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Constraint-induced movement therapy protocols using the number of repetitions of task practice: a systematic review of feasibility and effects

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Abstract

Background

High repetitions of task practice is required for the recovery of the motor function during constraint-induced movement therapy (CIMT). This can be achieved into ways: when the task practice is measured in hours of practice or when the number of repetitions is counted. However, it has been argued that using hours of task practice as a measure of practice does not provide a clear instruction on the dose of practice.

Aim

The aim of this study is to determine the feasibility and effects of the CIMT protocol that uses the number of repetitions of task practice.

Materials/method

The study was a systematic review registered in PROSPERO (CRD42020142140). Five databases, PubMED, CENTRAL, PEDro, OTSeeker and Web of Science, were searched. Studies of any designs in adults with stroke were included if they used the number of repetitions of task practice as a measure of dose. The methodological quality of the included studies was assessed using Modified McMaster critical review form. The results were analysed using qualitative synthesis.

Results

Eight studies (n = 205) were included in the study. The number of task repetitions in the studies ranges between 45 and 1280 per day. The results showed that CIMT protocol using the number of repetitions of task practice was feasible and improved outcomes such as motor function, quality of life, functional mobility and spasticity.

Conclusion

The number of repetitions of task practice as a measure of CIMT dose can be used in place of the existing protocol that uses the number of hours of task practice.

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Acknowledgement

The authors would like to thank the authors of the studies included in the review for giving us further information that where necessary in this paper.

Author information

Authors and Affiliations

  1. Neurological Rehabilitation Unit, Department of Physiotherapy, Bayero University Kano, PMB 3011, Gwarzo road, Kano, Nigeria

    Auwal Abdullahi

  2. Department of Physiotherapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, D.R.312, Wilrijk, 2610, Belgium

    Auwal Abdullahi, Steven Truijen & Wim Saeys

  3. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ordu University, 52100, Ordu, Turkey

    Sevim Acaroz Candan

  4. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Mehmet Akif University, Burdur, Turkey

    Melda Soysal Tomruk

  5. Medical Rehabilitation Therapists (Reg.) Board of Nigeria, Kano Zonal Office, Kano, Nigeria

    Abdulsalam Mohammed Yakasai

Authors
  1. Auwal Abdullahi
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  2. Sevim Acaroz Candan
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  3. Melda Soysal Tomruk
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  4. Abdulsalam Mohammed Yakasai
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  5. Steven Truijen
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  6. Wim Saeys
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Auwal Abdullahi, Melda Soysal Tomruk, Steven Truijen and Wim Saeys. The first draft of the manuscript was written by Auwal Abdullahi, and all authors commented on the previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Auwal Abdullahi.

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Appendix

Appendix

PubMed search strategy

  1. (1)

    Cerebrovascular disorders

  2. (2)

    Stroke

  3. (3)

    Cerebrovascular accident

  4. (4)

    Cerebrovascular disease

  5. (5)

    Hemiplegia

  6. (6)

    Hemiparesis

  7. (7)

    1 OR 2 OR 3 OR 4 OR 5 OR 6

  8. (8)

    Forced use

  9. (9)

    Constraint induced movement therapy

  10. (10)

    Constraint induced movement therapy

  11. (11)

    Tasks practice

  12. (12)

    Shaping practice

  13. (13)

    Motor rehabilitation

  14. (14)

    8 OR 9 OR 10 OR 11 OR 12 OR 13

  15. (15)

    7 and 14

  16. (16)

    Motor Function

  17. (17)

    Motor impairment

  18. (18)

    Real world arm use

  19. (19)

    Quality of movement

  20. (20)

    Quantity of movement

  21. (21)

    16 OR 17 OR 18 OR 19 OR 20

  22. (22)

    15 AND 21

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Abdullahi, A., Candan, S.A., Soysal Tomruk, M. et al. Constraint-induced movement therapy protocols using the number of repetitions of task practice: a systematic review of feasibility and effects. Neurol Sci 42, 2695–2703 (2021). https://doi.org/10.1007/s10072-021-05267-2

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