scholarly journals A study to compare task-based mirror therapy versus constraint induced movement therapy for hand function in hemiplegic subjects

Biomedicine ◽  
2021 ◽  
Vol 41 (3) ◽  
pp. 665-668
Author(s):  
K. Preetha ◽  
U Vimala ◽  
M Kamalakannan
Keyword(s):  
Hand Function ◽  
Premotor Cortex ◽  
Movement Therapy ◽  
Mean Value ◽  
Mirror Therapy ◽  
Major Health Problem ◽  
Major Health ◽  
Constraint Induced Movement Therapy ◽  
Post Test ◽  
Upper Extremity Impairment

Introduction and Aim:To find the effectiveness of task-based mirror therapy when compared with constraint-induced movement therapy for hand function in hemiplegic subjects. Stroke is a major health problem in the world. According to various researches, 70%-80% of the patients have the upper extremity impairment then lower extremity. Task-based mirror therapy can be an effective management for premotor cortex impairment. Constraint-induced movement therapy forms the new neural pathway when used properly.   Materials and Methods:30 patients with subacute CVA (cerebrovascular attack) were enrolled and randomly divided into two groups: constraint-induced movement therapy (CIMT) and task-based mirror therapy (TMBT). The full-Meyer motor function assessment was evaluated 4 weeks after treatment.   Results: The results showed that mean value of TMBT (pre-test – 5.733, post-test- 9.86) and SD of (pre-test- 1.67, post-test- 1.92) and in CIMT(pre-test-6.3, post-test-11.13) and SD (Pre-test-1.45,Post-test -1.36).   Conclusion:This study shows that CIMT group showed more improvement than TMBT group.

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

2014 ◽  
Vol 38 (4) ◽  
pp. 458 ◽  
Author(s):  
Jin A Yoon ◽  
Bon Il Koo ◽  
Myung Jun Shin ◽  
Yong Beom Shin ◽  
Hyun-Yoon Ko ◽  
...  
Keyword(s):  
Movement Therapy ◽  
Mirror Therapy ◽  
Constraint Induced Movement Therapy ◽  
Subacute Stroke

scholarly journals Constraint-Induced Movement Therapy Combined with Transcranial Direct Current Stimulation over Premotor Cortex Improves Motor Function in Severe Stroke: A Pilot Randomized Controlled Trial

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Suellen M. Andrade ◽  
Larissa M. Batista ◽  
Lídia L. R. F. Nogueira ◽  
Eliane A. de Oliveira ◽  
Antonio G. C. de Carvalho ◽  
...  
Keyword(s):  
Motor Function ◽  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Therapy Group ◽  
Premotor Cortex ◽  
Movement Therapy ◽  
Functional Independence ◽  
Direct Current Stimulation ◽  
Constraint Induced Movement Therapy ◽  
Anodal Stimulation

Objective.We compared the effects of transcranial direct current stimulation at different cortical sites (premotor and motor primary cortex) combined with constraint-induced movement therapy for treatment of stroke patients.Design.Sixty patients were randomly distributed into 3 groups: Group A, anodal stimulation on premotor cortex and constraint-induced movement therapy; Group B, anodal stimulation on primary motor cortex and constraint-induced movement therapy; Group C, sham stimulation and constraint-induced movement therapy. Evaluations involved analysis of functional independence, motor recovery, spasticity, gross motor function, and muscle strength.Results.A significant improvement in primary outcome (functional independence) after treatment in the premotor group followed by primary motor group and sham group was observed. The same pattern of improvement was highlighted among all secondary outcome measures regarding the superior performance of the premotor group over primary motor and sham groups.Conclusions.Premotor cortex can contribute to motor function in patients with severe functional disabilities in early stages of stroke. This study was registered in ClinicalTrials.gov database (NCT 02628561).

