| Objective:To explore the influence of constraint-induced movement therapy (CIMT) on motor function and insulin resistance of stroke patients with normal fasting glucose.Methods:Thirty hospitalized patients with stroke were randomly divided into CIMT group and control group (n=15 each).Patients in two groups received routine rehabilitation therapies including the treadmill exercise training,walking,walking up and down the stairs,motor relearning therapy.In CIMT group,uninvolved extremities wore modified knee splint on no less than 90% sober time daily.Two groups of patients were assessed respectively to lower extremity motor function,ability of activities of daily living,and balance function using Fugl Meyer motor function scale,activities of daily living (ADL),and Berg balance scale respectively.Meanwhile HOMA IR value changes in two groups of patients before and after treatment were assessed.Results:There was no significant difference in HOMA IR values before and after treatment in two groups.After treatment,the FMA,BBS and BI scores were significantly increased (P<0.05) as compared with those before treatment,and those in CIMT group were significantly higher than in control group (P<0.01).Conclusion:CIMT is effective in improving lower limb motor function,ability of activities of daily living and balance ability in stroke patients,but had no positive effects on insulin resistance in stroke patients with normal fasting glucose level. |
