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Norwegian constraint-induced therapy multisite trial: adherence to treatment protocol applied early after stroke
To investigate to what degree patients adhered to a modified constraint-induced movement therapy protocol, and to explore factors associated with the results. Prospective follow-up of the intervention arm in a randomized controlled trial. Twenty-four patients within 28 days after stroke. The protoco...
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| Published in: | Journal of rehabilitation medicine 2015-10, Vol.47 (9), p.816-823 |
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| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c356t-d9c1a03fcc2e1812bb67c6fed697b81af7e7aa84c3a48dd57a726268c158f8fc3 |
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| container_end_page | 823 |
| container_issue | 9 |
| container_start_page | 816 |
| container_title | Journal of rehabilitation medicine |
| container_volume | 47 |
| creator | Stock, Roland Thrane, Gyrd Askim, Torunn Karlsen, Gunn Langørgen, Eli Erichsen, Anne Gjone, Ragna Anke, Audny |
| description | To investigate to what degree patients adhered to a modified constraint-induced movement therapy protocol, and to explore factors associated with the results.
Prospective follow-up of the intervention arm in a randomized controlled trial.
Twenty-four patients within 28 days after stroke.
The protocol specified 180 min of treatment/day for 10 days. Therapy schedules were used to calculate the time spent in shaping, task practice and transfer package, as well as movement quality, perceived exertion and treatment progression.
The participants spent a mean of 91.3% of the intended time for treatment. Time spent practicing tasks was 30 min less than the intended 150 min, whereas slightly more time than intended was spent on the transfer package. Of the time spent in shaping, 33% was spent in pure activity. The remainder was used on feedback, task set-up, and rests. Adherence was positively associated with treatment progression (r = 0.74) and negatively associated with age (r = -0.65). Women were less likely to use the mitt (r = -0.55).
Overall adherence was good; however, time spent in motor activity was only one-third of total treatment time. The parameters in the constraint-induced movement therapy protocol should be individually adjusted early after stroke. |
| doi_str_mv | 10.2340/16501977-2000 |
| format | article |
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Prospective follow-up of the intervention arm in a randomized controlled trial.
Twenty-four patients within 28 days after stroke.
The protocol specified 180 min of treatment/day for 10 days. Therapy schedules were used to calculate the time spent in shaping, task practice and transfer package, as well as movement quality, perceived exertion and treatment progression.
The participants spent a mean of 91.3% of the intended time for treatment. Time spent practicing tasks was 30 min less than the intended 150 min, whereas slightly more time than intended was spent on the transfer package. Of the time spent in shaping, 33% was spent in pure activity. The remainder was used on feedback, task set-up, and rests. Adherence was positively associated with treatment progression (r = 0.74) and negatively associated with age (r = -0.65). Women were less likely to use the mitt (r = -0.55).
Overall adherence was good; however, time spent in motor activity was only one-third of total treatment time. The parameters in the constraint-induced movement therapy protocol should be individually adjusted early after stroke.</description><identifier>ISSN: 1650-1977</identifier><identifier>ISSN: 1651-2081</identifier><identifier>EISSN: 1651-2081</identifier><identifier>DOI: 10.2340/16501977-2000</identifier><identifier>PMID: 26306733</identifier><language>eng</language><publisher>Sweden: Foundation of Rehabilitation Information</publisher><subject>Aged ; Clinical medical disciplines: 750 ; Clinical Protocols ; Disease Progression ; Female ; Fysikalsk medisin og rehabilitering: 764 ; Humans ; Klinisk medisinske fag: 750 ; Male ; Medical disciplines: 700 ; Medisinske Fag: 700 ; Norway ; Physical medicine and rehabilitation: 764 ; Physical Therapy Modalities ; Prospective Studies ; Stroke Rehabilitation ; VDP</subject><ispartof>Journal of rehabilitation medicine, 2015-10, Vol.47 (9), p.816-823</ispartof><rights>info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-d9c1a03fcc2e1812bb67c6fed697b81af7e7aa84c3a48dd57a726268c158f8fc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,26544,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26306733$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stock, Roland</creatorcontrib><creatorcontrib>Thrane, Gyrd</creatorcontrib><creatorcontrib>Askim, Torunn</creatorcontrib><creatorcontrib>Karlsen, Gunn</creatorcontrib><creatorcontrib>Langørgen, Eli</creatorcontrib><creatorcontrib>Erichsen, Anne</creatorcontrib><creatorcontrib>Gjone, Ragna</creatorcontrib><creatorcontrib>Anke, Audny</creatorcontrib><title>Norwegian constraint-induced therapy multisite trial: adherence to treatment protocol applied early after stroke</title><title>Journal of rehabilitation medicine</title><addtitle>J Rehabil Med</addtitle><description>To investigate to what degree patients adhered to a modified constraint-induced movement therapy protocol, and to explore factors associated with the results.
