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
Randomized Controlled Trial
. 2021 Feb 1:2021:6664058.
doi: 10.1155/2021/6664058. eCollection 2021.

Comparing Two Different Modes of Task Practice during Lower Limb Constraint-Induced Movement Therapy in People with Stroke: A Randomized Clinical Trial

Auwal Abdullahi  1   2 , Naima Umar Aliyu  3 , Ushotanefe Useh  4 , Muhammad Aliyu Abba  1 , Mukadas Oyeniran Akindele  1   4 , Steven Truijen  2 , Wim Saeys  2
Affiliations
Randomized Controlled Trial

Comparing Two Different Modes of Task Practice during Lower Limb Constraint-Induced Movement Therapy in People with Stroke: A Randomized Clinical Trial

Auwal Abdullahi et al. Neural Plast. .

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.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Study flowchart.
See this image and copyright information in PMC

References

    1. Schmidt R. A. A schema theory of discrete motor skill learning. Psychological Review. 1975;82(4):225–260. doi: 10.1037/h0076770. - DOI
    1. Hollerbach J. M. Computers, brains and the control of movement. Trends in Neurosciences. 1982;5(6):189–192. doi: 10.1016/0166-2236(82)90111-4. - DOI
    1. Yang J. F., Gorassini M. Spinal and brain control of human walking: implications for retraining of walking. The Neuroscientist. 2006;12(5):379–389. doi: 10.1177/1073858406292151. - DOI - PubMed
    1. Jorgensen H. S., Nakayama H., Raaschou H. O., Vive-Larsen J., Stoier M., Olsen T. S. Outcome and time course of recovery in stroke. Part II: time course of recovery. The Copenhagen Stroke Study. Archives of Physical Medicine and Rehabilitation. 1995;76(5):406–412. doi: 10.1016/S0003-9993(95)80568-0. - DOI - PubMed
    1. Gatti M. A., Portela M., Gianella M., et al. Walking ability after stroke in patients from Argentina: predictive values of two tests in subjects with subacute hemiplegia. Journal of Physical Therapy Science. 2015;27(9):2977–2980. doi: 10.1589/jpts.27.2977. - DOI - PMC - PubMed

Publication types

LinkOut - more resources