POSITIVE EFFECTS OF LOWER EXTREMITY CONSTRAINT-INDUCED MOVEMENT THERAPY ON BALANCE, LEG STRENGTH AND DUAL-TASK ABILITY IN STROKE PATIENTS: A LONGITUDINAL COHORT STUDY.
Objective: To investigate whether high-intensity lower extremity constraint-induced movement therapy can improve balance, leg strength, and dual-task ability. Design: A longitudinal cohort study in a real-world outpatient clinic. Patients: 147 community-dwelling participants in the subacute and chro...
| Publicado en: | Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 56; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182282856&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182282856 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16501977 AWMH jtl: Journal of Rehabilitation Medicine (Medical Journals Sweden AB) issn: 16501977 maglogo: N pubinfo: dt: 2024 vid: 56 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 182282856 182282856 182282856 10.2340/jrm.v56.24168 182282856 ppf: 1 ppct: 9 formats: tig: atl: POSITIVE EFFECTS OF LOWER EXTREMITY CONSTRAINT-INDUCED MOVEMENT THERAPY ON BALANCE, LEG STRENGTH AND DUAL-TASK ABILITY IN STROKE PATIENTS: A LONGITUDINAL COHORT STUDY. aug: au: SEFASTSSON, Annika MARKLUND, Ingela LITTBRAND, Håkan WESTER, Per STÅLNACKE, Britt-Marie SÖRLIN, Ann LANGHAMMER, Birgitta Per LIV Xiaolei HU affil: Department of Community Medicine and Rehabilitation, Rehabilitation medicine, Umeå University, Umeå, Sweden sug: subj: Stroke Rehabilitation Constraint-Induced Therapy Lower Extremity Physiopathology Balance, Postural Muscle Strength Task Performance and Analysis Exercise Intensity Human Prospective Studies Male Female Adult Middle Age Stroke Patients Community Living Scales Descriptive Statistics Sweden Confidence Intervals Pretest-Posttest Design Post Hoc Analysis Data Analysis Software Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Objective: To investigate whether high-intensity lower extremity constraint-induced movement therapy can improve balance, leg strength, and dual-task ability. Design: A longitudinal cohort study in a real-world outpatient clinic. Patients: 147 community-dwelling participants in the subacute and chronic poststroke phases. Methods: Participants received lower extremity constraint-induced movement therapy for 6 hours/day during 2 consecutive weeks, including balance, strength, and functional training. The Berg Balance Scale (BBS), Single-Leg-Stance (SLS) bilaterally, one Repetition Maximum (1RM) in a leg press, symmetry of leg strength (Diff-1RM), Timed Up and Go (TUG), and the TUG Manual test were assessed before, after, and 3 months after lower extremity constraint-induced movement therapy. Results: Compared with preintervention data, statistically significant improvements after lower extremity constraint-induced movement therapy (p < 0.001) were demonstrated for balance with an absolute value in BBS at 1.9 points (effect size 0.38) and SLS at 2.4 s (effect size 0.24), and for leg strength at 10.2 kg (effect size 0.54) for the affected leg. Diff 1RM decreased significantly at 5.8 kg (effect size 0.39) and improvements on dual-task ability at 2.7 s were significant (effect size 0.14). The effects persisted at the 3-month follow-up. Conclusions: High-intensity lower extremity constraint-induced movement therapy may be a feasible treatment option for middle-aged stroke patients to affect balance, leg strength, and dual-task ability positively in an out-patient clinical setting. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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