scholarly journals Empowerment of Sto.Yohanes Maria Vianey Catholic Church Youth Naibonat of East Kupang, East Nusa Tenggara as A Supervision of Tuberculosis Ingestion

2022 ◽  
Vol 4 (2) ◽  
pp. 733-741
Author(s):  
Novian A Yudhaswara ◽  
M Ibraar Ayatullah ◽  
Novelia G So o ◽  
Irwan Budiana ◽  
Norma Tiku Kambuno
Keyword(s):  
Catholic Church ◽  
Major Health Problem ◽  
Major Health ◽  
The Third ◽  
Before And After ◽  
Church Youth ◽  
Agents Of Change ◽  
Post Test ◽  
Level Of Knowledge

Tuberculosis (TB) is an infectious disease that causes death, and is the third leading cause of death in Indonesia. The increase in cases of tuberculosis infection is still a major health problem in Naibonat Village, Kupang Regency, East Nusa Tenggara Province. Treatment failure, among others, was caused by patient non-compliance in ingesting drugs. It is hoped that the presence of supervisors to swallow drugs for TB patients is expected to help reduce TB infection cases. In Indonesian, a person who supervisors to swallow drugs is called “PMO” or “Pengawas menelan obat (PMO)” . Church Youth is an educated / educated group that is expected to have the ability to function as PMO. The purpose of this activity is to carry out PMO training for STO. Yohanes Maria Vianey Naibonat church youth through the method of lectures, discussions and microscopic training. The level of knowledge was measured using a questionnaire in the pre-test and post-test training. Youth who have been trained will be directed to become PMO’s for their families and closest neighbors who suffer from TB as well as agents of change in changing healthy behavior to prevent TB infection. The results of the activity showed a change in the level of knowledge before and after training from72% enough category to be good 89%. It was concluded that empowering church youth as PMO is an effort to suppress the increase in TB cases. The provision of PMO training can increase level of knowledge about TB so that regular and scheduled training will increase the ability and understanding of the role of PMO in reducing the incidence of TB in the community.

scholarly journals A Critical Review of Constraint-Induced Movement Therapy and Forced Use in Children With Hemiplegia

2005 ◽  
Vol 12 (2-3) ◽  
pp. 245-261 ◽  
Author(s):  
Jeanne Charles ◽  
Andrew M. Gordon
Keyword(s):  
Upper Extremity ◽  
Hand Function ◽  
Movement Therapy ◽  
Therapeutic Interventions ◽  
Cerebral Vascular Accident ◽  
Motor Impairments ◽  
Constraint Induced Movement Therapy ◽  
Ci Therapy ◽  
Ischemic Attack ◽  
Theoretical Considerations

Hemiplegia is a physical impairment that can occur in childhood following head trauma, cerebral vascular accident or transient ischemic attack (stroke), brain tumor, or congenital or perinatal injury. One of the most disabling symptoms of hemiplegia is unilaterally impaired hand and arm function. Sensory and motor impairments in children with hemiplegia compromise movement efficiency. Such children often tend not to use the affected extremity, which may further exacerbate the impairments, resulting in a developmentally learned non-use of the involved upper extremity, termed ‘developmental disuse’. Recent studies suggest that children with hemiplegia benefit from intensive practice. Forced use and Constraint-lnduced Movement Therapy (CI therapy) are recent therapeutic interventions involving the restraint of the non-involved upper extremity and intensive practice with the involved upper extremity. These approaches were designed for adults with hemiplegia, and increasing evidence suggests that they are efficacious in this population. Recently, forced use and constraint-induced therapy have been applied to children with hemiplegia. In this review, we provide a brief description of forced use and CI therapy and their historical basis, provide a summary of studies of these interventions in children, and discuss a number of important theoretical considerations, as well as implications for postural control. We will show that whereas the studies to date suggest that both forced use and CI therapy appear to be promising for improving hand function in children with hemiplegia, the data are limited. Substantially more work must be performed before this approach can be advocated for general clinical use.

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