- Fizyoterapi Rehabilitasyon
- Volume:30 Issue:1
- EFFICACY OF MODIFIED CONSTRAINT INDUCED MOVEMENT THERAPY FOR LOWER EXTREMITY IN PATIENTS WITH STROKE...
EFFICACY OF MODIFIED CONSTRAINT INDUCED MOVEMENT THERAPY FOR LOWER EXTREMITY IN PATIENTS WITH STROKE: STRENGTH AND QUALITY OF LIFE OUTCOMES
Authors : Sevim ACARÖZ CANDAN, Ayşe LİVANELİOĞLU
Pages : 23-32
Doi:10.21653/tfrd.406349
View : 17 | Download : 6
Publication Date : 2019-04-16
Article Type : Research Paper
Abstract :Purpose: This study was aimed to examine the efficacy of modified constraint-induced movement therapy insert ignore into journalissuearticles values(mCIMT);, which was applied to lower extremity, on strength and quality of life insert ignore into journalissuearticles values(QoL); in patients with stroke. Methods: Thirty patients with stroke were randomly divided into two groups. Both groups received neuro-developmental therapy insert ignore into journalissuearticles values(NDT); for four weeks as baseline treatment. After four weeks, when the study group received mCIMT, the control group continued NDT for two weeks as the experimental treatment. The strength was evaluated using Motricity Index, and QoL was evaluated using Stroke Specific Quality of Life Scale insert ignore into journalissuearticles values(SS-QoL);, and Stroke Impact Scale insert ignore into journalissuearticles values(SIS); for three times insert ignore into journalissuearticles values(baseline, post 4 weeks, and post 6 weeks);. Results: The strength and QoL improved in both groups for all treatment periods insert ignore into journalissuearticles values(p<0.01);. The paretic lower limb strength developed more in the mCIMT group for the total treatment period insert ignore into journalissuearticles values(p=0.029);. The total score of the SS-QoL and mobility, self-care, thinking, mood, family, and social roles subdomain scores of the SS-QoL were more pronounced in the mCIMT group after the mCIMT period insert ignore into journalissuearticles values(p<0.05);. The amount of perceived recovery domain of SIS was greater in the mCIMT group after mCIMT and total treatment periods according to the control group insert ignore into journalissuearticles values(p<0.001);. The total changes in strength and QOL were strongly correlated with the improvement in the mCIMT period insert ignore into journalissuearticles values(r=0.709, p<0.01 and r=0.769, p<0.01); than in the baseline period insert ignore into journalissuearticles values(r=0.660, p<0.01 and r=0.505, p<0.01);. Conclusion: The study showed that mCIMT could be used as an effective treatment method for patients with stroke to improve paretic lower extremity strength and health-related QoL.Keywords : Muscle Strength, Quality of Life, Stroke Rehabilitation