Abstract

• Purpose
  The purpose of this study was to investigate the effects of exercise training using biofeedback and constraint-induced movement on the upper extremity function of hemiplegic patients.
• Method
  A non-equivalent pretest-posttest design was used. Study subjects were a conveniently selected group of 40 hemiplegic patients(20 experimental subjects, 20 control subjects) who have been enrolled in two community health centers. After biofeedback training the subjects of experimental group were given constraint-induced movement, involving restraint of unaffected U/E in a sling for about 6 hours in a day over a period of two weeks, while at the same time intensively training the affected U/E. Outcomes were evaluated on the basis of the U/E motor ability(hand function, grip power, pinch power, U/E ROMs), and motor activity(amount, quality).
• Result
  1. After 2 weeks of treatment, the motor abilities of affected U/E(hand function, grip power, pinch power, ROMs of wrist flexion, elbow flexion and shoulder flexion/extension) were significantly higher in subjects who participated in exercise training than in subjects in the control group with no decrement at 4-week follow-up. However, there was no significant difference in wrist extension between experimental or control group. 2. After 2 weeks of treatment, the amount of use and the quality of motor activity of affected U/E were significantly higher in subjects who participated in exercise training than in subjects in the control group with no decrement at 4-week follow-up.
• Conclusion
  The above results state that exercise training using biofeedback and constraint-induced movement could be an effective intervention for improving U/E function of chronic hemiplegic patients. Long-term studies are needed to determine the lasting effects of constraint-induced movement.
• Keywords: Biofeedback; Constraint-induced movement; Upper extremity function; Hemiplegia

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Can Short-Term Constraint-Induced Movement Therapy Combined With Visual Biofeedback Training Improve Hemiplegic Upper Limb Function of Subacute Stroke Patients?
  Hyun Seok, Seung Yeol Lee, Jihoon Kim, Jungho Yeo, Hyungdong Kang
  Annals of Rehabilitation Medicine.2016; 40(6): 998.     CrossRef
• The Effects of Weight-Bearing Exercise on Upper Extremity Activities Performance in the Female Stroke Patients
  SungEun Lee, SungHyoun Cho, Kyoung Kim
  International Journal of Contents.2013; 9(1): 65.     CrossRef
• The Effects of Rehabilitation Training Using Video Game on Improvement Range of Motion for Upper-Extremity, Shoulder Pain and Stress in Stroke Patients with Hemiplegia
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  Journal of muscle and joint health.2012; 19(1): 46.     CrossRef