Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Aug;38(4):458-66.
doi: 10.5535/arm.2014.38.4.458. Epub 2014 Aug 28.

Effect of constraint-induced movement therapy and mirror therapy for patients with subacute stroke

Jin A Yoon  1 , Bon Il Koo  1 , Myung Jun Shin  1 , Yong Beom Shin  1 , Hyun-Yoon Ko  1 , Yong-Il Shin  1
Affiliations

Effect of constraint-induced movement therapy and mirror therapy for patients with subacute stroke

Jin A Yoon et al. Ann Rehabil Med. 2014 Aug.

Abstract

Objective: To evaluate the effectiveness of constraint-induced movement therapy (CIMT) and combined mirror therapy for inpatient rehabilitation of the patients with subacute stroke.

Methods: Twenty-six patients with subacute stroke were enrolled and randomly divided into three groups: CIMT combined with mirror therapy group, CIMT only group, and control group. Two weeks of CIMT for 6 hours a day with or without mirror therapy for 30 minutes a day were performed under supervision. All groups received conventional occupational therapy for 40 minutes a day for the same period. The CIMT only group and control group also received additional self-exercise to substitute for mirror therapy. The box and block test, 9-hole Pegboard test, grip strength, Brunnstrom stage, Wolf motor function test, Fugl-Meyer assessment, and the Korean version of Modified Barthel Index were performed prior to and two weeks after the treatment.

Results: After two weeks of treatment, the CIMT groups with and without mirror therapy showed higher improvement (p<0.05) than the control group, in most of functional assessments for hemiplegic upper extremity. The CIMT combined with mirror therapy group showed higher improvement than CIMT only group in box and block test, 9-hole Pegboard test, and grip strength, which represent fine motor functions of the upper extremity.

Conclusion: The short-term CIMT combined with mirror therapy group showed more improvement compared to CIMT only group and control group, in the fine motor functions of hemiplegic upper extremity for the patients with subacute stroke.

Keywords: Constraint-induced movement therapy; Fine motor exercise; Hemiplegic upper extremity; Mirror therapy; Subacute stroke.

PubMed Disclaimer

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Flow diagram of this study.
Fig. 2
Fig. 2
Difference in percentage of assessment at baseline and after treatment in CIMT only group vs. control group (*p<0.017). CIMT, constraint-induced movement therapy; K-MBI, Korean version of Modified Barthel Index.
Fig. 3
Fig. 3
Difference in percentage of assessment at baseline and after treatment in CIMT with mirror therapy group vs. control group (*p<0.017). CIMT, constraint-induced movement therapy; K-MBI, Korean version of Modified Barthel Index.
Fig. 4
Fig. 4
Difference in percentage of assessment at baseline and after treatment in CIMT with mirror therapy group vs. CIMT only group (*p<0.017). CIMT, constraint-induced movement therapy; K-MBI, Korean version of Modified Barthel Index.
See this image and copyright information in PMC

References

    1. Basmajian JV. The Winter of Our Discontent: breaking intolerable time locks for stroke survivors. The 38th annual John Stanley Coulter lecture. Arch Phys Med Rehabil. 1989;70:92–94. - PubMed
    1. Pang MY, Harris JE, Eng JJ. A community-based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2006;87:1–9. - PMC - PubMed
    1. Taub E, Miller NE, Novack TA, Cook EW, 3rd, Fleming WC, Nepomuceno CS, et al. Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil. 1993;74:347–354. - PubMed
    1. Taub E, Wolf SL. Constraint induced movement techniques to facilitate upper extremity use in stroke patients. Top Stroke Rehabil. 1997;3:38–61. - PubMed
    1. Dromerick AW, Edwards DF, Hahn M. Does the application of constraint-induced movement therapy during acute rehabilitation reduce arm impairment after ischemic stroke? Stroke. 2000;31:2984–2988. - PubMed

LinkOut - more resources