Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Supervised V/s Unsupervised Constraint Induced Movement Therapy in Improving Upper Extremity Function in Spastic Hemiparetic Cerebral Palsy Children


Affiliations
1 Banarsidas Chandiwala Institute of Physiotherapy, New Delhi, India
2 ISIC, Institute of Rehab Sciences, NewDelhi, India
     

   Subscribe/Renew Journal


Objective: Constraint Induced Movement Therapy has been found to be a promising treatment for substantially improving the use of extremities affected by neurologic injuries such as stroke and traumatic brain injury in adults. The purpose of this study was to determine the applicability of a child friendly form of CI Therapy on young children with cerebral palsy.

Method: Thirty Children with hemiplegic Cerebral Palsy age 4-8 years received CI Therapy and completed evaluations. They were randomized to either Group A or Group B. In both the groups children wore mitt as restraint on their non-involved upper extremity and the involved upper extremity was engaged into play & functional activities for six hours per day for ten week days. In Group A all the activities done by children were under the supervision of therapist where as Group B was more of home based program although activities were therapist guided. Changes in upper extremity function were evaluated with Quality of Upper Extremity Skills Test. The evaluations took place at the onset of intervention and after completing two weeks of intervention.

Results: Children in both the groups demonstrated significant improved functional efficiency of their involved upper extremity (p

Conclusion: Results suggest that the CI Therapy can improve motoric function among children with hemiparesis and that this efficacy is more in a therapist supervised CIMT program.


Keywords

Cerebral Palsy, Constraint Induced Movement Therapy, Restraint, Hemiparesis
Subscription Login to verify subscription
User
Notifications
Font Size


  • Andrew M Gordon: Development of hand arm bimanual intensive training (HABIT) for improving bimanual coordination in children with hemiplegic cerebral palsy. Dev Med and Child Neurol 48:931-936, 2006.
  • Elizabeth A. Noser: Constraint induced movement therapy. Stroke 35:2699-2701, 2004.
  • Gordon et al: Methods of Constraint induced movement therapy for children with hemiplegic cerebral palsy: Development of a child-friendly Intervention for improving upper extremity function. Arch Phys Med Rehabil 86:837-844, 2005.
  • CE Naylor: Modified Constraint Induced Movement Therapy for young children with hemiplegic cerebral palsy: a pilot study. Dev Med. and Child Neurol 47:365-369, 2005.
  • De Luca et al: Pediatric constraint induced movement therapy for a young child with cerebral palsy: Two episodes of care. Phys ther 83:1003-1013, 2003.
  • Charles et al: A critical review of constraint induced movement therapy and forced-use in children with hemiplegia. Neural plasticity 12:245-261, 2005.
  • Charles et al: Efficacy of a child friendly form of Constraint- Induced Movement Therapy in hemiplegic cerebral palsy: a randomized control trial. Dev Med and Child Neurol 48:635-642, 2006.
  • Eliasson et al: Effects Constraint- Induced Movement Therapy in young children with hemiplegic Cerebral Palsy: an adapted model. Dev Med and Child Neurol 47:266-275, 2005.
  • Andrew M et al: Efficacy of Constraint induced movement therapy on involved upper extremity use in children with hemiplegic cerebral palsy is not age dependent. Pediatrics 117:363-373, 2006.
  • E. Taub et al: Efficacy of Constraint induced movement therapy for children with cerebral palsy with asymmetric motor impairment. Pediatrics 113:305-312, 2004.
  • Lavinder et al: Effects of constraint induced therapy on hand-function in children with hemiplegic cerebral palsy: Ped Phys Ther 13:68- 76, 2001.
  • Kelly et al: Case report: a modified constraint induced movement therapy program for upper extremity of person with chronic stroke. Phys Ther and Prac 21:243-256, 2005.
  • Pierce et al: Constraint induced therapy for a child with hemiplegic cerebral palsy: A case report. Arch Phys Med Rehabil 83, 1462-1463, 2002.

Abstract Views: 190

PDF Views: 0




  • Supervised V/s Unsupervised Constraint Induced Movement Therapy in Improving Upper Extremity Function in Spastic Hemiparetic Cerebral Palsy Children

Abstract Views: 190  |  PDF Views: 0

Authors

Charu Chopra
Banarsidas Chandiwala Institute of Physiotherapy, New Delhi, India
Jaskirat Kaur
ISIC, Institute of Rehab Sciences, NewDelhi, India

Abstract


Objective: Constraint Induced Movement Therapy has been found to be a promising treatment for substantially improving the use of extremities affected by neurologic injuries such as stroke and traumatic brain injury in adults. The purpose of this study was to determine the applicability of a child friendly form of CI Therapy on young children with cerebral palsy.

Method: Thirty Children with hemiplegic Cerebral Palsy age 4-8 years received CI Therapy and completed evaluations. They were randomized to either Group A or Group B. In both the groups children wore mitt as restraint on their non-involved upper extremity and the involved upper extremity was engaged into play & functional activities for six hours per day for ten week days. In Group A all the activities done by children were under the supervision of therapist where as Group B was more of home based program although activities were therapist guided. Changes in upper extremity function were evaluated with Quality of Upper Extremity Skills Test. The evaluations took place at the onset of intervention and after completing two weeks of intervention.

Results: Children in both the groups demonstrated significant improved functional efficiency of their involved upper extremity (p

Conclusion: Results suggest that the CI Therapy can improve motoric function among children with hemiparesis and that this efficacy is more in a therapist supervised CIMT program.


Keywords


Cerebral Palsy, Constraint Induced Movement Therapy, Restraint, Hemiparesis

References