Constraint-Induced Movement Therapy Essay

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Traditional rehabilitation interventions have been only partially successful in achieving motor recovery in this patient population. Therefore, a number of interventions have been recently proposed in an attempt to improve functional outcomes. Intensive upper limb exercise [159], functional electrical stimulation
[160], robotic therapy [161, 162], virtual reality [163], and constraint induced movement therapy
[164, 165] are some of the approaches recently investigated to improve motor recovery in patients post stroke. Unfortunately, clinical outcomes of upper limb rehabilitation are still unsatisfactory in a large percentage of patients chronically [166].
The process of motor recovery after stroke starts in the inpatient and outpatient settings
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Furthermore it has been considered also the need of developing measures that capture the impact of rehabilitation interventions on the patients’ functional ability in real-life conditions, like the home and community settings [162, 172].
An emerging therapeutic approach called Constraint-Induced Movement Therapy (CIMT) has been shown to prevent and/or reverse learned non-use following stroke [1 pr]. CIMT involves constraining the unaffected limb thereby forcing the patient to use their affected limb. In this way the neuroplasticity is stimulated and the motor function is improved, simply forcing the use of the affected limb [2 pr]. CIMT is intended for stroke survivors who retain the ability to flex the wrist and move their arm and fingers.
Chronic stroke patients in CIMT trials have shown impressive functional movement recovery in the upper limb that appears to carry over from clinic settings to their homes and communities [173 sh]. A host of assessment tools have been used by CIMT researchers to measure upper limb motor control

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