Evidence map›Paper›PMID 39360525›Full record

ArticleJournal of rehabilitation medicine2024

Positive effects of lower extremity constraint-induced movement therapy on balance, leg strength and dual-task ability in stroke patients: a longitudinal cohort study.

Annika Sefastsson, Ingela Marklund, Håkan Littbrand, Per Wester, Britt-Marie Stålnacke, Ann Sörlin, Birgitta Langhammer, Per Liv, Xiaolei Hu

Abstract read
In one paragraph

Article in Journal of rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Annika SefastssonDepartment of Community Medicine and Rehabilitation, Rehabilitation medicine, Umeå University, Umeå, Sweden; Liljeholmskliniken, Stockholm, Sweden.
Ingela MarklundDepartment of Community Medicine and Rehabilitation, Rehabilitation medicine, Umeå University, Umeå, Sweden; Centre for Clinical Research and Education, Region Värmland, Karlstad; Sweden.
Håkan LittbrandDepartment of Community and Rehabilitation Medicine, Geriatric Medicine, Umeå University, Umeå, Sweden.
Per WesterDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Department of Clinical Science, Karolinska Institute Danderyds Hospital, Stockholm, Sweden.
Britt-Marie StålnackeDepartment of Community Medicine and Rehabilitation, Rehabilitation medicine, Umeå University, Umeå, Sweden.
Ann SörlinDepartment of Community Medicine and Rehabilitation, Rehabilitation medicine, Umeå University, Umeå, Sweden.
Birgitta LanghammerFaculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Per LivDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Xiaolei HuDepartment of Community Medicine and Rehabilitation, Rehabilitation medicine, Umeå University, Umeå, Sweden. xiaolei.hu@umu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether high-intensity lower extremity constraint-induced movement therapy can improve balance, leg strength, and dual-task ability.

designA longitudinal cohort study in a real-world outpatient clinic. PATIENTS: 147 community-dwelling participants in the subacute and chronic poststroke phases.

methodsParticipants received lower extremity constraint-induced movement therapy for 6 hours/day during 2 consecutive weeks, including balance, strength, and functional training. The Berg Balance Scale (BBS), Single-Leg-Stance (SLS) bilaterally, one Repetition Maximum (1RM) in a leg press, symmetry of leg strength (Diff-1RM), Timed Up and Go (TUG), and the TUG Manual test were assessed before, after, and 3 months after lower extremity constraint-induced movement therapy.

resultsCompared with preintervention data, statistically significant improvements after lower extremity constraint-induced movement therapy (p < 0.001) were demonstrated for balance with an absolute value in BBS at 1.9 points (effect size 0.38) and SLS at 2.4 s (effect size 0.24), and for leg strength at 10.2 kg (effect size 0.54) for the affected leg. Diff 1RM decreased significantly at 5.8 kg (effect size 0.39) and improvements on dual-task ability at 2.7 s were significant (effect size 0.14). The effects persisted at the 3-month follow-up.

conclusionsHigh-intensity lower extremity constraint-induced movement therapy may be a feasible treatment option for middle-aged stroke patients to affect balance, leg strength, and dual-task ability positively in an out-patient clinical setting.

Indexed as

Lower ExtremityMuscle StrengthPostural BalanceStroke RehabilitationAgedCohort StudiesExercise TherapyFemaleHumansLegLongitudinal StudiesMaleMiddle AgedStroke

Identifiers

PMID39360525
PMCPMC11462090

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.