What is the effectiveness of constraint induced movement therapy (CIMT) on improving upper extremity function for adults with upper extremity hemiparesis post-stroke?
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Authors
Jiang, Melissa
Johnson, Claire
Nachtwey, Claire
Issue Date
2023-05-03
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ABSTRACT
BACKGROUND: Cerebrovascular accident (CVAs) or stroke is the second most prevalent cause of death in the world affecting 13.7 million individuals each year. Stroke is the leading cause of physical disability in adults worldwide resulting in confusion, muscle weakness, or hemiparesis. Hemiparesis involves weakness on one side of the body thus leading to learned non-use and suppression of movements in affected arm. Individuals with upper extremity hemiparesis secondary to stroke have increased difficulty completing activities of daily living (ADLs) and participating in desired activities due to weakness. Constraint-induced movement therapy (CIMT) is a form of forced use training and is used to facilitate unilateral arm use of the paretic arm which yields greater results than bilateral arm training when facilitating the return of upper extremity function in patients' post-stroke. AIM: This critically appraised topic (CAT) is aimed to determine the effectiveness of constraint induced movement therapy on increasing upper extremity function for adults with upper extremity hemiparesis post-stroke. METHODS: Level I and Level II studies were analyzed and included in the CAT if they were published in the last 10 years, included participants 18 and older who had a clinical diagnosis of stroke, included participants who had upper extremity hemiparesis, and studies focused on CIMT as a treatment for upper extremity hemiparesis post-stroke. RESULTS: Level I and Level II research on CIMT revealed positive evidence on improving performance of hemiparetic upper extremity in activities of daily living and functional performance.
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Creighton University
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University