Effect of Constraint, Induced Movement Therapy and Mirror Therapy for Patients with Subacute Stroke in Bangladesh - Abstract
Subacute stroke is a health, related problem that spans a period from two days to two weeks. This randomized controlled trial investigates the effectiveness of constraint, induced movement therapy (CIMT) and combined mirror therapy for inpatient rehabilitation of patients with subacute stroke admitted to Bangabandhu Sheikh Mujib Medical University (BSMMU). Eighteen patients with subacute stroke were enrolled and randomly divided into three groups: CIMT combined with mirror therapy group, CIMT only group, and control group. Two weeks of CIMT for 6 hours a day with or without mirror therapy for 30 minutes a day were performed under supervision. All groups received conventional occupational therapy for 40 minutes a day for the same period. The CIMT only group
and control group also received additional self, exercise to substitute for mirror therapy. We performed the Fugl, Meyer assessment, which was 32.67±21.70 pre,treatment and 37.00±21.06 post,treatment with a p,value of 0.011, MRC muscle grading pre,treatment 3.01±2.78 and 3.21±1.35 post,treatment with a p,value of 0.107, and Modified Barthel Index pre,treatment 29.56±27.43 and 28.33±26.71 post,treatment with a p,value of 0.104. After two weeks of treatment, we had found that CIMT along with mirror therapy, had more impact on subacute stroke patients. More early initiation of rehabilitation program showed better results.