Pengaruh Constraint Induced Movement Therapy terhadap Fungsional Ekstremitas Atas pada Kasus Stroke: Critical Review
DOI:
https://doi.org/10.23917/fisiomu.v4i2.4985Keywords:
CIMT, mCIMT, Fungsional Ekstremitas Atas, StrokeAbstract
Latar Belakang: Sekitar dua pertiga dari semua pasien stroke mengalami kelemahan ekstremitas atas pada fase awal stroke. Constraint Induced Movement Therapy (CIMT) sebagai salah satu intervensi neurorehabilitasi dipercaya dapat memperbaiki fungsional ekstremitas atas setelah stroke. Metode: Desain studi penelitian ini adalah critical review pada artikel jenis Randomized Controlled Trial, yang bertujuan untuk menelaah serta memberikan analisis dan sintesis data. Selanjutnya dilakukan appraisal menggunakan Skala PEDro untuk menilai kualitas artikel. Hasil: Skala PEDro menunjukkan bahwa 5 artikel mempunyai total skor 6/10 (risiko bias sedang), 5 artikel dengan total skor 7/10 (risiko bias sedang), 1 artikel dengan total skor 8/10 (risiko bias sedang) dan 1 artikel dengan total skor 9/10 (risiko bias rendah). Adapun berdasarkan kajian dari 12 artikel didapatkan bahwa intervensi CIMT berpengaruh (p<0,05) terhadap perbaikan fungsional ekstremitas atas pada kasus stroke. Kesimpulan: Intervensi CIMT berbentuk tunggal atau dengan kombinasi intervensi lain berpengaruh terhadap fungsional ekstremitas atas pada pasien stroke high function, severe hemiparese dalam fase akut, subakut dan kronis. Namun, CIMT versi modifikasi (mCIMT) dengan dosis latihan lengan lesi selama 30 menit sampai 3 jam lebih terlihat beda pengaruh yang signifikan dengan kelompok kontrol dibandingkan dosis CIMT asli pada pasien high function.
Downloads
References
Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan Nasional Riskesdas 2018. In Badan Penelitian dan Pengembangan Kesehatan.
Bang, D.-H. (2016). Effect of Modified Constraint-Induced Movement Therapy Combined with Auditory Feedback for Trunk Control on Upper Extremity in Subacute Stroke Patients with Moderate Impairment: Randomized Controlled Pilot Trial. Journal of Stroke and Cerebrovascular Diseases, 25(7), 1606–1612. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.03.030
Bang, D.-H., Shin, W.-S., & Choi, H.-S. (2015). Effects of Modified Constraint-Induced Movement Therapy Combined with Trunk Restraint in Chronic Stroke: A Double-Blinded Randomized Controlled Pilot Trial. NeuroRehabilitation, 37(1), 131–137. https://doi.org/10.3233/NRE-151245
Brainin, M., & Heiss, W.-D. (Eds.). (2019). Textbook of Stroke Medicine (3rd ed.). Cambridge University Press. https://doi.org/10.1017/9781108659574
Brunner, I. C., Skouen, J. S., & Strand, L. I. (2012). Is Modified Constraint-Induced Movement Therapy More Effective Than Bimanual Training in Improving Arm Motor Function in the Subacute Phase Post Stroke? A Randomized Controlled Trial. Clinical Rehabilitation, 26(12), 1078–1086. https://doi.org/10.1177/0269215512443138
Carrico, C., Chelette, K. C., Westgate, P. M., Salmon-Powell, E., Nichols, L., & Sawaki, L. (2016). Randomized Trial of Peripheral Nerve Stimulation to Enhance Modified Constraint-Induced Therapy After Stroke. American Journal of Physical Medicine and Rehabilitation, 95(6), 397–406. https://doi.org/10.1097/PHM.0000000000000476
Coupland, A. P., Thapar, A., Qureshi, M. I., Jenkins, H., & Davies, A. H. (2017). The Definition of Stroke. Journal of the Royal Society of Medicine, 110(1), 9–12.
Etoom, M., Hawamdeh, M., Hawamdeh, Z., Alwardat, M., Giordani, L., Bacciu, S., Scarpini, C., & Foti, C. (2016). Constraint-Induced Movement Therapy as A Rehabilitation Intervention for Upper Extremity in Stroke Patients: Systematic Review and Meta-Analysis. International Journal of Rehabilitation Research, 39(3), 197–210. https://doi.org/10.1097/MRR.0000000000000169
Hashim, N. N., Azizan, A., & Rahman, F. (2022). Exercise Training with Adaptation Activities on Strength and Depression in Elderly with Post-Stroke Dementia: A Case Study. International Journal of Aging Health and Movement, 4(1), 1–9.
