OBJECTIVE:The purpose of this study

OBJECTIVE:The purpose of this study was to evaluate the effectiveness of constraint-induced movement therapy (CIMT) in dexterity with Action Research Arm Test (ARA test), hand grip strength, pinch strength of affected upper extremity in chronic stroke patients.MATERIAL AND METHOD:An observer-blinded randomized control trial, 69 chronic stroke patients were allocated either to constraint-induced movement technique (n = 33) or conservative treatment (n = 36). The CIMT group received 6 hours of daily affected-upper-extremity training and restrained unaffected upper extremities for 5 days per week, totally 2 weeks. The control group received bimanual-upper-extremity training by conservative neurodevelopmental technique without restrained unaffected upper extremities for 2 weeks.RESULTS:The CIMT group had ARA scores, pinch strength of affected upper extremities statistically significant higher than the control group at p < 0.05, but the hand grip strength had no statistically significant difference, p > 0.05.CONCLUSIONS:CIMT of unaffected upper extremities has an advantage for chronic stroke patients which may be an efficacious technique of improving motor activity and exhibiting learned nonuse.

結果 (繁體中文) 1:

OBJECTIVE:
The purpose of this study was to evaluate the effectiveness of constraint-induced movement therapy (CIMT) in dexterity with Action Research Arm Test (ARA test), hand grip strength, pinch strength of affected upper extremity in chronic stroke patients.

MATERIAL AND METHOD:
An observer-blinded randomized control trial, 69 chronic stroke patients were allocated either to constraint-induced movement technique (n = 33) or conservative treatment (n = 36). The CIMT group received 6 hours of daily affected-upper-extremity training and restrained unaffected upper extremities for 5 days per week, totally 2 weeks. The control group received bimanual-upper-extremity training by conservative neurodevelopmental technique without restrained unaffected upper extremities for 2 weeks.

RESULTS:
該CIMT組具有ARA分數，受影響的上肢比為p對照組統計學顯著更高的捏強度<0.05，但手的握力無統計學差異顯著，P> 0.05。

結論：
不受影響上肢CIMT具有用於其可以改善運動活性並表現出不使用學習的一種有效技術慢性中風患者的優點。

結果 (繁體中文) 2:

目的：
本研究的目的是通過動作研究臂測試（ARA測試）、握力、慢性中風患者上肢受影響下肢的捏合強度，評估約束誘導運動療法（CIMT）在靈巧性方面的有效性。

材料和方法：
一個觀察者致盲的隨機對照試驗，69名慢性中風患者被分配到約束誘導運動技術（n = 33）或保守治療（n = 36）。CIMT組每天接受6小時受影響的上肢訓練，每週5天（共2周）不受影響上肢。對照組通過保守的神經發育技術接受雙手動-上肢訓練，2周內沒有受約束的上肢不受影響。

結果：
CIMT組具有ARA分數，受影響上肢的捏合強度在統計學上顯著高於p = 0.05的對照組，但握持強度沒有統計顯著性差異，p = 0.05。

結論：
未受影響的上肢CIMT對慢性中風患者有優勢，這可能是一種有效的技術，可以改善運動活動和表現出學習的不使用。

結果 (繁體中文) 3:

目標：
採用動作研究臂試驗（ARA試驗）、握力、上肢握力評估慢性腦卒中患者約束誘導運動療法（CIMT）的靈巧性。
資料和方法：
觀察者盲法隨機對照試驗，69例慢性腦卒中患者被分為限制性運動科技組（n=33）和保守治療組（n=36）。CIMT組每天接受6小時患肢訓練，每週5天，共2周。對照組採用保守的神經發育科技進行雙手上肢訓練，不限制正常上肢運動2周。
結果：
CIMT組患肢ARA評分、握力均顯著高於對照組，差异有統計學意義（p<0.05），但握力無統計學意義（p>0.05）。
結論：
未受影響的上肢CIMT對慢性腦卒中患者具有優勢，這可能是一種有效的改善運動活動和表現出學會不使用的科技。