Abstract
A single-group pre- and post-test design was used to evaluate functional outcomes of a constraint-induced movement therapy (CIMT) protocol implemented in an outpatient therapy center. The participants were 29 children with hemiplegia, ages 1.619.1 years old. The less-involved upper limb was placed in a cast that was worn 24 hr a day, 7 days a week. Individual therapy sessions took place 5 days/week. Children received 3 or 6 hr therapy sessions for 1619 days followed by 25 days in which bimanual tasks were performed. Outcomes were assessed at baseline and following CIMT. Statistically significant gains were made on the Melbourne Assessment of Unilateral Upper Limb Function, Quality of Upper Extremity Skills Test (except the Protective Extension subtest), Assisting Hand Assessment, and the Canadian Occupational Performance Measure. The effect sizes varied from 0.46 to 0.70 indicating a moderate effect size. The results support the effectiveness of CIMT provided through a center-based program.
Original language | English (US) |
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Pages (from-to) | 355-367 |
Number of pages | 13 |
Journal | Physical and Occupational Therapy in Pediatrics |
Volume | 32 |
Issue number | 4 |
DOIs | |
State | Published - Nov 2012 |
Keywords
- Cerebral palsy
- Constraint-induced movement therapy
- Hemiplegia
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
- Occupational Therapy