Constraint-induced aphasia therapy in post-stroke aphasia rehabilitation: A systematic review and meta-analysis of randomized controlled trials

被引:44
作者
Zhang, Jiaqi [1 ]
Yu, Jiadan [2 ]
Bao, Yong [3 ]
Xie, Qing [4 ]
Xu, Yang [2 ]
Zhang, Junmei [5 ]
Wang, Pu [4 ]
机构
[1] Chinese Univ Hong Kong, Fac Med, Master Sci Neurol Sci, Hong Kong, Hong Kong, Peoples R China
[2] Sichuan Univ, West China Sch Med, Sch Rehabil Sci, Chengdu, Sichuan, Peoples R China
[3] Shanghai Jiao Tong Univ, Ruijin Rehabil Hosp, Shanghai, Peoples R China
[4] Shanghai Jiao Tong Univ, Ruijin Hosp, Dept Rehabil Med, Shanghai, Peoples R China
[5] Wuhan Univ Technol, Dept Phys Educ, Wuhan, Peoples R China
关键词
INDUCED MOVEMENT THERAPY; INDUCED LANGUAGE THERAPY; QUALITY-OF-LIFE; CLINICAL-TRIAL; MIRROR THERAPY; STROKE; RECOVERY; PILOT; REORGANIZATION; INDIVIDUALS;
D O I
10.1371/journal.pone.0183349
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Constraint-induced aphasia therapy (CIAT) has been widely used in post-stroke aphasia rehabilitation. An increasing number of clinical controlled trials have investigated the efficacy of the CIAT for the post-stroke aphasia. Purpose To systematically review the randomized controlled trials (RCTs) concerning the effect of the CIAT in post-stroke patients with aphasia, and to identify the useful components of CIAT in post-stroke aphasia rehabilitation. Methods A computerized database search was performed through five databases (Pubmed, EMbase, Medline, ScienceDirect and Cochrane library). Cochrane handbook domains were used to evaluate the methodological quality of the included RCTs. Results Eight RCTs qualified in the inclusion criteria. Inconsistent results were found in comparing the CIAT with conventional therapies without any component from the CIAT based on the results of three RCTs. Five RCTs showed that the CIAT performed equally well as other intensive aphasia therapies, in terms of improving language performance. One RCT showed that therapies embedded with social interaction were likely to enhance the efficacy of the CIAT. Conclusion CIAT may be useful for improving chronic post-stroke aphasia, however, limited evidence to support its superiority to other aphasia therapies. Massed practice is likely to be a useful component of CIAT, while the role of constraint is needed to be further explored. CIAT embedded with social interaction may gain more benefits.
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页数:15
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