scholarly journals Stroke patients’ and non-professional coaches’ experiences with home-based constraint-induced movement therapy: a qualitative study

2019 ◽  
Vol 33 (9) ◽  
pp. 1527-1539 ◽  
Author(s):  
Anne Stark ◽  
Christine Färber ◽  
Britta Tetzlaff ◽  
Martin Scherer ◽  
Anne Barzel
Keyword(s):  
Qualitative Study ◽  
Everyday Life ◽  
Controlled Trial ◽  
Subjective Evaluation ◽  
Family Members ◽  
Movement Therapy ◽  
Practical Implementation ◽  
Stroke Patients ◽  
Constraint Induced Movement Therapy ◽  
Home Based

Objective:To investigate the experiences of chronic stroke patients and non-professional coaches with home-based constraint-induced movement therapy (homeCIMT).Design:Qualitative study embedded within a cluster randomized controlled trial investigating the efficacy of homeCIMT to improve the use of the affected arm in daily activities.Setting:Patients’ home environment.Participants:13 stroke patients and 9 non-professional coaches’ alias family members who had completed the four-week homeCIMT programme in the context of the HOMECIMT trial.Interventions:Semi-structured interviews; qualitative data were analysed using the methodology of the hermeneutic phenomenological data analysis.Results:We identified six themes in the qualitative analysis describing the experiences of patients and non-professional coaches with homeCIMT: (1) homeCIMT can be integrated into everyday life with varying degrees of success; (2) training together may produce positive experiences as well as strain; (3) self-perceived improvements during and following homeCIMT; (4) using the affected arm in everyday life is challenging; (5) subjective evaluation of and experiences with homeCIMT-specific exercises; and (6) impact of professional therapists’ guidance and motivation during homeCIMT. Statements regarding theme five and six were only provided by patients, whereas the other themes contain both, the experiences of stroke patients and non-professional coaches.Conclusion:Patients’ and non-professional coaches’ narratives offer a detailed insight into the manifold experiences with the practical implementation of homeCIMT that may help improve implementing the homeCIMT programme and similar approaches involving increased training duration and intensity and/or involvement of family members.

Bobath Concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients: a randomized controlled trial

2012 ◽  
Vol 26 (8) ◽  
pp. 705-715 ◽  
Author(s):  
Burcu Ersoz Huseyinsinoglu ◽  
Arzu Razak Ozdincler ◽  
Yakup Krespi
Keyword(s):  
Therapy Group ◽  
Controlled Trial ◽  
Functional Independence Measure ◽  
Movement Therapy ◽  
Functional Independence ◽  
Stroke Patients ◽  
Constraint Induced Movement Therapy ◽  
High Level ◽  
Concept Group

Objective: To compare the effects of the Bobath Concept and constraint-induced movement therapy on arm functional recovery among stroke patients with a high level of function on the affected side. Design: A single-blinded, randomized controlled trial. Setting: Outpatient physiotherapy department of a stroke unit. Subjects: A total of 24 patients were randomized to constraint-induced movement therapy or Bobath Concept group. Intervention: The Bobath Concept group was treated for 1 hour whereas the constraint-induced movement therapy group received training for 3 hours per day during 10 consecutive weekdays. Main measures: Main measures were the Motor Activity Log-28, the Wolf Motor Function Test, the Motor Evaluation Scale for Arm in Stroke Patients and the Functional Independence Measure. Results: The two groups were found to be homogeneous based on demographic variables and baseline measurements. Significant improvements were seen after treatment only in the ‘Amount of use’ and ‘Quality of movement’ subscales of the Motor Activity Log-28 in the constraint-induced movement therapy group over the the Bobath Concept group ( P = 0.003; P = 0.01 respectively). There were no significant differences in Wolf Motor Function Test ‘Functional ability’ ( P = 0.137) and ‘Performance time’ ( P = 0.922), Motor Evaluation Scale for Arm in Stroke Patients ( P = 0.947) and Functional Independence Measure scores ( P = 0.259) between the two intervention groups. Conclusions: Constraint-induced movement therapy and the Bobath Concept have similar efficiencies in improving functional ability, speed and quality of movement in the paretic arm among stroke patients with a high level of function. Constraint-induced movement therapy seems to be slightly more efficient than the Bobath Concept in improving the amount and quality of affected arm use.

Effects of constraint-induced movement therapy for lower limbs on measurements of functional mobility and postural balance in subjects with stroke: a randomized controlled trial

2017 ◽  
Vol 24 (8) ◽  
pp. 555-561 ◽  
Author(s):  
Emília Márcia Gomes de Souza e Silva ◽  
Tatiana Souza Ribeiro ◽  
Tállyta Camyla Chaves da Silva ◽  
Mayara Fabiana Pereira Costa ◽  
Fabrícia Azevedo da Costa Cavalcanti ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Postural Balance ◽  
Controlled Trial ◽  
Movement Therapy ◽  
Functional Mobility ◽  
Lower Limbs ◽  
Randomized Controlled ◽  
Constraint Induced Movement Therapy
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