Prospective follow-up of the intervention arm in a randomized controlled trial.
Twenty-four patients within 28 days after stroke.
The protocol specified 180 min of treatment/day for 10 days. Therapy schedules were used to calculate the time spent in shaping, task practice and transfer package, as well as movement quality, perceived exertion and treatment progression.
The participants spent a mean of 91.3% of the intended time for treatment. Time spent practicing tasks was 30 min less than the intended 150 min, whereas slightly more time than intended was spent on the transfer package. Of the time spent in shaping, 33% was spent in pure activity. The remainder was used on feedback, task set-up, and rests. Adherence was positively associated with treatment progression (r = 0.74) and negatively associated with age (r = -0.65). Women were less likely to use the mitt (r = -0.55).
Overall adherence was good; however, time spent in motor activity was only one-third of total treatment time. The parameters in the constraint-induced movement therapy protocol should be individually adjusted early after stroke.</description><subject>Aged</subject><subject>Clinical medical disciplines: 750</subject><subject>Clinical Protocols</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Fysikalsk medisin og rehabilitering: 764</subject><subject>Humans</subject><subject>Klinisk medisinske fag: 750</subject><subject>Male</subject><subject>Medical disciplines: 700</subject><subject>Medisinske Fag: 700</subject><subject>Norway</subject><subject>Physical medicine and rehabilitation: 764</subject><subject>Physical Therapy Modalities</subject><subject>Prospective Studies</subject><subject>Stroke Rehabilitation</subject><subject>VDP</subject><issn>1650-1977</issn><issn>1651-2081</issn><issn>1651-2081</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>3HK</sourceid><recordid>eNo9kU1vGyEQhlHVqE6cHntNOfayCSxeYHurrOZDspJLckZjdral2YUtsIr874tjuyeGmUePRvMS8oWz61qs2A2XDeOtUlXNGPtAzsufl1rzj-81q_bDBblI6Q9jXDVCfSKLWgomlRDnZHoM8Q1_OfDUBp9yBOdz5Xw3W-xo_o0Rph0d5yG75DLSHB0M3yl0ZYLelkYoPYQ8os90iiEHGwYK0zS4IkCIw45CnzHSIg-veEnOehgSfj6-S_Jy-_N5fV9tnu4e1j82lRWNzFXXWg5M9NbWyDWvt1uprOyxk63aag69QgWgV1bASnddo0DVspba8kb3urdiSb4evDa6lJ03PkQwnDGhDNdStYX4diDK1n9nTNmMLlkcBvAY5mS44u2qFuXKBa1OspBSxN5M0Y0Qd0Vo9jGYUwxmH0Phr47qeTti958-3V38A0zyg40</recordid><startdate>20151005</startdate><enddate>20151005</enddate><creator>Stock, Roland</creator><creator>Thrane, Gyrd</creator><creator>Askim, Torunn</creator><creator>Karlsen, Gunn</creator><creator>Langørgen, Eli</creator><creator>Erichsen, Anne</creator><creator>Gjone, Ragna</creator><creator>Anke, Audny</creator><general>Foundation of Rehabilitation Information</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>3HK</scope></search><sort><creationdate>20151005</creationdate><title>Norwegian constraint-induced therapy multisite trial: adherence to treatment protocol applied early after stroke</title><author>Stock, Roland ; Thrane, Gyrd ; Askim, Torunn ; Karlsen, Gunn ; Langørgen, Eli ; Erichsen, Anne ; Gjone, Ragna ; Anke, Audny</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-d9c1a03fcc2e1812bb67c6fed697b81af7e7aa84c3a48dd57a726268c158f8fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Clinical medical disciplines: 750</topic><topic>Clinical Protocols</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Fysikalsk medisin og rehabilitering: 764</topic><topic>Humans</topic><topic>Klinisk medisinske fag: 750</topic><topic>Male</topic><topic>Medical disciplines: 700</topic><topic>Medisinske Fag: 700</topic><topic>Norway</topic><topic>Physical medicine