Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Meta-Analysis of Constraint-Induced Movement Therapy in Hemiplegic Stroke Patient in Korea

국내 뇌졸중 편마비 환자를 대상으로 한 건측억제-환측유도 치료효과의 메타분석

  • Park, So-Yeon (Dept. of Physical Therapy, College of Alternative Medicine, Jeonju University) ;
  • Shin, In-Soo (Dept. of Education, College of Education, Jeonju University)
  • 박소연 (전주대학교 대체의학대학 물리치료학과) ;
  • 신인수 (전주대학교 사범대학 교육학과)
  • Received : 2012.02.27
  • Accepted : 2012.04.03
  • Published : 2012.05.21
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Abstract

This meta-analysis investigated the effects on arm motor impairment, arm motor function and disability, and psychological aspects of constraint-induced movement therapy (CIMT) for upper extremity hemiparesis following stroke, based on Korean studies. A comprehensive search of the complete Korean studies information service system (KISS), Research Information Sharing Service (RISS), Korea National Library, and the Korean Medical Database to September 2011 was conducted. Eleven eligible controlled clinical trials compared CIMT to a control group or an alternative treatment. All outcome measures of arm motor impairment, arm motor function and disability, and psychological aspects were pooled for calculating effect size. The overall effect size of CIMT was .700 (95% confidence interval=.482~.918). The CIMT programs showed large effect on the aspect of arm motor function and disability (the effect size is .920) and the psychological aspect (the effect size is .946). The effect of CIMT on arm motor impairment was moderate (the effect size is .588). These results show that CIMT may improve upper extremity motor impairment, function and disability, and psychological aspects following stroke. However, these results were based on a small number of studies, and not all of them were randomized control trials. Additional research is needed to include larger well-designed trials to resolve these uncertainties.

Keywords

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