1st, 2nd, 3rd and 4th weeks, and three months after randomization. For the evaluation we used: The Stroke Impact Scale (SIS), Berg Balance Scale (BBS) and Fugl-Meyer Motor Assessment (FM). Gait was analyzed by the 10-meter walk test (T10) and Timed Up \& Go test (TUG). Results: Both groups revealed a better health status (SIS), better balance, better use of lower limb (BBS and FM) and greater speed in gait (T10 and TUG), during the weeks of treatment and months of follow-up, compared to the baseline. Conclusion: The results show mFUT and mCIMT are effective in the rehabilitation of balance and gait. Trial Registration ACTRN12611000411943. (AU)

FAPESP's process: 07/05710-5 - Functional correlates post forced used therapy in rehabilitation of the chronic hemiparetic stroke patient.
Grantee:Amanda Cunha Fuzaro
Support Opportunities: Scholarships in Brazil - Master