A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Asmita, Karajgi
- Effect of Modified Constraint Induced Movement Therapy on Upper Extremity Performance in Chronic Stroke Patients
Authors
1 Department of Physiotherapy, Pad.Dr.D.Y.Patil University, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 12-16Abstract
Introduction: There are various techniques practiced in upper limb rehabilitation in stroke patients. One of the effective techniques is constraint induced movement therapy.But adherence to this intense protocol is difficult. So a shorter protocol, Modified constraint induced movement therapy (MCIMT) was introduced.Objective: To study the effect of modified constraint induced movement therapy as an adjunct to conventional therapy on upper extremity performance in chronic stroke patients.
Methodology: After the ethics committee approval an informed consent was taken from the participants. 30 subjects, known cases of chronic stroke, out of which 15 were divided into the experimental group and the other 15 formed the control group. Experimental group received Modified constraint induced movement therapy along with conventional therapy. They were evaluated for motor function in terms of fugl Meyer scale and the wolf motor function test, functional use of affected upper extremity in ADL using the motor activity log.
Results: Experimental group showed statistically significant improvement in all outcome measures. Conclusion: Modified constraint induced movement therapy as an adjunct to conventional therapy was effective in improving the motor function and functional use of the affected upper extremity in chronic stroke patients.
Keywords
Modified Constraint Induced Movement Therapy, Chronic Stroke
References
- Constraint-induced movement therapy”, American Stroke Association
- Deluca, S. C., Echols, K., Law, C. R., Ramey, S. L. (2006). “Pediatric constraint-induced therapy for children wih cerebral palsy: Randomized, controlled, crossover trial”. Journal of Child Neurology 21: 931–940.
- Sutcliffe, T. L., Logan, W. J., Fehlings, D. L. (2009). “Constraint-induced movement therapy is associated with increased contralateral cortical activity on functional magnetic resonance imaging”. Journal of Child Neurology 24: 1230– 1235.
- Taub, E; G Uswatte (1999). “Constraint-induced movement therapy: a new family of techniques with broad application to physical rehabilitation - a clinical review”. Journal of Rehabilitation Research & Development 36 (3): 237–51.
- Lin, K; C Wu, T Wei, C Lee, J Liu (2007). “Effects of modified constraint-induced movement therapy on reach-to-grasp movements and functional performance after chronic stroke: a randomized controlled study”. Clinical Rehabilitation 21 (12): 1075–86.
- Wolf, S; Carolee Winstein, J. Philip Miller, Edward Taub, Gitendra Uswatte, David Morris, Carol Giuliani, Kathye E. Light, Deborah Nichols- Larsen, (2006). “Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After Stroke”. The Journal of the American Medical Association 296 (17): 2095–2104.
- O’Sullivan, Susan B. (2007). Physical Therapy 5th Edition. Chapter 13: F.A. Davis Company. pp. 484–487. ISBN 0-8036-1247-8.
- Pidcock, FS; Garcia T; Trovato MK; Schultz SC; Brady KD (2009). “Pediatric constraint-induced movement therapy: a promising intervention for childhood hemiparesis”. Topics in Stroke Rehabilitation 16 (5): 339–345..
- Huang, H.; Fetters, L., Hale, J., McBride, A. (2009). “Bound for Success: A Systematic Review of Constraint-Induced Movement Therapy in Children With Cerebral Palsy Supports Improved Arm and Hand Use”. Physical Therapy 89 (11): 1126–1141..
- Taub, E.; Morris, D.M. (2001). “Constraint- Induced Movement Therapy to Enhance Recovery after Stroke”. Current Atherosclerosis Reports 3 (4): 279–286..
- Siebers, A; Oberg, Skargren (2010). “The effects of modified constraint-induced movement therapy on spasticity and motor function of the affected arm in patients with chronic stroke”. Physiotherapy Canada 62 (4): 388–396
- Shi YX, Tian JH, Yang KH, Zhao YModified constraint-induced movement therapy versus traditional rehabilitation in patients with upperextremity dysfunction after stroke: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2011 Jun;92(6):972-82.
- . Stephen J. Page, PhD, SueAnn Sisto, PhD, PT, Peter Levine, BA, PTA, Robert E. McGrath, PhD in their study on Efficacy of Modified Constraint- Induced Movement Therapy in Chronic Stroke. Archives of Physical Medicine and Rehabilitation, Volume 85, Issue 1, Pages 14-18, January 2004
- Page SJ, Sisto SA, Johnston MV, Levine P, Hughes M. Modified constraint induced therapy in subacute stroke: a case study. Arch Phys Med Rehabil 2002;83:286-90.
- Stephen J Page, Peter Levine in their study on Modified Constraint-Induced Therapy in Patients With Chronic StrokeExhibiting Minimal Movement Ability in the Affected Arm. Phys Ther. 2007 Jul;87(7):872-8.
- Liepert, J., Uhde, I., Graf, S., Leidner, O., & Weiller, C. (2001). Motor cortex plasticity duringforceduse therapy in stroke patients: a preliminary study. Journal of neurology Vol.248, No. 4, (April 2001), pp. 315-321, ISSN 0340-5354
- Urška Puh (2012). Brain Plasticity Induced by Constraint-Induced Movement Therapy: Relationship of fMRI and Movement Characteristics, Functional Magnetic Resonance Imaging - Advanced Neuroimaging Applications, Prof. Rakesh Sharma (Ed.), ISBN: 978-953-51- 0541-1, InTech
- The effect of Mental Imagery on Balance in Young Adults
Authors
1 Department of Physiotherapy, Pad. Dr. D. Y. Patil University, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 38-42Abstract
Introduction: Motor imagery is mentally simulating an intended action without actually producing it. It involves processes involved in programming and preparation of actual actions. Extensive research has been done in the field of mental imagery, however not much has been done on the effect of mental imagery of balance. This study draws light on the effectiveness on mental imagery on balance in young asymptomatic adults.
Objective: To determine the effect of mental imagery as an adjunct to conventional balance exercises on the duration of stork stance and postural sway on the BESS scale in young asymptomatic individuals.
Methodology: After the ethics committee approval an informed consent was taken from the participants. 30 asymptomatic individuals were randomly selected in the age group of 18-24 years. Mentally and physically challenged individuals were excluded. They were divided into 2 groups, experimental and control group. They were evaluated for BESS (Balance error scoring system) and stork stance.Postural sway was measured with a postural swaymeter. Both the groups received exercises for a duration of 30 mins/week for 4 weeks. Group A received only conventional balance exercises. Group B received exercises same as the control group along with mental imagery as an adjunct.
Results: Group B showed statically significant improvement in stork stance duration(P<0.001)using paired t test. Group A showed no statistically significant improvement.On BESS , Group A showed statistically significant improvement in some components. But Group B showed less number of errors and significant reduction in sway on static as well as foam surface compared to control.
Conclusion: Mental imagery with balance training has shown positive effect on stork stance duration and BESS scale in terms of reduction in errors and sway while maintaining balance on both static and foam surface in young asymptomatic individuals.
Keywords
Mental Imagery, Balance, Young Adults- Comparison of PNF Technique with NDS Technique for Hamstrings Tightness in Asymptomatic Subjects
Authors
1 Department of Physiotherapy, Pad Dr D. Y. Patil University, 6th Floor, Pad Dr D. Y. Patil Medical College Building, Sector 5, Nerul, Navi Mumbai, IN