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Is forced use of the paretic upper limb beneficial? - A randomized pilot study during subacute post-stroke recovery
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
2009 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 23, no 5, 424-433 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate the effect of two weeks of forced use of the paretic upper limb, as a supplement to the rehabilitation programme in the subacute phase after stroke, on self-rated use of that limb. Design: A randomized, non-blind, parallel group, clinical, before-and-after trial. A forced use group and a conventional group were followed up one and three months after intervention. Setting: In- and outpatient units of rehabilitation at a University   Hospital. Subjects: Thirty patients were allocated to two groups, 15 in each, 1-6 months (mean 2.4) after stroke onset. Twenty-six patients completed the  study. Interventions: The patients of both groups participated in two weeks of  daily training on weekdays. In addition, the forced use group wore a  restraining sling on the non-paretic arm for up to 6 hours per weekday. Main measure: The Motor Activity Log; patients scored 0-5 for 30 daily   tasks concerning both amount of use and quality of movement. Results: The forced use group tended to achieve larger improvements  immediately post-intervention, but this was not clearly demonstrated. The small differences also levelled out up to the three-month   follow-up, with both groups earning an approximately 1.0 score point on both scales of the Motor Activity Log. Conclusions: This pilot study did not reveal any additional benefit of   forced use on self-rated performance in daily use of the paretic upper  limb. Both groups performed fairly extensive, active training with a similar duration, amount and content.

Place, publisher, year, edition, pages
2009. Vol. 23, no 5, 424-433 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-124165DOI: 10.1177/0269215508101734ISI: 000266292300005OAI: oai:DiVA.org:uu-124165DiVA: diva2:317188
Available from: 2010-05-03 Created: 2010-05-03 Last updated: 2010-07-28Bibliographically approved

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