Effect of constraint-induced movement therapy (CIMT) in patients with hemiparesis in the chronic stage of disease - Efekt terapie vynuceného používaní (constraint induced movement therapy) u pacientů s hemiparézou v chronickém stádiu onemocnění

Abstract

Basis: The authors focused on the theoretical foundations of methods of constraint-induced movement therapy and assess its effect in patients with hemiparesis in the chronic stage of the disease. Sample: 32 patients that underwent combined therapy (standard rehabilitation + constraint induced movement therapy) and 14 patients that underwent standard rehabilitation after stroke in chronic stage of disease got involved in our pilot study. Methods: With patients admitted to constraint induced movement therapy and to control group we observed quality with MAL (QOM)-motor activity log (quality of movement) test and quantity of using the weaker upper limb with MAL (AOU)-motor activity log (amount of use) test and free activity of upper limbs with action research arm test (ARAT). Results: All monitored parameters from patients that underwent therapy of constraint induced movement therapy have got better after the therapy. Quality and quantity of using the weaker limbs has been significantly improved fine and gross motor skills (p < 0,05). The control group hasn't proved any statistically expressive improvement at chosen tests.