title: Effects of modified constraint-induced movement therapy combined with trunk restraint in chronic stroke: A double-blinded randomized controlled pilot trial.
abstract: BACKGROUND
  Reducing the compensatory mechanism by restraining the unnecessary movement may be helpful in relearning the upper-limb movement.
  
  
  OBJECTIVE
  To investigate the effects of a modified constraint-induced movement therapy (mCIMT) with trunk restraint (TR) in chronic stroke patients with moderate impairment.
  
  
  METHODS
  Eighteen participants with hemiparesis were randomly assigned to mCIMT + TR or mCIMT. Each group underwent 20 (1 h/d) intervention session (5 d/wk for 4 weeks). Patients were assessed with the action research arm test (ARAT), the Fugl-Meyer assessment upper extremity (FMA-UE), the modified Barthel index (MBI), and the motor activity log (MAL-AOU and MAL-QOM).
  
  
  RESULTS
  The mCIMT combined with trunk restraint group exhibited greater changes in the ARAT, FMA, MBI, and MAL (MAL-AOU and MAL-QOM) compared with the mCIMT group. Statistical analyses showed significantly different in ARAT (Z = -2.17, P = 0.03), FMA-UE (Z = -2.49, P = 0.01), MBI (Z = -2.44, P = 0.02), MAL-AOU (Z = -2.17, P = 0.03), and MAL-QOM (Z = -2.17, P = 0.03) between groups.
  
  
  CONCLUSIONS
  These finding suggest that mCIMT combined with trunk restraint is more helpful to improve upper-extremity function than mCIMT only in patient with chronic stroke.
authors.affiliation: Department of Physical Therapy, Graduate School of Daejeon University, Daejeon, Republic of Korea.
authors.forename: Dae-Hyouk
authors.initials: DH
authors.lastname: Bang
authors.affiliation: Department of Physical Therapy, Graduate School of Daejeon University, Daejeon, Republic of Korea.|Department of Physical Therapy, College of Health and Medical Science, Daejeon University, Daejeon, Republic of Korea.
authors.forename: Won-Seob
authors.initials: WS
authors.lastname: Shin
authors.affiliation: Department of Physical Therapy, Graduate School of Daejeon University, Daejeon, Republic of Korea.
authors.forename: Ho-Suk
authors.initials: HS
authors.lastname: Choi
mesh_terms: D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015915:Motion Therapy, Continuous Passive / Q000009:adverse effects / Q000379:methods*; D009068:Movement; D010291:Paresis / Q000209:etiology / Q000534:rehabilitation*; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation
keywords: Modified constraint-induced movement therapy; trunk restraint; upper-extremity function