Review Article

Neurobiology of Recovery of Motor Function after Stroke: The Central Nervous System Biomarker Effects of Constraint-Induced Movement Therapy

Table 1

Characteristics of some of the reviewed studies.

StudyDesignStage of strokeDuration of therapyConstraintAdditional therapyOutcome measures

Wang et al. (2012)Self-control experimentSubacute5CIMT for 4 hours, 20 minutes, 5 times a week for 4 weeksNil4 hours of lower limb loading exercise (Bobath) divided into 2 sessions per day for 6 weeksMWS, BBS, fMRI
Blicher et al. (2014)Clinical controlled trialSubacute and chronic41CIMT for 2 weeks in the experimental groupMitt for 90% of waking hoursNilWMFT, MRI, mRS
Könönen et al. (2005)Pretest
Posttest
Chronic12CIMT for 6 hours per day for 10 daysLightweight sling worn during the exercise and for 10 hours per dayNilWMFT, MRI, SPECT
Di Lazzaro et al. (2014)RCTAcute1440 mins and 30 s tDCs for experimental and control groups, respectively, for 5 daysResting sling for 90% of waking hoursStandard physical therapy protocol9HPT, MAL, NIHSS (motor), hand grip, mRS
Rijntjes et al. (2011)Chronic126 hours of CIMT/day for 2 weeksSplint for 90% of the waking hoursNilSame as above plus TMS
Boake et al. (2007)RCTAcute233 hours of CIMT and traditional therapy for CIMT and control groups, respectivelyConstraint for 90% of the waking hoursFM, TMS, GPT, MAL
Chouinard et al. (2006)Pretest
Posttest
Chronic4 hours of CIMT for 2 weeksWearing of mitt at homeNilTMS/PET
Ro et al.(2006)RCTAcute83 hours of CIMT and traditional therapy, respectively, 6 days a weeks for 2 weeksConstraint for 90% of the waking hoursNilTMS, MAL

Key: MWS=Mean walking speed; BBS=Berg balance scale; fMRI=Functional magnetic resonance imaging; SPECT=Single-photon emission computerized tomography; fMRI=functional magnetic resonance imaging; FM=Fugl Meyer; ARAT=action research arm test; WMFT=Wolf motor function test; MAL=motor activity log; MRI=magnetic resonance imaging; mRS=modified Rankin scale; 9HPT=nine-peg hole test; NIHSS=National Institute of Health Stroke Scale; TMS=transmagnetic stimulation; PET=positron emission tomography; GPT=groove peg test.