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The Effect of Modified Constraint-induced Movement Therapy and Resistive Exercise Using Elastic Band with Pressure Belt on Affected Upper Limb Function in Stroke Patients  

Kim, Tae-gon (Dept. of Physical Therapy, Eunhye Geriatric Hospital)
Kim, Kyung-yoon (Dept. of Physical Therapy, Dongshin University)
Bae, Sea-hyun (Dept. of Physical Therapy, Dongshin University)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.27, no.3, 2021 , pp. 25-36 More about this Journal
Abstract
Background: This study aimed to investigate the effect of modified constraint-induced movement therapy (mCIMT) and resistive exercise using elastic band with pressure belt on improving upper extremity function in stroke patients. Methods: Sixteen patients with stroke were randomly assigned to a control group that received mCIMT and resistive exercise using elastic band (n=8) and an experimental group that received mCIMT and resistive exercise using elastic band with pressure belt (n=8). Over the course of four weeks, mCIMT were conducted 60 minute three times per week and resistive exercise using elastic band (with pressure belt) were conducted twice daily, three times per week. The function of the upper extremities were evaluated before, after 2 weeks and 4 weeks using the grip strength test (GST), the box and block test (BBT), and motor activity log (MAL). Results: The values for the GST, the BBT, and MAL increased in both groups as the treatment period progressed. The values for the GST (p<.01), the BBT (p<.001), and MAL (p<.001) were significantly higher in the experimental group than in the control group at 4 weeks after initiating the treatment. Conclusion: We found that mCIMT and wearing a pressure belt during resistive exercise was very useful in improving the function of the upper extremities in patients with stroke.
Keywords
mCIMT; Pressure belt; Resistive exercise; Elastic band; Upper limb function;
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