Neurological Rehabilitation Unit, Department of Physiotherapy, Bayero University Kano, PMB 3011, Gwarzo road, Kano, Nigeria.
Department of Physiotherapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, D.R.312, Wilrijk, 2610, Belgium.
Neurol Sci. 2021 Jul;42(7):2695-2703. doi: 10.1007/s10072-021-05267-2. Epub 2021 Apr 22.
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.
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.
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.
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.
在强制性运动疗法（CIMT）中，需要进行大量的任务练习才能恢复运动功能。这可以通过两种方式实现：当任务练习以小时数来衡量时，或者当计数重复次数时。然而，有人认为，使用小时数来衡量练习并不能清楚地说明练习的剂量。
本研究旨在确定使用任务练习重复次数的 CIMT 方案的可行性和效果。
材料/方法：该研究是在 PROSPERO（CRD42020142140）中注册的系统评价。检索了五个数据库，即 PubMED、CENTRAL、PEDro、OTSeeker 和 Web of Science。如果研究使用任务练习重复次数作为剂量测量指标，包括任何设计的成年人中风研究均可纳入。使用改良的 McMaster 关键审查表评估纳入研究的方法学质量。使用定性综合分析结果。
纳入了 8 项研究（n=205）。研究中的任务重复次数范围为每天 45 至 1280 次。结果表明，使用任务练习重复次数的 CIMT 方案是可行的，并且改善了运动功能、生活质量、功能移动性和痉挛等结局。
可以使用任务练习重复次数作为 CIMT 剂量的衡量标准，而不是现有的使用任务练习小时数的方案。
