{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T05:31:28Z","timestamp":1740979888050,"version":"3.38.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T00:00:00Z","timestamp":1191196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:p> Objective: To evaluate the effect of a constraint mitten, worn on the unaffected upper limb, on the arm and hand function of participants with hemiplegia. To estimate the sample size for a future trial. <\/jats:p><jats:p> Design: An A-B-A design. <\/jats:p><jats:p> Setting: Inpatient, outpatient and domiciliary setting. <\/jats:p><jats:p> Subjects Ten participants with mild to moderate residual upper limb hemiparesis, between 1 and 12 months post stroke. <\/jats:p><jats:p> Intervention: Following a two-week baseline period, 10 participants were advised to wear the constraint mitten on the unaffected upper limb for 9 waking hours\/day for two weeks to encourage use of the hemiplegic arm. Existing levels of therapy continued during the whole study. <\/jats:p><jats:p> Main measures: The primary outcome measure was the Action Research Arm Test. At the end of the intervention phase participants completed a questionnaire. Participants also recorded their daily use of the constraint mitten during the intervention phase. <\/jats:p><jats:p> Results: A mean improvement in the Action Research Arm Test score of 4.0 points (95% confidence interval 1.7 to 6.2; P=00.016) was found during the intervention phase after correcting for background recovery. Mean compliance was 6.7 hours\/day (74%), 90% of participants were positive about the intervention and would recommend the treatment to other stroke survivors, although 50% were relieved to stop the mitten-wearing phase. <\/jats:p><jats:p> Conclusions: The use of a constraint mitten in upper limb stroke rehabilitation may be a useful adjunct to enhance functional recovery with minimal additional resources. The positive findings from this preliminary study warrant a larger randomized controlled trial of 200 participants in total. <\/jats:p>","DOI":"10.1177\/0269215507079144","type":"journal-article","created":{"date-parts":[[2007,11,2]],"date-time":"2007-11-02T08:18:16Z","timestamp":1193991496000},"page":"895-904","source":"Crossref","is-referenced-by-count":8,"title":["Does the use of a constraint mitten to encourage use of the hemiplegic upper limb improve arm function in adults with subacute stroke?"],"prefix":"10.1177","volume":"21","author":[{"given":"Alison","family":"Burns","sequence":"first","affiliation":[{"name":"Surrey Primary Care Trust, Department of Physiotherapy, Farnham Hospital, Farnham, Surrey,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Burridge","sequence":"additional","affiliation":[{"name":"School of Health Professions and Rehabilitation Sciences, University of Southampton, Southampton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Pickering","sequence":"additional","affiliation":[{"name":"Pickering School of Medicine, University of Southampton and Ruth Turk School of Health Professions and Rehabilitation Sciences, University of Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1007\/s004150170207"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.11.2369"},{"key":"atypb3","first-page":"347","volume":"74","author":"Taub E.","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/79.9.847"},{"key":"atypb5","first-page":"237","volume":"36","author":"Taub E.","year":"1999","journal-title":"J Rehabil Res Dev"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.17.2095"},{"key":"atypb7","first-page":"583","volume":"38","author":"Page SJ","year":"2001","journal-title":"J Rehabil Res Dev"},{"key":"atypb8","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/S0003-9993(03)00481-7","volume":"85","author":"Page SJ","year":"2004","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(05)70003-9"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.28.8.1550"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1191\/0269215504cr711oa"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1097\/00019052-200112000-00010"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.52.6.447"},{"volume-title":"Motor control and learning a behavioural emphasis. 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