Nineteen Years of Modified CIMT in a Clinical Setting, to Improve Arm and Hand Function After Stroke

NCT ID: NCT06671899

Last Updated: 2024-11-15

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 87 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2000-08-14
• Study Completion Date: 2018-12-18

Brief Summary

The goal of this observational study is to determine if clinically constraint-induced movement therapy (CIMT), when applied in a routine clinical practice, can improve arm- and hand function after stroke. Additionally, the study seeks to identify which patients experienced the greatest improvements, and to examine factors that contribute to the long-term sustainability of the treatment.

Stroke is one leading cause of disability, often resulting in difficulties using the arm and hand function on one side, making daily activities challenging. CIMT aims to enhance arm and hand function after stroke by incorporating intensive training and restraining the non-affected limb, thereby encouraging the use of the affected arm and hand. While numerous studies have demonstrated the effectiveness of CIMT, and it is recommended in national clinical guidelines, it is rarely implemented in clinical practice due to challenges in execution and sustainability. Moreover, it remains unclear which patients benefit the most from the treatment.

At a rehabilitation clinic in Sweden, CIMT has been incorporated into routine care for 19 years, which is uncommon. Participants undergo CIMT as outpatients over a three-week period, with one patient being treated at a time. By retrospectively observe outcomes from this clinically implemented and sustained model of CIMT, the study aims to address the following questions:

• Is CIMT, when conducted in a regular clinical setting, effective?
• Are there relationships between patient characteristics and outcomes?

Conditions

Stroke; Neurological Diseases or Conditions

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

CIMT in a clinical setting

Those who underwent modified constraint-induced movement therapy in a clinical setting in Sweden during the years 2000-2018.

Constraint-induced movement therapy (CIMT)

Intervention Type: OTHER

Clinically implemented modified CIMT. Including the three main components; intensive and repetitive task-oriented training of the affected limb, constraint of the non-affected limb and behavioural strategies known as the Transfer Package. In this model the training is supervised by therapist from several professions and some training sessions is performed in group settings with other inpatients and outpatients undergoing primary rehabilitation at the clinic.

Interventions

Constraint-induced movement therapy (CIMT)

Clinically implemented modified CIMT. Including the three main components; intensive and repetitive task-oriented training of the affected limb, constraint of the non-affected limb and behavioural strategies known as the Transfer Package. In this model the training is supervised by therapist from several professions and some training sessions is performed in group settings with other inpatients and outpatients undergoing primary rehabilitation at the clinic.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Post-acute injury (participants had completed primary rehabilitation and were living at home)
• Reduced ability to use the hemi-paretic arm
• Ability to actively extend the metacarpophalangeal and the interphalangeal joints 10°
• Ability to actively extend the wrist 20°

Exclusion Criteria

• Unable to walk and balance safely without using the non-affected hand, with or without a mobility aid
• Unable to understand the content of the training or lack of motivation
• Serious cognitive deficit or instable medical condition believed to affect training participation
• Pain in the affected arm believed to affect training intensity

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Futurum - Academy for health and care

UNKNOWN

Sponsor Role: collaborator

Region Jönköping County

OTHER_GOV

Sponsor Role: lead

Responsible Party

Maria Landén

Registered Physiotherapist, Master of Science

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kersti Samuelsson, Assoc.Prof.

Role: STUDY_CHAIR

Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden

Locations

Department of Rehabilitation Medicine, Region Jönköping County

Jönköping, , Sweden

Countries

Sweden

Other Identifiers

2019-02250

Identifier Type: -

Identifier Source: org_study_id