Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis
<p><strong>Background: </strong>Constraint-Induced Movement Therapy (CIMT) was developed to improve purposeful movement of the stroke-affected extremity by restrictingthe use of the unaffected extremity. The two main components of CIMT are the training of the more-impaired arm to p...
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University of Gondar
2012-02-01
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| Series: | Disability, CBR and Inclusive Development |
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| Online Access: | http://dcidj.org/article/view/84 |
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| author | Arinola Olasumbo Sanya Olumide Olasunkanmi Dada |
| author_facet | Arinola Olasumbo Sanya Olumide Olasunkanmi Dada |
| author_sort | Arinola Olasumbo Sanya |
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| description | <p><strong>Background: </strong>Constraint-Induced Movement Therapy (CIMT) was developed to improve purposeful movement of the stroke-affected extremity by restrictingthe use of the unaffected extremity. The two main components of CIMT are the training of the more-impaired arm to perform functional tasks, and the restraint of the less-impaired arm. One challenge that the application of CIMT faces is in ensuring adherence to the use of restraint.</p><p><strong>Purpose: </strong>There is a need to determine the factors that may influence adherence, as this would allow CIMT to be delivered more effectively, and prevent situations where unrealistic expectations are placed on stroke–affected individuals.</p><p><strong>Methods: </strong>Thirty stroke survivors with hemiparesis who met the inclusion criteria were consecutively recruited from the physiotherapy out-patient clinics, using a purposive sampling technique. A structured questionnaire was used to obtain information on clinical and socio-demographic parameters. The participants were given a restraint and an adherence time log-book, to make a daily record during the period they wore the restraint. The adherence time logbook was collected at the end of every week of the 3-week study. Motor function and functional use of the upper limb were measured using Motricity Index and Motor Activity Log respectively. Data was analysed using mean and standard deviations, independent t-test and Spearman rho; p was significant at 0.05.</p><p><strong>Results: </strong>Gender (p=0.73) and side affected/handedness (p=0.79) had no significant influence on the percentage duration of adherence to restraint use (DARU). The influence of socio-economic status was seen, with the participants of middle socio-economic status adhering for longer duration (p=0.02). Age had weak and no significant correlation with percentage DARU (p=0.55). There was significantly fair correlation between motor function/functional use at any stage (p=0.55) and the corresponding percentage duration of adherence to restraint use, except the functional use in the first week (p=0.44).</p><p><strong>Conclusion: </strong>Socio-economic status should be considered when applying CIMT.</p><p><span class="tx"><strong>DOI: </strong>10.5463/dcid.v22i3.84</span></p><p> </p> |
| format | Article |
| id | doaj-art-08e0c8a2ecae4c1c85ab37343ba7ea9e |
| institution | OA Journals |
| issn | 2211-5242 |
| language | English |
| publishDate | 2012-02-01 |
| publisher | University of Gondar |
| record_format | Article |
| series | Disability, CBR and Inclusive Development |
| spelling | doaj-art-08e0c8a2ecae4c1c85ab37343ba7ea9e2025-08-20T02:03:23ZengUniversity of GondarDisability, CBR and Inclusive Development2211-52422012-02-01223152810.5463/dcid.v22i3.84Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with HemiparesisArinola Olasumbo SanyaOlumide Olasunkanmi Dada<p><strong>Background: </strong>Constraint-Induced Movement Therapy (CIMT) was developed to improve purposeful movement of the stroke-affected extremity by restrictingthe use of the unaffected extremity. The two main components of CIMT are the training of the more-impaired arm to perform functional tasks, and the restraint of the less-impaired arm. One challenge that the application of CIMT faces is in ensuring adherence to the use of restraint.</p><p><strong>Purpose: </strong>There is a need to determine the factors that may influence adherence, as this would allow CIMT to be delivered more effectively, and prevent situations where unrealistic expectations are placed on stroke–affected individuals.</p><p><strong>Methods: </strong>Thirty stroke survivors with hemiparesis who met the inclusion criteria were consecutively recruited from the physiotherapy out-patient clinics, using a purposive sampling technique. A structured questionnaire was used to obtain information on clinical and socio-demographic parameters. The participants were given a restraint and an adherence time log-book, to make a daily record during the period they wore the restraint. The adherence time logbook was collected at the end of every week of the 3-week study. Motor function and functional use of the upper limb were measured using Motricity Index and Motor Activity Log respectively. Data was analysed using mean and standard deviations, independent t-test and Spearman rho; p was significant at 0.05.</p><p><strong>Results: </strong>Gender (p=0.73) and side affected/handedness (p=0.79) had no significant influence on the percentage duration of adherence to restraint use (DARU). The influence of socio-economic status was seen, with the participants of middle socio-economic status adhering for longer duration (p=0.02). Age had weak and no significant correlation with percentage DARU (p=0.55). There was significantly fair correlation between motor function/functional use at any stage (p=0.55) and the corresponding percentage duration of adherence to restraint use, except the functional use in the first week (p=0.44).</p><p><strong>Conclusion: </strong>Socio-economic status should be considered when applying CIMT.</p><p><span class="tx"><strong>DOI: </strong>10.5463/dcid.v22i3.84</span></p><p> </p>http://dcidj.org/article/view/84Motor functionFunctional useSocio-demographic parameters |
| spellingShingle | Arinola Olasumbo Sanya Olumide Olasunkanmi Dada Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis Disability, CBR and Inclusive Development Motor function Functional use Socio-demographic parameters |
| title | Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis |
| title_full | Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis |
| title_fullStr | Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis |
| title_full_unstemmed | Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis |
| title_short | Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis |
| title_sort | constraint induced movement therapy determinants and correlates of duration of adherence to restraint use among stroke survivors with hemiparesis |
| topic | Motor function Functional use Socio-demographic parameters |
| url | http://dcidj.org/article/view/84 |
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