The Effect of Modified Constraint-induced Movement Therapy and Resistive Exercise Using Elastic Band with Pressure Belt on Affected Upper Limb Function in Stroke Patients

수정된 강제유도운동과 탄력밴드를 이용한 가압벨트 저항성 운동이 뇌졸중 환자의 상지 기능에 미치는 효과

  • 김태곤 (은혜요양병원 물리치료실) ;
  • 김경윤 (동신대학교 물리치료학과) ;
  • 배세현 (동신대학교 물리치료학과)
  • Received : 2021.11.19
  • Accepted : 2021.12.01
  • Published : 2021.12.31

Abstract

Background: This study aimed to investigate the effect of modified constraint-induced movement therapy (mCIMT) and resistive exercise using elastic band with pressure belt on improving upper extremity function in stroke patients. Methods: Sixteen patients with stroke were randomly assigned to a control group that received mCIMT and resistive exercise using elastic band (n=8) and an experimental group that received mCIMT and resistive exercise using elastic band with pressure belt (n=8). Over the course of four weeks, mCIMT were conducted 60 minute three times per week and resistive exercise using elastic band (with pressure belt) were conducted twice daily, three times per week. The function of the upper extremities were evaluated before, after 2 weeks and 4 weeks using the grip strength test (GST), the box and block test (BBT), and motor activity log (MAL). Results: The values for the GST, the BBT, and MAL increased in both groups as the treatment period progressed. The values for the GST (p<.01), the BBT (p<.001), and MAL (p<.001) were significantly higher in the experimental group than in the control group at 4 weeks after initiating the treatment. Conclusion: We found that mCIMT and wearing a pressure belt during resistive exercise was very useful in improving the function of the upper extremities in patients with stroke.

Keywords

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