PMID- 17525700
OWN - NLM
STAT- MEDLINE
DCOM- 20071025
LR  - 20181201
IS  - 0014-2573 (Print)
IS  - 0014-2573 (Linking)
VI  - 43
IP  - 2
DP  - 2007 Jun
TI  - The constraint induced movement therapy: a systematic review of randomised 
      controlled trials on the adult stroke patients.
PG  - 139-46
AB  - AIM: The aim of this study was to analyse the evidence of effectiveness on adult 
      stroke patients of the Constraint Induced Movement Therapy (CIMT), an original 
      rehabilitation method that consists in strongly encouraging patients to use the 
      affected arm, mainly immobilising the unaffected arm. METHODS: We only took into 
      account the randomised controlled trials on CIMT where the experimental treatment 
      was compared with a conventional treatment without any discrepancy of 
      organization or session duration. As we could not measure the statistical 
      significance of differences between treated and control patients, we compared 
      their respective post-treatment percent changes and computed the minimal 
      clinically important difference (MCID), defined as a change of at least 10% of 
      the maximum score of the scale used. RESULTS: The literature search found 13 
      randomised controlled trials (RCTs), 4 of which were excluded because they aimed 
      at comparing different intensity of CIMT. The 9 RCTs finally included into the 
      review applied the CIMT in either acute, subacute or chronic stroke patients and 
      according to different modalities. Findings were positive in all studies, but the 
      MCID was reached only in smaller ones, which may have been influenced by 
      patients' characteristics. CONCLUSION: Although all studies achieved positive 
      results, it is impossible to draw any clear-cut conclusion on the effectiveness 
      of the CIMT. The main limitations are the lack of homogeneity in the outcome 
      measures used, the inadequacy of data provided and the small samples' size. 
      Multicentre studies, using robust outcome measures and considering both motor- 
      and sensory-disabled patients are needed.
FAU - Bonaiuti, D
AU  - Bonaiuti D
AD  - Department of Rehabilitation, S. Gerardo Hospital, Monza, Milan, Italy. 
      bonaiuti@katamail.com
FAU - Rebasti, L
AU  - Rebasti L
FAU - Sioli, P
AU  - Sioli P
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20070528
PL  - Italy
TA  - Eura Medicophys
JT  - Europa medicophysica
JID - 0071035
SB  - IM
MH  - Adult
MH  - Arm
MH  - *Exercise Therapy
MH  - Humans
MH  - Paresis/etiology/*rehabilitation
MH  - Randomized Controlled Trials as Topic
MH  - Restraint, Physical
MH  - Stroke/*complications
MH  - *Stroke Rehabilitation
MH  - Treatment Outcome
RF  - 33
EDAT- 2007/05/26 09:00
MHDA- 2007/10/27 09:00
CRDT- 2007/05/26 09:00
PHST- 2007/05/26 09:00 [pubmed]
PHST- 2007/10/27 09:00 [medline]
PHST- 2007/05/26 09:00 [entrez]
AID - R33071658 [pii]
PST - ppublish
SO  - Eura Medicophys. 2007 Jun;43(2):139-46. Epub 2007 May 28.