and rehabilitation: 764</topic><topic>Physical Therapy Modalities</topic><topic>Prospective Studies</topic><topic>Stroke Rehabilitation</topic><topic>VDP</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stock, Roland</creatorcontrib><creatorcontrib>Thrane, Gyrd</creatorcontrib><creatorcontrib>Askim, Torunn</creatorcontrib><creatorcontrib>Karlsen, Gunn</creatorcontrib><creatorcontrib>Langørgen, Eli</creatorcontrib><creatorcontrib>Erichsen, Anne</creatorcontrib><creatorcontrib>Gjone, Ragna</creatorcontrib><creatorcontrib>Anke, Audny</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>NORA - Norwegian Open Research Archives</collection><jtitle>Journal of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stock, Roland</au><au>Thrane, Gyrd</au><au>Askim, Torunn</au><au>Karlsen, Gunn</au><au>Langørgen, Eli</au><au>Erichsen, Anne</au><au>Gjone, Ragna</au><au>Anke, Audny</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Norwegian constraint-induced therapy multisite trial: adherence to treatment protocol applied early after stroke</atitle><jtitle>Journal of rehabilitation medicine</jtitle><addtitle>J Rehabil Med</addtitle><date>2015-10-05</date><risdate>2015</risdate><volume>47</volume><issue>9</issue><spage>816</spage><epage>823</epage><pages>816-823</pages><issn>1650-1977</issn><issn>1651-2081</issn><eissn>1651-2081</eissn><abstract>To investigate to what degree patients adhered to a modified constraint-induced movement therapy protocol, and to explore factors associated with the results.
Prospective follow-up of the intervention arm in a randomized controlled trial.
Twenty-four patients within 28 days after stroke.
The protocol specified 180 min of treatment/day for 10 days. Therapy schedules were used to calculate the time spent in shaping, task practice and transfer package, as well as movement quality, perceived exertion and treatment progression.
The participants spent a mean of 91.3% of the intended time for treatment. Time spent practicing tasks was 30 min less than the intended 150 min, whereas slightly more time than intended was spent on the transfer package. Of the time spent in shaping, 33% was spent in pure activity. The remainder was used on feedback, task set-up, and rests. Adherence was positively associated with treatment progression (r = 0.74) and negatively associated with age (r = -0.65). Women were less likely to use the mitt (r = -0.55).
Overall adherence was good; however, time spent in motor activity was only one-third of total treatment time. The parameters in the constraint-induced movement therapy protocol should be individually adjusted early after stroke.</abstract><cop>Sweden</cop><pub>Foundation of Rehabilitation Information</pub><pmid>26306733</pmid><doi>10.2340/16501977-2000</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1650-1977 |
| ispartof | Journal of rehabilitation medicine, 2015-10, Vol.47 (9), p.816-823 |
| issn | 1650-1977 1651-2081 1651-2081 |
| language | eng |
| recordid | cdi_cristin_nora_10037_18679 |
| source | NORA - Norwegian Open Research Archives; Alma/SFX Local Collection |
| subjects | Aged Clinical medical disciplines: 750 Clinical Protocols Disease Progression Female Fysikalsk medisin og rehabilitering: 764 Humans Klinisk medisinske fag: 750 Male Medical disciplines: 700 Medisinske Fag: 700 Norway Physical medicine and rehabilitation: 764 Physical Therapy Modalities Prospective Studies Stroke Rehabilitation VDP |
| title | Norwegian constraint-induced therapy multisite trial: adherence to treatment protocol applied early after stroke |
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