Efficacy of Constraint-Induced Movement Therapy and Bimanual Training in Children with Hemiplegic Cerebral Palsy in an Educational Setting. (1st February 2015)

• Record Type: Journal Article
• Authors: Gelkop, Nava; Burshtein, Dikla Gol; Lahav, Anat; Brezner, Amichi; AL-Oraibi, Saleh; Ferre, Claudio L.; Gordon, Andrew M.
• Is Part Of: Physical & occupational therapy in pediatrics. Volume 35:Number 1(2015)
• Page Start: 24
• Page End: 39
• Publication Date: 2015-02-01
• Subjects: Physical therapy for children -- Periodicals; Occupational therapy for children -- Periodicals; Child development deviations -- Periodicals; 615.82083
• DOI: 10.3109/01942638.2014.925027
• Languages: English
• ISSNs: 0194-2638

Abstract

<abstract> <title>ABSTRACT</title> <p>We examined the efficacy of modified constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive therapy (HABIT) in a special education preschool/kindergarten in Israel. Twelve children (1.5–7 years) with congenital hemiplegic cerebral palsy were randomized to receive modified CIMT (<italic>n</italic> = 6) or HABIT (<italic>n</italic> = 6). Occupational and physical therapists administered usual and customary care for 8 weeks; children then crossed over to receive CIMT or HABIT 2 hr/day, 6 days/week for 8 weeks from their occupational therapist. The Assisting Hand Assessment and Quality of Upper Extremity Skills Test were administered 2 months prior to the intervention, immediately before, immediately after intervention, and 6 months after the first baseline assessment. Both groups demonstrated no change during baseline and comparable improvement following CIMT and HABIT (<italic>p</italic> &lt; .001), which was maintained at 6-month follow-up. Results suggest that modified CIMT and HABIT provided in school-based settings can lead to improvements in quality of bimanual skill and movement patterns.</p> </abstract>