Repeat therapy for chronic motor stroke: a pilot study for feasibility and efficacy.
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Repeat therapy for chronic motor stroke: a pilot study for feasibility and efficacy. / Rijntjes, Michel; Haevernick, Kerstin; Barzel, Anne; Bussche van den, Hendrik; Ketels, Gesche; Weiller, Cornelius.
In: NEUROREHAB NEURAL RE, Vol. 23, No. 3, 3, 2009, p. 275-280.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Repeat therapy for chronic motor stroke: a pilot study for feasibility and efficacy.
AU - Rijntjes, Michel
AU - Haevernick, Kerstin
AU - Barzel, Anne
AU - Bussche van den, Hendrik
AU - Ketels, Gesche
AU - Weiller, Cornelius
PY - 2009
Y1 - 2009
N2 - BACKGROUND: . Therapeutic interventions improve outcomes in the acute and chronic phase after motor stroke, but a significant amount of this improvement is usually lost after more than 1 year. Patients might profit from a second course of intensive physiotherapy, but this has not been investigated. OBJECTIVE: . The feasibility and effect of a second phase of physiotherapy was examined 2 years after the first one. METHODS: . A total of 12 patients with chronic stroke were instructed to wear a constraining splint on the affected elbow and hand while awake for 4 weeks and practice individually tailored tasks 2 hours per day. Motor tests for assessment included the Motor Activity Log, Wolf Motor Function Test, and 9-Hole Peg Test. RESULTS: . In the 11 patients who were available for postintervention assessment, the deterioration in the amount and quality of movement that had occurred since the first therapy was largely recouped. Patients who wore the constraint more than 80% of waking hours during the second therapy showed a clear secondary improvement in all tests, in some surpassing the level reached after the first therapy. CONCLUSIONS: . A repeated bout of home-based CIMT 2 years after initial training is feasible with relatively little time and effort provided by a therapist and can lead to further improvement.
AB - BACKGROUND: . Therapeutic interventions improve outcomes in the acute and chronic phase after motor stroke, but a significant amount of this improvement is usually lost after more than 1 year. Patients might profit from a second course of intensive physiotherapy, but this has not been investigated. OBJECTIVE: . The feasibility and effect of a second phase of physiotherapy was examined 2 years after the first one. METHODS: . A total of 12 patients with chronic stroke were instructed to wear a constraining splint on the affected elbow and hand while awake for 4 weeks and practice individually tailored tasks 2 hours per day. Motor tests for assessment included the Motor Activity Log, Wolf Motor Function Test, and 9-Hole Peg Test. RESULTS: . In the 11 patients who were available for postintervention assessment, the deterioration in the amount and quality of movement that had occurred since the first therapy was largely recouped. Patients who wore the constraint more than 80% of waking hours during the second therapy showed a clear secondary improvement in all tests, in some surpassing the level reached after the first therapy. CONCLUSIONS: . A repeated bout of home-based CIMT 2 years after initial training is feasible with relatively little time and effort provided by a therapist and can lead to further improvement.
M3 - SCORING: Zeitschriftenaufsatz
VL - 23
SP - 275
EP - 280
JO - NEUROREHAB NEURAL RE
JF - NEUROREHAB NEURAL RE
SN - 1545-9683
IS - 3
M1 - 3
ER -
