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dc.contributor.authorLiu, K.P.Y.
dc.contributor.authorBalderi, K.
dc.contributor.authorLeung, T.L.F.
dc.contributor.authorYue, A.S.Y.
dc.contributor.authorLam, N.C.W.
dc.contributor.authorCheung, J.T.Y.
dc.contributor.authorFong, S.S.M.
dc.contributor.authorSum, C.M.W.
dc.contributor.authorBissett, Michelle
dc.contributor.authorRye, r
dc.contributor.authorMok, V.C.T.
dc.date.accessioned2019-03-06T04:52:14Z
dc.date.available2019-03-06T04:52:14Z
dc.date.issued2016
dc.identifier.issn1468-1331
dc.identifier.doi10.1111/ene.13037
dc.identifier.urihttp://hdl.handle.net/10072/142398
dc.description.abstractBackground and purpose: Emerging research suggests the use of self‐regulation (SR) for improving functional regain in patients post stroke. SR is proposed to produce an added effect to effective modified constraint‐induced movement therapy (mCIMT). This study aimed to examine the effect of a self‐regulated mCIMT programme (SR‐mCIMT) for functional regain in patients with sub‐acute stroke. Methods: Eighty‐six patients completed the trial: SR‐mCIMT, n = 29; mCIMT, n = 31; or conventional functional rehabilitation, n = 26. All interventions were 2‐week therapist‐guided training. Outcome measurements, taken by a blinded assessor, examined arm function [Action Research Arm Test (ARAT), Fugl‐Meyer Assessment (FMA)], daily task performance [Lawton Instrumental Activities of Daily Living Scale (Lawton IADL)] and self‐perceived arm use in functional tasks [Motor Activity Log (MAL)]. Results: Significant differences were found with the SR‐mCIMT outperforming the other groups after the intervention (ARAT, P = 0.006; FMA, Lawton IADL and MAL, all Ps < 0.001). In terms of the carry‐over effect, the SR‐mCIMT group outperformed in the hand and coordination subscales of ARAT and FMA (P = 0.012–0.013) and the self‐perceived quality of arm use (P = 0.002). Conclusion: A combination of SR and mCIMT could produce an added effect in functional regain in patients post stroke.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofpagefrom1351
dc.relation.ispartofpageto1360
dc.relation.ispartofissue8
dc.relation.ispartofjournalEuropean Journal of Neurology
dc.relation.ispartofvolume23
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNeurosciences
dc.subject.fieldofresearchNeurosciences not elsewhere classified
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3209
dc.subject.fieldofresearchcode320999
dc.titleA randomized controlled trial of self-regulated modified constraint-induced movement therapy in sub-acute stroke patients
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorBissett, Michelle N.


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