Ann Rehabil Med.  2014 Aug;38(4):458-466. 10.5535/arm.2014.38.4.458.

Effect of Constraint-Induced Movement Therapy and Mirror Therapy for Patients With Subacute Stroke

• Yoon JA
• Koo BI
• Shin MJ
• Shin YB
• Ko HY
• Shin YI

• KMID: 2165728
• DOI: http://doi.org/10.5535/arm.2014.38.4.458

Abstract

OBJECTIVE
To evaluate the effectiveness of constraint-induced movement therapy (CIMT) and combined mirror therapy for inpatient rehabilitation of the patients with subacute stroke.
METHODS
Twenty-six patients with subacute stroke were enrolled and randomly divided into three groups: CIMT combined with mirror therapy group, CIMT only group, and control group. Two weeks of CIMT for 6 hours a day with or without mirror therapy for 30 minutes a day were performed under supervision. All groups received conventional occupational therapy for 40 minutes a day for the same period. The CIMT only group and control group also received additional self-exercise to substitute for mirror therapy. The box and block test, 9-hole Pegboard test, grip strength, Brunnstrom stage, Wolf motor function test, Fugl-Meyer assessment, and the Korean version of Modified Barthel Index were performed prior to and two weeks after the treatment.
RESULTS
After two weeks of treatment, the CIMT groups with and without mirror therapy showed higher improvement (p<0.05) than the control group, in most of functional assessments for hemiplegic upper extremity. The CIMT combined with mirror therapy group showed higher improvement than CIMT only group in box and block test, 9-hole Pegboard test, and grip strength, which represent fine motor functions of the upper extremity.
CONCLUSION
The short-term CIMT combined with mirror therapy group showed more improvement compared to CIMT only group and control group, in the fine motor functions of hemiplegic upper extremity for the patients with subacute stroke.

Keyword

Constraint-induced movement therapy; Mirror therapy; Subacute stroke; Hemiplegic upper extremity; Fine motor exercise

MeSH Terms

Hand Strength
Humans
Inpatients
Occupational Therapy
Organization and Administration
Rehabilitation
Stroke*
Upper Extremity
Wolves

Figure

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  Fig. 1 Flow diagram of this study.

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  Fig. 2 Difference in percentage of assessment at baseline and after treatment in CIMT only group vs. control group (*p<0.017). CIMT, constraint-induced movement therapy; K-MBI, Korean version of Modified Barthel Index.

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  Fig. 3 Difference in percentage of assessment at baseline and after treatment in CIMT with mirror therapy group vs. control group (*p<0.017). CIMT, constraint-induced movement therapy; K-MBI, Korean version of Modified Barthel Index.

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  Fig. 4 Difference in percentage of assessment at baseline and after treatment in CIMT with mirror therapy group vs. CIMT only group (*p<0.017). CIMT, constraint-induced movement therapy; K-MBI, Korean version of Modified Barthel Index.

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