Hsieh, H.-C., Liao, R.-D., Yang, T.-H., Leong, C.-P., Tso, H.-H., Wu, J.-Y., & Huang, Y.-C. (2021). The Clinical Effect of Kinesio Taping and Modified Constraint-Induced Movement Therapy on Upper Extremity Function and Spasticity in Patients with Stroke: A Randomized Controlled Pilot Study. European Journal of Physical and Rehabilitation Medicine, 57(4), 511–519. https://doi.org/10.23736/S1973-9087.21.06542-4
Huseyinsinoglu, B. E., Ozdincler, A. R., & Krespi, Y. (2012). Bobath Concept versus Constraint-Induced Movement Therapy to Improve Arm Functional Recovery in Stroke Patients: A Randomized Controlled Trial. Clinical Rehabilitation, 26(8), 705–715. https://doi.org/10.1177/0269215511431903
Khan, M. D., Chaughtai, Z., Qazi, S., Taj, S., Pervaiz, H., Irshad, K., Bukhari, S. M. A., Afraz, S., & Kamran, M. T. (2020). Types and Clinical Presentation of Stroke. International Journal of Research in Medical Sciences, 8(5), 1784. https://doi.org/10.18203/2320-6012.ijrms20201927
Kim, H., Yoo, E.-Y., Jung, M.-Y., Kim, J., Park, J.-H., & Kang, D.-H. (2017). The Effects of Mental Practice Combined with Modified Constraint-Induced Therapy on Corticospinal Excitability, Movement Quality, Function, and Activities of Daily Living in Persons with Stroke. Disability and Rehabilitation, 40(20), 2449–2457. https://doi.org/10.1080/09638288.2017.1337817
Kwakkel, G., Veerbeek, J. M., van Wegen, E. E. H., & Wolf, S. L. (2015). Constraint-Induced Movement Therapy after Stroke. The Lancet Neurology, 14(2), 224–234. https://doi.org/10.1016/S1474-4422(14)70160-7
Menezes-Oliveira, E., da Silva Matuti, G., de Oliveira, C. B., de Freitas, S. F., Kawamura, C. M., Lopes, J. A. F., & Arida, R. M. (2021). Effects of Lower Extremity Constraint-Induced Movement Therapy on Gait and Balance of Chronic Hemiparetic Patients after Stroke: Description of A Study Protocol for A Randomized Controlled Clinical Trial. Trials, 22(1), 1–12. https://doi.org/10.1186/s13063-021-05424-0
Mir, M. A., Al-Baradie, R. S., & Alhussainawi, M. D. (2014). Pathophysiology of Strokes (Issue September). Nova Publishers, Inc.
Pristianto, A., Fahima Primadasa, G., & Murtafiah. (2021). Critical Review: Dampak Kondisi Pandemi Covid-19 Terhadap Kualitas Hidup Stroke Survivor. Indonesian Journal of Physiotherapy Research and Education, 2(2), 15–22. https://journal.aptifi.org/index.php/ijopre/article/view/42
Rahayu, U. B., & Pirdaus, D. (2012). Pengaruh Constraint Induced Movement Therapy terhadap Kemampuan Koordinasi Ekstremitas Atas Pasca Stroke. Jurnal Kesehatan, 5(1), 36–44.
Rocha, L. S. O., Gama, G. C. B., Rocha, R. S. B., Rocha, L. de B., Dias, C. P., Santos, L. L. S., Santos, M. C. de S., Montebelo, M. I. de L., & Teodori, R. M. (2021). Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke. Journal of Stroke and Cerebrovascular Diseases, 30(6), 1–9. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105774
Smania, N., Gandolfi, M., Paolucci, S., Iosa, M., Ianes, P., Recchia, S., Giovanzana, C., Molteni, F., Avesani, R., Di Paolo, P., Zaccala, M., Agostini, M., Tassorelli, C., Fiaschi, A., Primon, D., Ceravolo, M. G., & Farina, S. (2012). Reduced-Intensity Modified Constraint-Induced Movement Therapy versus Conventional Therapy for Upper Extremity Rehabilitation after Stroke: A Multicenter Trial. Neurorehabilitation and Neural Repair, 26(9), 1035–1045. https://doi.org/10.1177/1545968312446003
Stock, R., Thrane, G., Anke, A., Gjone, R., & Askim, T. (2017). Early versus Late-Applied Constraint-Induced Movement Therapy: A Multisite, Randomized Controlled Trial with A 12-Month Follow-Up. Physiotherapy Research International, 23(1). https://doi.org/10.1002/pri.1689
Thrane, G., Askim, T., Stock, R., Indredavik, B., Gjone, R., Erichsen, A., & Anke, A. (2015). Efficacy of Constraint-Induced Movement Therapy in Early Stroke Rehabilitation. Neurorehabilitation and Neural Repair, 29(6), 517–525. https://doi.org/10.1177/1545968314558599
Uswatte, G., Taub, E., Bowman, M. H., Delgado, A., Bryson, C., Morris, D. M., McKay, S., Barman, J., & Mark, V. W. (2018). Rehabilitation of Stroke Patients with Plegic Hands: Randomized Controlled Trial of Expanded Constraint-Induced Movement Therapy. Restorative Neurology and Neuroscience, 36(2), 225–244. https://doi.org/10.3233/RNN-170792
Wang, D., Xiang, J., He, Y., Yuan, M., Dong, L., Ye, Z., & Mao, W. (2022). The Mechanism and Clinical Application of Constraint-Induced Movement Therapy in Stroke Rehabilitation. Frontiers in Behavioral Neuroscience, 16(June), 1–7. https://doi.org/10.3389/fnbeh.2022.828599
Downloads
Submitted
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Fisio Mu : Physiotherapy Evidaces Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with FISIO MU: Phsiotherapy Evidences agree to the following terms:
- Author(s) retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International License that allow others to share the work within an acknowledgement of the work’s authorship and initial publication of this journal.
- Author(s) are able to enter into separate, additional contractual arrangement for the non-exclusive distribution of the the journal’s published version of the work (e.g. acknowledgement of its initial publication in this journal).
- Author(s) are permitted and encouraged to post their work online (e.g. in institutional repositories or on their websites) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published works.
