Abstract No: 431 Comparative Efficacy of M-CIMT Using Different Constraint Techniques for Enhancing Lower Limb Function in Patients with Stroke- A Randomised Clinical Trial
Year: 2025
Type: conference-abstract
Abstract: Purpose: Stroke causes persistent disability and decreased quality of life, with 80% of survivors developing abnormal mobility. Modified constraint-induced movement therapy (m-CIMT) is a potentially cost-effective approach for enhancing lower limb function by inducing neuroplasticity. This study reviews the efficacy of two different modes of restraint devices, offering insights into improving mobility and independence in stroke patients. Relevance: This study offers physical therapists an evidence-based strategy for enhancing gait and mobility in stroke patients, which can encourage functional independence and improved quality of life. Methods: The study compared the effectiveness of m-CIMT in two groups over five days per week for two weeks: Group A wore a weight cuff (5% of body weight) on their unaffected ankle during exercises, while Group B used a full-leg orthosis. Gait quality, balance, and quality of life were measured using the Dynamic Gait Index, Berg Balance Scale, and Stroke-Specific Quality of Life scale. Analysis: A paired T-test was used within groups and an independent sample t-test was used to compare between groups. The probability of error was accepted at P<0.05. SPSS 26.0 was used for analysis. Result: Within group statistical data analysis showed significant (p<0.05) improvement in all the variables indicated by a large effect size. Between groups analysis showed no significant differences exist across the groups (p-values >.05), suggesting similar treatment effects for both groups. Conclusion: In stroke patients, both m-CIMT techniques markedly improved gait, balance, and quality of life. The fact that there were no statistically significant differences between the groups suggests that both approaches are useful for improving lower limb function and encouraging independence throughout rehabilitation. Implication: m-CIMT encourages patient recovery and provides therapists with a flexible choice of restraint devices and evidence-based rehabilitation alternatives.
Authors: Suparnamoom Banerjee, Anwesh Pradhan, Shilpasree Saha
Language: English
Subfield: Rehabilitation
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412040721