Modified Constraint-Induced Movement Therapy with Trunk Restraint for Upper Extremity Functional Motor Recovery, Balance and Health-Related Quality of Life in Chronic Stroke: A Single-Blinded Randomized Controlled Clinical Trial.

This article focuses on evaluating the effectiveness of Patient Tailored-Modified Constraint Induced Movement Therapy (mCIMT) combined with Trunk Restraint (TR) alongside Conventional Physical Therapy (CPT) in improving upper extremity motor function, balance, and health-related quality of life (HR-QOL) in chronic stroke survivors. In a randomized controlled trial involving 34 chronic hemiplegic patients, both the experimental group (mCIMT + TR + CPT) and control group (CPT alone) showed significant improvements in motor ability and balance, but the experimental group demonstrated significantly greater gains in HR-QOL. The study concludes that incorporating mCIMT with TR into rehabilitation programs is feasible, well-tolerated, and offers additional benefits over CPT alone for chronic stroke patients with mild to moderate impairments. Future research is recommended to explore broader applications of mCIMT, including its effects on trunk and lower extremities, and to include long-term follow-up assessments.