The effects of modified constraint-induced movement therapy and mirror therapy on upper extremity function and its influence on activities of daily living

Yumi Ju, In-Jin Yoon, Yumi Ju, In-Jin Yoon

Abstract

[Purpose] Modified constraint-induced movement therapy and mirror therapy are recognized as stroke rehabilitation methods. The aim of the present study was to determine whether these therapies influence upper extremity function and whether upper extremity function influences the ability to perform activities of daily living in further. [Subjects and Methods] Twenty-eight stroke patients participated in the study. Interventions were administered five times per week for 3 weeks. Activities of daily living or self-exercise were performed after modified constraint-induced movement therapy or mirror therapy, respectively. Analyses were performed on the results of the Manual Function Test and the Korean version of the Modified Barthel Index to determine the factors influencing activities of daily living. [Results] Both groups showed improvement in upper extremity function, but only the modified constraint-induced movement therapy group showed a correlation between upper extremity function and performance in the hygiene, eating, and dressing. The improved hand manipulation function found in the modified constraint-induced movement therapy had statistically significant influences on eating and dressing. [Conclusion] Our results suggest that a patient's attempts to move the affected side result in improved performance in activities of daily living as well as physical function.

Keywords: Activities of daily living; Mirror therapy; Modified constraint-induced movement therapy.

References

    1. Dimyan MA, Cohen LG: Neuroplasticity in the context of motor rehabilitation after stroke. Nat Rev Neurol, 2011, 7: 76–85.
    1. Kleim JA, Jones TA: Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Hear Res, 2008, 51: S225–S239.
    1. Bae SH, Jeong WS, Kim KY: Effects of mirror therapy on subacute stroke patients’ brain waves and upper extremity functions. J Phys Ther Sci, 2012, 24: 1119–1122.
    1. Ramachandran VS, Rogers-Ramachandran D: Synaesthesia in phantom limbs induced with mirrors. Proc Biol Sci, 1996, 263: 377–386.
    1. Yavuzer G, Selles R, Sezer N, et al. : Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil, 2008, 89: 393–398.
    1. Kim K, Lee S, Kim D, et al. : Effects of mirror therapy combined with motor tasks on upper extremity function and activities daily living of stroke patients. J Phys Ther Sci, 2016, 28: 483–487.
    1. Park JY, Chang M, Kim KM, et al. : The effect of mirror therapy on upper-extremity function and activities of daily living in stroke patients. J Phys Ther Sci, 2015, 27: 1681–1683.
    1. Taub E: Movement in nonhuman primates deprived of somatosensory feedback. Exerc Sport Sci Rev, 1976, 4: 335–374.
    1. Taub E, Miller NE, Novack TA, et al. : Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil, 1993, 74: 347–354.
    1. Reiss AP, Wolf SL, Hammel EA, et al. : Constraint-induced movement therapy (CIMT): current perspectives and future directions. Stroke Res Treat, 2012, 2012: 159391.
    1. Smania N, Gandolfi M, Paolucci S, et al. : Reduced-intensity modified constraint-induced movement therapy versus conventional therapy for upper extremity rehabilitation after stroke: a multicenter trial. Neurorehabil Neural Repair, 2012, 26: 1035–1045.
    1. Kim DY, Park CI, Chang WH, et al. : Effect of constraint-induced movement therapy in chronic hemiplegic patients. J Korean Acad Rehabil Med, 2003, 27: 813–818.
    1. Jung MY, Jun HS, Park HS, et al. : The effect of constraint-induced movement therapy on persons with stroke evaluated by using 3D motion analysis. J Korean Soc Occup Ther, 2007, 15: 67–80.
    1. Park J, Lee N, Cho Y, et al. : Modified constraint-induced movement therapy for clients with chronic stroke: interrupted time series (ITS) design. J Phys Ther Sci, 2015, 27: 963–966.
    1. Yoon JA, Koo BI, Shin MJ, et al. : Effect of constraint-induced movement therapy and mirror therapy for patients with subacute stroke. Ann Rehabil Med, 2014, 38: 458–466.
    1. Brunner IC, Skouen JS, Strand LI: Recovery of upper extremity motor function post stroke with regard to eligibility for constraint-induced movement therapy. Top Stroke Rehabil, 2011, 18: 248–257.
    1. Miyamoto S, Kondo T, Suzukamo Y, et al. : Reliability and validity of the Manual Function Test in patients with stroke. Am J Phys Med Rehabil, 2009, 88: 247–255.
    1. Jung HY, Park BK, Shin HS, et al. : Development of the Korean version of Modified Barthel Index (K-MBI): multi-center study for subjects with stroke. J Korean Acad Rehabil Med, 2007, 31: 283–297.
    1. Michielsen ME, Selles RW, van der Geest JN, et al. : Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: a phase II randomized controlled trial. Neurorehabil Neural Repair, 2011, 25: 223–233.

Source: PubMed

Sponsors en medewerkers

Medische omstandigheden

Geneesmiddelinterventies

3
Abonneren