- 作者：Shinji Kagawa ; RPT&lowast ; ; kagawa@huhs.ac.jp ; Tetsuo Koyama ; MD ; PhD&dagger ; ; Masashi Hosomi ; MD ; PhD&Dagger ; ; Takashi Takebayashi ; OTR&Dagger ; ; Keisuke Hanada ; OTR&Dagger ; ; Fumiaki Hashimoto ; OTR§ ; ; Kazuhisa Domen ; MD ; PhD&Dagger ;
- 关键词：Muscle ; paresis ; scale ; tone ; training
- 刊名：Journal of Stroke and Cerebrovascular Diseases
- 出版年：2013
- 出版时间：May, 2013
- 年：2013
- 卷：22
- 期：4
- 页码：364-370
- 全文大小：223 K
Background
We sought to examine the effects of constraint-induced movement therapy on spasticity in patients with hemiparesis after stroke in 10 patients with chronic hemiparesis in their upper extremities.Methods
Patients underwent a modified version of constraint-induced movement therapy (5 hours daily for 10 weekdays over 2 consecutive weeks). Motor function was assessed by the Fugl-Meyer Assessment, Wolf Motor Function Test, and the Motor Activity Log. Spasticity was assessed by the modified Ashworth scale and electromyography (F frequency, mean F/M ratio). These assessments were obtained immediately before and after the 2-week intervention. Wilcoxon rank sum tests were performed on these data (P < .05).
Results
Constraint-induced movement therapy significantly improved hand and arm function as indicated by the Fugl-Meyer Assessment, Wolf Motor Function Test, and the Motor Activity Log scores. Constraint-induced movement therapy also reduced spasticity as assessed by the modified Ashworth scale, F frequency, and mean F/M ratio.
Conclusions
Comparable to motor function, constraint-induced movement therapy effectively reduces spasticity as confirmed by electromyography.