Efficacy of Constraint-Induced Movement Therapy and mirror therapy in improving upper limb motor function and dexterity in post-stroke hemiparetic patients: a randomized controlled trial

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F25%3A10505492" target="_blank" >RIV/00064165:_____/25:10505492 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/25:10505492 RIV/00216208:11130/25:10505492

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=fJ.o31LdTE" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=fJ.o31LdTE</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.7417/CT.2025.5288" target="_blank" >10.7417/CT.2025.5288</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Efficacy of Constraint-Induced Movement Therapy and mirror therapy in improving upper limb motor function and dexterity in post-stroke hemiparetic patients: a randomized controlled trial

Popis výsledku v původním jazyce

BACKGROUND: Stroke is among the leading causes of death and disability globally, leaving the patients with post-stroke hemiparesis approximately in 60% of stroke survivors. Upper limb (UL) impairment, in particular fine motor function, poses significant challenges in daily living activities. Although Constraint-Induced Movement Therapy (CIMT) and Mirror Therapy (MT) have been employed to address these issues, limited research compares the effectiveness of each therapy. This study aimed to evaluate and compare the efficacy of CIMT and MT in improving dexterity and motor function in post-stroke hemiparetic c patients, contributing to the existing knowledge of targeted rehabilitation strategies. METHODS: A randomized controlled trial (RCT) was conducted with 120 post-stroke hemiparetic patients recruited from a hospital in Southern Italy between January 2022 and July 2024. Participants were divided into three groups (CIMT, MT, and a control group receiving only conventional therapy) and underwent treatment for 40 days. Outcome measures included manual dexterity (Nine Hole Peg Test), hand strength (Hand Grip Strength Test), and functional independence (Barthel Index, Quick DASH, and Modified Rankin Scale). RESULTS: Statistically significant improvements were observed in both the CIMT and MT groups compared to controls, with notable gains in dexterity, motor function, and independence in ADLs. No statistically significant differences emerged between CIMT and MT in overall efficacy, though CIMT demonstrated a slightly greater impact on motor strength. CONCLUSIONS: Both CIMT and MT are effective and safe adjuncts to conventional rehabilitation, enhancing UL recovery in post-stroke patients. This study is the first RCT to directly compare CIMT and MT, offering insights into optimized rehabilitation strategies. Future studies should examine long-term impacts and explore home-based application feasibility.

Název v anglickém jazyce

Efficacy of Constraint-Induced Movement Therapy and mirror therapy in improving upper limb motor function and dexterity in post-stroke hemiparetic patients: a randomized controlled trial

Popis výsledku anglicky

BACKGROUND: Stroke is among the leading causes of death and disability globally, leaving the patients with post-stroke hemiparesis approximately in 60% of stroke survivors. Upper limb (UL) impairment, in particular fine motor function, poses significant challenges in daily living activities. Although Constraint-Induced Movement Therapy (CIMT) and Mirror Therapy (MT) have been employed to address these issues, limited research compares the effectiveness of each therapy. This study aimed to evaluate and compare the efficacy of CIMT and MT in improving dexterity and motor function in post-stroke hemiparetic c patients, contributing to the existing knowledge of targeted rehabilitation strategies. METHODS: A randomized controlled trial (RCT) was conducted with 120 post-stroke hemiparetic patients recruited from a hospital in Southern Italy between January 2022 and July 2024. Participants were divided into three groups (CIMT, MT, and a control group receiving only conventional therapy) and underwent treatment for 40 days. Outcome measures included manual dexterity (Nine Hole Peg Test), hand strength (Hand Grip Strength Test), and functional independence (Barthel Index, Quick DASH, and Modified Rankin Scale). RESULTS: Statistically significant improvements were observed in both the CIMT and MT groups compared to controls, with notable gains in dexterity, motor function, and independence in ADLs. No statistically significant differences emerged between CIMT and MT in overall efficacy, though CIMT demonstrated a slightly greater impact on motor strength. CONCLUSIONS: Both CIMT and MT are effective and safe adjuncts to conventional rehabilitation, enhancing UL recovery in post-stroke patients. This study is the first RCT to directly compare CIMT and MT, offering insights into optimized rehabilitation strategies. Future studies should examine long-term impacts and explore home-based application feasibility.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30306 - Sport and fitness sciences

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

La Clinica Terapeutica

ISSN

0009-9074

e-ISSN

1972-6007

Svazek periodika

176

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

IT - Italská republika

Počet stran výsledku

11

Strana od-do

716-726

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-105022435634