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Randomized Controlled Trial
. 2024 Jun;14(6):e3569.
doi: 10.1002/brb3.3569.

Effects of modified-constraint induced movement therapy based telerehabilitation on upper extremity motor functions in stroke patients

Fettah Saygili  1 , Arzu Guclu-Gunduz  2 , Sefa Eldemir  3 , Kader Eldemir  4 , Cagla Ozkul  2 , Gorkem Tutal Gursoy  5
Affiliations
Randomized Controlled Trial

Effects of modified-constraint induced movement therapy based telerehabilitation on upper extremity motor functions in stroke patients

Fettah Saygili et al. Brain Behav. 2024 Jun.

Abstract

Introduction: The aim of this study is to investigate the effects of Modified-Constraint Induced Movement Therapy (m-CIMT) based telerehabilitation on upper extremity motor functions in stroke patients.

Methods: Eighteen stroke patients were included and randomly allocated into two groups. The Tele-CIMT (modified-constraint induced movement therapy-based telerehabilitation) (n = 10) group received m-CIMT based telerehabilitation for 90 min a day, 5 weekdays for 3 weeks at home. Additionally, both the Tele-CIMT group and the control group (CG) (n = 8) underwent the home exercise program aimed at improving range of motion, active movement, balance, and walking every weekday for 3 weeks at home. The outcome measures were the Stroke Rehabilitation Assessment of Movement Scale (STREAM), Fugl-Meyer Upper Extremity Motor Evaluation Scale (FM-UE), Wolf Motor Function Test (WMFT), 9-Hole Peg Test (9-HPT), grip strengths, pinch strengths, Motor Activity Log-28 (MAL-28), and Functional Independence Measure (FIM).

Results: Significant group-by-time interactions on STREAM, FM-UE, WMFT, grip strength, pinch strengths, MAL-28, and FIM were found to be in favor of the Tele-CIMT group. Additionally, post hoc analyses revealed that the Tele-CIMT group significantly improved in terms of these parameters (p > .05).

Conclusion: This is the first randomized controlled trial showing that Tele-CIMT improved upper extremity motor functions and activities of daily living in stroke patients. Tele-CIMT can help improve the upper extremities in stroke survivors who have difficulties reaching rehabilitation clinics.

Keywords: modified‐constraint induced movement therapy; stroke; telerehabilitation; upper extremity.

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Conflict of interest statement

The authors declared that there are no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Participants flow through the study. Consolidated Standards of Reporting Trials (CONSORT) flow chart. VAS, Visual Analog Scale; MAL, motor activity log; Tele‐CIMT, modified‐constraint induced movement therapy‐based telerehabilitation.
See this image and copyright information in PMC

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