Progress in the application of constraint-induced movement therapy for motor function recovery across different phases of stroke

Zhang Beibei; Feng Xiaodong; Zhang Ming; Ren Binbin; Ma Hecai; Gou Jiabin; Ren Yafeng

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Progress in the application of constraint-induced movement therapy for motor function recovery across different phases of stroke

更新时间：2026-10-27

- Progress in the application of constraint-induced movement therapy for motor function recovery across different phases of stroke
- Journal of Chongqing Medical University Pages: 1-6(2026)
- 作者机构：
  
  河南中医药大学第一附属医院康复中心/河南中医药大学康复医学院，郑州 450000
- 作者简介：
- 基金信息：
- DOI：
  CLC： R493
- Received：04 July 2026，
  
  Revised：2026-09-24，
  
  Accepted：10 October 2026，
  
  Published：27 October 2026
- 稿件说明：
移动端阅览
Zhang Beibei,Feng Xiaodong,Zhang Ming,et al.Progress in the application of constraint-induced movement therapy for motor function recovery across different phases of stroke[J].Journal of Chongqing Medical University,
DOI：

Zhang Beibei,Feng Xiaodong,Zhang Ming,et al.Progress in the application of constraint-induced movement therapy for motor function recovery across different phases of stroke[J].Journal of Chongqing Medical University, DOI：10.13406/j.cnki.cyxb..

摘要

脑卒中后运动功能障碍是常见的后遗症，严重影响患者的活动能力及生活质量。常规康复疗法多通过重复训练改善运动功能缺损，但患者常过度依赖健侧肢体，导致恢复效果不佳。而强制性运动疗法（constraint-induced movement therapy，CIMT）是一种基于神经可塑性的康复技术，通过限制健侧肢体，促使患者反复使用患侧肢体，克服“习得性废用”，可作为改善运动功能的有效手段。由于脑卒中不同分期的病理机制具有显著差异，CIMT在各期的治疗策略和干预效果亦有所区别。现有证据表明，CIMT可增强患者脑组织结构及功能可塑性，进而改善运动功能，但目前仍面临核心参数缺乏统一标准、有效证据尚不充分等问题。本文叙述性综述了CIMT分别在脑卒中患者急性期、亚急性期及慢性期运动功能恢复中的应用，重点梳理了其作用机制、干预参数、各个分期的干预效果。

Abstract

Motor dysfunction following stroke is a common sequela that significantly impairs the mobility and quality of life of patients. Conventional rehabilitation therapies primarily address motor deficits through repetitive training. However，patients often rely excessively on the unaffected limb，which may lead to suboptimal recovery. Constraint-induced movement therapy（CIMT） is a rehabilitation technique based on neuroplasticity that restricts use of the unaffected limb and promotes repeated use of the affected limb，thereby overcoming “learned nonuse” and serving as an effective approach for motor function improvement. Because the pathophysiological mechanisms differ considerably across the various phases of stroke，the therapeutic strategies and intervention outcomes of CIMT also vary by phase. Existing evidence suggests that CIMT can improve the structural and functional plasticity of the brain tissue，thereby improving motor function. However，CIMT still faces challenges such as the lack of unified standards for core parameters and insufficient evidence regarding its efficacy. This article provides a narrative review of the application of CIMT in the recovery of motor function in patients with stroke during the acute，subacute，and chronic phases，with a focus on its mechanisms of action，intervention parameters，and efficacy at each phase.

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references

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