Publication Date

2009

Clinical Question

What is the evidence that incorporating components of Constraint Induced Therapy into traditional neurorehabilitation therapy settings leads to better functional outcomes than usual treatment for clients with CVA-induced upper extremity hemiparesis?

Clinical Bottom Line

Although this search was not exhaustive and therefore conclusions are equivocal, the current evidence suggests that task-oriented, intensive (at least 2 hours/day) therapy is more effective than usual treatment in improving arm function in clients with hemiparesis due to subacute stroke, and that use of restraint of the unaffected limb does not lead to clinically significant improvement.

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