Constraint-Induced Movement Therapy in Infants and Toddlers With Unilateral Cerebral Palsy: A Scoping Review

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510239p1
Author(s):  
Casey Walker ◽  
Heather Roberts ◽  
Angela Shierk
Keyword(s):  
Cerebral Palsy ◽  
Scoping Review ◽  
Movement Therapy ◽  
Infants And Toddlers ◽  
Constraint Induced Movement Therapy ◽  
Unilateral Cerebral Palsy

Effects of Modified Constraint-Induced Movement Therapy in Real-World Arm Use in Young Children with Unilateral Cerebral Palsy: A Single-Blind Randomized Trial

2020 ◽  
Vol 51 (04) ◽  
pp. 259-266
Author(s):  
Young Sub Hwang ◽  
Jeong-Yi Kwon
Keyword(s):  
Cerebral Palsy ◽  
Real World ◽  
Vigorous Physical Activity ◽  
Movement Therapy ◽  
Control Group ◽  
Infants And Toddlers ◽  
The Real ◽  
Constraint Induced Movement Therapy ◽  
Unilateral Cerebral Palsy ◽  
Single Blind

Abstract Objective To determine whether modified constraint-induced movement therapy (mCIMT) with continuous restraint is feasible and effective in improving the use of the paretic arm in the real world among infants and toddlers with unilateral cerebral palsy (CP). Design Single-blind randomized controlled trial. Setting Tertiary hospital. Participants Children aged 7 to 36 months with unilateral CP (N = 24; 16 boys, 8 girls). Intervention The experimental group received 2-hour clinic-based mCIMT sessions (5 days per week for 3 weeks), and a continuous restraint was applied. Main Outcome Measures Standardized assessments were conducted. Peabody Developmental Motor Scales-2 (PDMS-2), Gross Motor Function Measure-66, Pediatric Motor Activity Log (PMAL), and Pediatric Evaluation of Disability Inventory were measured pre- and postintervention. Children who agreed to participate in the accelerometer study additionally wore accelerometers on both their wrists for 3 days before and after the intervention. Results The mCIMT group exhibited greater improvement in PMAL-how often (p = 0.048; ηp2 = 0.173), PMAL-how well (p = 0.008; ηp2 = 0.289), and PDMS-2 visual motor integration (p = 0.014; ηp2 = 0.256) posttreatment than the control group. The percentage of time in moderate-to-vigorous physical activity (z = –2.24; p = 0.03) and vector magnitude average counts (z = –2.52; p = 0.01) significantly increased in children in who wore accelerometers (N = 8) after the 3-week mCIMT protocol. Conclusion mCIMT with continuous restraint applied to infants and toddlers with unilateral CP appeared to have a positive effect on paretic hand use in the real world. Clinical Trial Registration Number NCT03418519

Occupational therapy home programmes for children with unilateral cerebral palsy using bimanual and modified constraint induced movement therapies: A critical review

2016 ◽  
Vol 80 (6) ◽  
pp. 337-349 ◽  
Author(s):  
Yvonne Milton ◽  
Sarah Roe
Keyword(s):  
Cerebral Palsy ◽  
Occupational Therapy ◽  
Home Environment ◽  
Critical Review ◽  
Movement Therapy ◽  
Constraint Induced Movement Therapy ◽  
Home Context ◽  
Intervention Context ◽  
Unilateral Cerebral Palsy ◽  
Model Of Practice

Introduction The home context is considered a good location for children with cerebral palsy to practise meaningful occupations. The aim of this critical review was to gain a deeper understanding of how bimanual therapy and modified constraint induced movement therapy or constraint induced movement therapy methods are used within occupational therapy home programmes from an occupational perspective. Method A literature search was conducted using electronic databases for health research; five studies met the inclusion criteria. These were critically appraised and were analysed according to the relevant supports and barriers of the person–environment–occupation conceptual model of practice. Findings Family collaboration, strategic use of outcome measures, construction of the programme within the home environment and occupation-focused goals and activities emerged as commonly used methods. Enhanced descriptions of intervention context, the child’s voice in defining goals and challenges in optimising occupational balance surfaced as gaps in the programmes. Conclusion The methods used in implementing these approaches within occupational therapy home programmes requires combining motor and non-motor approaches, core occupational therapy skills, working within individual contexts and valuing family preferences. Using child-specific goal-setting instruments would strengthen the child’s voice and promote participation within a wider range of occupations.

Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy: a systematic review

2017 ◽  
Vol 31 (11) ◽  
pp. 1445-1456 ◽  
Author(s):  
MH Tervahauta ◽  
GL Girolami ◽  
GK Øberg
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Meta Analysis ◽  
Movement Therapy ◽  
Effect Sizes ◽  
System Level ◽  
Cochrane Library ◽  
Intensive Training ◽  
Constraint Induced Movement Therapy ◽  
Unilateral Cerebral Palsy

Objective: To systematically review the evidence on the effect of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy. Data sources: Seven electronic databases (Cinahl, Cochrane Library, EMBASE, Ovid MEDLINE, PEDro, PsycINFO, PubMed) were searched from database inception through December 2016. Methods: A systematic review was performed using the American Academy of Cerebral Palsy and Developmental Medicine and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Standardised mean differences (effect sizes) were calculated for each study and outcome. Results: Nine studies met the eligibility criteria. All studies provided level II evidence. Methodological quality was high in two studies, moderate in four studies and low in three studies. The methodology, participant and intervention characteristics were heterogeneous. The participants’ ages ranged from 1.5 to 16 years. Their initial hand function ranged from Manual Ability Classification System Level I to Level III. The total intervention dose ranged from 24 to 210 hours and duration from one week to ten weeks. The studies measured outcomes assessing unimanual and bimanual hand and arm function, participation and attainment of individualised goals. Overall, the effect sizes did not favour one of the interventions at short- or long-term follow-up. The 95% confidence intervals were broad, indicating inaccurate precision of the effect sizes. Pooling of the data for a meta-analysis was judged to be of little clinical value owing to heterogeneity. Conclusion: It is not possible to conclude whether constraint-induced movement therapy or bimanual intensive training is more effective than the other in children with unilateral cerebral palsy.

scholarly journals Guidelines for future research in constraint-induced movement therapy for children with unilateral cerebral palsy: an expert consensus

2013 ◽  
Vol 56 (2) ◽  
pp. 125-137 ◽  
Author(s):  
Ann Christin Eliasson ◽  
Lena Krumlinde-Sundholm ◽  
Andrew M Gordon ◽  
Hilde Feys ◽  
Katrijn Klingels ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Movement Therapy ◽  
Expert Consensus ◽  
Future Research ◽  
Constraint Induced Movement Therapy ◽  
Unilateral Cerebral Palsy
Sign in / Sign up

Export Citation Format

Share Document