Predicting shoulder function after constraint-induced movement therapy: a retrospective cohort study

Gunhild Mo Hansen, Susanne Wulff Svendsen, Iris Brunner, Jørgen Feldbæk Nielsen

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review

Abstract

Background Several predictors have been associated with upper extremity (UE) recovery after stroke, but characteristics that predict shoulder function after constraint-induced movement therapy (CIMT) have not yet been identified. Objectives To identify predictors associated with satisfactory shoulder function in patients with reduced shoulder function at admission to CIMT. Methods One hundred and seventy five patients were treated using CIMT while in a specialized inpatient hospital. Satisfactory shoulder function was defined according to the functional ability scale of the Wolf Motor Function test. Predictors of satisfactory shoulder function after CIMT were identified using multivariable logistic regression. Results Better distal arm function and good proximal shoulder function on admission to CIMT were strong predictors of satisfactory shoulder function, while age and time of admission to CIMT since stroke were not. Seventeen percent of all CIMT-participants with reduced shoulder function pre-CIMT reached a level of satisfactory shoulder function after CIMT. Discussion A substantial part of patients with reduced shoulder function reached a level of satisfactory shoulder function after CIMT. Intensive CIMT training, comprising tasks that require both distal and proximal UE function, may increase shoulder function in patients with a potential functional reserve.

OriginalsprogEngelsk
TidsskriftTopics in Stroke Rehabilitation
Vol/bind25
Udgave nummer4
Sider (fra-til)281-287
Antal sider7
ISSN1074-9357
DOI
StatusUdgivet - maj 2018
Udgivet eksterntJa

Emneord

  • Sundhed, ernæring og livskvalitet

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