Efficacy of Constraint Induced Movement Therapy and Mirror Therapy in Improving Upper Extremity Function in Late Subacute and Chronic Stroke Patients: A randomized crossover trial
AbstractBackground: To investigate the efficacy of the combination of Constraint Induced Movement Therapy and Mirror Therapy on functional outcome of the upper extremity for patients with late subacute and chronic stroke. Materials and Method: This study was a single-centre, randomized, single subject blind, 2-way crossover. Recruited 12 participants who had chronic stroke treated at the University Teaching Hospital, department of physiotherapy, Lusaka. Patients were randomly assigned in the group (n=6) of combined therapy or to a group (n=6) of conventional therapy. Microsoft Excel was used for randomization and trial group allocation. The data from the same type of treatment in the two sequences were combined and analysed. The primary analysis compared the range of motion and motor function in the two groups at 6 weeks of follow-up. Results: Constraint Induced Movement Therapy with Mirror Therapy produced a significant improvement in range of motion, activities of daily living, and motor function (p<0.016). No significant improvement was observed in the quality of life for either treatment group. However, no significant differences were found between the Constraint Induced Movement Therapy and Mirror Therapy and conventional physiotherapy in terms of improving range of motion, motor function, activities of daily living, and quality of life. Conclusion: Overall, the combination of Constraint Induced Movement Therapy and Mirror Therapy showed better improvement over conventional physiotherapy in the management of upper extremity impairment in late subacute and chronic stroke regarding the range of motion, motor function, and activities of daily living in chronic stroke patients. Keywords: Stroke, Constraint Induced Movement Therapy, Mirror Therapy, Functional Activity, Upper Extremity, Conventional Physiotherapy
All authors who submit their paper for publication will abide by following provisions of the copyright transfer: 1. The copyright of the paper rests with the authors. And they are transferring the copyright to publish the article and used the article for indexing and storing for public use with due reference to published matter in the name of concerned authors. 2. The authors reserve all proprietary rights such as patent rights and the right to use all or part of the article in future works of their own such as lectures, press releases, and reviews of textbooks. 3. In the case of republication of the whole, part, or parts thereof, in periodicals or reprint publications by a third party, written permission must be obtained from the Managing Editor of JPRM. 4. The authors declare that the material being presented by them in this paper is their original work, and does not contain or include material taken from other copyrighted sources. Wherever such material has been included, it has been clearly indented or/and identified by quotation marks and due and proper acknowledgements given by citing the source at appropriate places. 5. The paper, the final version of which they submit, is not substantially the same as any that they had already published elsewhere. 6. They declare that they have not sent the paper or any paper substantially the same as the submitted one, for publication anywhere else. 7. Furthermore, the author may only post his/her version provided acknowledgement is given to the original source of publication in this journal and a link is inserted wherever published. 8. All contents, Parts, written matters, publications are under copyright act taken by JPRM. 9. Published articles will be available for use by scholars and researchers. 10. IJPRM is not responsible in any type of claim on publication in our Journal. .