Effect Of Modified Constraint-induced Movement Therapy For Upper Extremity Motor Function And Activity Of Daily Living In Stroke Patients

Background and ObjectiveWith the continuous progress of modern medicine in recent years,the diagnosis and treatment of stroke have significantly improved,the mortality rate remain at a high level.Due to structural damage of nerve tissue and the lack of contact,patients tend to have limb motor function disfunction.It directly affect motor function recovery and the ability of daily life of hemiplegic stroke patients.Not only the patients themselves bear on the mental and physical suffering,but also a heavy burden to the family and society.In clinical work,the recovery of limb motor function of hemiplegic stroke patients still using the rehabilitation training based on the Bobath technology and motor relearning.However, the effect of treatment on the treatments of upper limb function in patients with hemiplegia is relatively poor.In1980s, constraint-induced movement therapy has attracted widespread attention, and has been a rapid development.Domestic and foreign scholars researched that constraint-induced movement therapy is superior to traditional rehabilitation in improvement of upper limb function.However, constraint-induced movement therapy in patients is low of compliance,so constraint-induced movement therapy is modified.At present, there are few studies of modified constraint-induced movement therapy on upper limb function at home and abroad. In this study to observe Effect of modified constraint-induced movement therapy for upper extremity motor function and activity of daily living in stroke patients.Methodssixty stroke patients were randomly divided into a treatment group(n=30) and a routine group (n=30).The Bobath approach,motor relearning and functional arm exercise were administered to the patients in the routine group(lh/d,5times a week)for eight week.The modified constraint-induced movement administered to the treatment group involved restriction of the functional arm by the mittens during 90%of waking time and during training(by shaping)of the affected extremity(l hour per day, five times a week) in addition to activities of daily living exercise for at least1hours every day. The main outcome measures were the Fugl-Meyer Motor Assessment(FMA),Simple Test for Evaluating Hand Function(STEF)and Modified Barthel Index(MBI).ResultsNo significant difference was observed between the2groups with regard to Fugl-Meyer Motor Assessment scores,Simple Test for Evaluating Hand Function scores and Modified Barthel Index scores (P>0.05).After treatment, both groups had improved their Fugl-Meyer Motor Assessment scores,Simple Test for Evaluating Hand Function scores and Modified Barthel Index scores significantly, however,the treatment group was significantly superior to that of the control group(P<0.05).ConclusionThe modified constraint-induced movement therapy can improve significantly upper extremity motor recovery and activity of daily living in stroke patients.