The effect of Constraint-Induced Movement Therapy in the upper limb motor recovery and Functional Independence Measure scores among stroke survivors
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 1
Abstract
Background The word `Stroke` means an act of striking/hitting someone or something. Stroke is a sudden neurological deficit due to vascular pathology. Strokes are now the second most important cause of death above 60 years and the fourth leading cause of lost productivity, as measured by disability-adjusted life years.1 Stroke is a leading cause of serious long-term disability. According to the World Health Organization, 15 million people suffer stroke worldwide each year.2 In India, stroke is one of the leading causes of death and disability. The estimated adjusted prevalence rate of stroke range, 84-262/100,000 in rural and 334-424/ 100,000 in urban areas. The incidence rate is 119-145/100,000 based on the recent population based studies.3 Stroke rehabilitation is not well developed in India due to scarcity of rehabilitation specialists. Stroke is becoming an important cause of premature death and disability in low-income and middle-income countries like India, largely driven by demographic changes and enhanced by the increasing prevalence of the key modifiable risk factors. According to Trivandrum stroke registry 2005, adjusted annual incidence rates of stroke per 100,000 were 135 in Trivandrum, Kerala.4 Stroke rehabilitation has been proved effective in functional improvement, prevention of complications and reduction of disability and mortality.5 As many basic self-care activities depends upon the upper limb, the rehabilitation strategies aiming upper limb recovery in stroke is very important. Constraint-induced movement therapy (CIMT) is one of the recent rehabilitation interventions in patients with stroke to improve upper limb motor recovery. CIMT is based on the concepts of neuroplasticity. It is used to overcome the learned non use which is seen in patients with upper limb motor impairment after stroke. By restraining the unaffected limb and through forced use of the impaired limb, augmented use of the affected limb can be achieved. Studies revealing the effectiveness of CIMT in Indian population are very limited. One such study was conducted by Singh and Pradhan using m-CIMT in sub-acute stroke patients in 2011. Since the data regarding the effectiveness of Constraint Induced Movement Therapy is lacking, the investigator decided to conduct this study.
Authors and Affiliations
Hafeeza Tamton
Keywords
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