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IJPR.2017.149

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Type of Article:  Original Research

Volume 5; Issue 3 (June 2017)

Page No.: 2095-2100

DOI: https://dx.doi.org/10.16965/ijpr.2017.149

CONSTRAINT INDUCED MOVEMENT THERAPY AND REAL-WORLD ARM USE IN CHILDREN WITH HEMIPARESIS

Asmaa Osama Sayed *1, Hebatallah Mohamed Kamal 1, Nagham Mohamed Kamal Khalil 2.

1 Department of Physical Therapy for Growth and Developmental Disorders in Children and It’s Surgery, Faculty of Physical Therapy, Cairo University, Egypt.

2 Physical therapy department at El-Raml Children Hospital,Master degree in physical therapy, Cairo University, Egypt.

Address for Correspondence: Dr. Asmaa Osama Sayed, Lecturer, Department of Physical Therapy for Growth and Developmental Disorders in Children and It’s Surgery, Faculty of Physical Therapy, Cairo University, Egypt. E-Mail:  drasmaaosama@yahoo.com

ABSTRACT

Introduction: Constraint Induced Movement therapy is a rehabilitative technique used in physical rehabilitation that restrains the sound arm to improve the functional ability of the affected upper extremity.  This study was conducted to explain the effect of constraint induced movement therapy on functional use of spastic arm in hemiparetic cerebral palsied children.

Materials and Methods: The study was conducted on thirty children with spastic hemiparesis of both sexes (seventeen boys and thirteen girls); there age ranged between 2 to 6 years old. They were classified randomly into two equal groups (A & B). Group (A): received co­nstraint induced movement therapy in addition to selected occupational therapy for 3 months, every day with session duration two hours. Group (B): received only traditional occupational therapy, session duration two hours. Assessment of real-world arm movement (reaching and grasping) was done by pediatric motor activity log-revised (PMAL-R) before and after 3 months of treatment.

Results: Study revealed statistically significant improvement in real-world arm movement in favor to group (A), regarding to hand dominancy  the P-value was Pre (0.540) and Post (<0.001*).The percentage of change in group (A) (Pre and Post training) was (116.79) and in group (B) was (37.50)g. We can conclude that constraint induced movement therapy improved real-world arm movement in spastic hemiparetic cerebral palsied children.

Key Words:   Cerebral palsy, Hemiparesis, Spasticity, Constraint Induced Movement Therapy, Pediatric motor activity Log-Revised, Reaching and Grasping.

REFERENCES

  1. Bax M., Tydeman C., & Flodmark O. Clinical and MRI correlates     of cerebral palsy – The European cerebral palsy study. Journal of the American Medical Association, 2006;296(13):1602-1608.
  2. Dong V, Tung I, Siu H, and Fong K. Studies comparing the efficacy of constraintinduced movement therapy and bimanual training in children with unilateral cerebral palsy: A systematic review. Developmental Neurorehabilitation (Informa UK Ltd.), 2012: 1-11.
  3. Miller R, Hale L. Constraint-induced movement therapy for a youth with a chronic traumatic brain injury. NZ J Physiother, 2005;33:85–90.
  4. Winckel A, et al. How does brain activation differ in children with unilateral cerebral palsy compared to typically developing children, during active and passive movements, and tactile stimulation? An fMRI study. Elsevier (Research in Developmental Disabilities), 2013;34:183-197.
  5. Craven B, Morris A. Modified Ashworth scale reliability for measurement of lower extremity spasticity among patients with SCI. Spinal Cord. 2010;48(3):207–13.
  6. Hoare B., Wasia k., Imms C., and Carey L. Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy (Review).”. The Cochrane Collaboration (John Wiley & Sons, Ltd.), no. 1, 2009.
  7. Hoare B, Imms C, Carey L, Wasiak J. Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: a Cochrane systematic review. Clin Rehabil. 2007;21:675-685.
  8. Al-Oraibi S., & Eliasson A. C.. Implementation of constraint-induced movement therapy for young children with unilateral cerebral palsy in Jordan: A home-based model. Disability & Rehabilitation, 2011;33(21-22), 2006-2012.
  9. Huang H, Fetters L, Hale J, and McBride A. Bound for success: a systematic review of constraint-induced movement therapy in children with cerebral palsy supports improved arm and hand use. Phys Ther 2009;89:1126-41.
  10. Gordon A, Charles J, Wolf S. 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. 2005; 86:837-844.
  11. Gauthier L, Taub E, Perkins C, et al .Remodeling the brain: plastic structural brain changes produced by different motor therapies after stroke. Stroke 2008; 39:1520-1525.
  12. Taub E., Ramey S., DeLuca S., & Echols K. Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment. Pediatrics, 2004;113(2):305-312.
  13. Wallen M, Bundy A, Pont K, Ziviani J. Psychometric properties of the Pediatric Motor Activity Log used for children with cerebral palsy. Dev Med Child Neurol. 2009;51:200-8.
  14. Uswatte G, Taub E, Griffin A, Vogtle L, Rowe J, Barman J. The Pediatric Motor Activity Log-Revised: assessing real-world arm use in children with cerebral palsy. Rehabil Psychol. 2012;57(2):149–158.
  15. World Health Organization. International Classification of Functioning, Disability and Health: ICF. Geneva: WHO, 2001.
  16. Penta M, Tesio L, Arnould C, Zancan A, Thonnard J. The ABILHAND questionnaire as a measure of manual ability in chronic stroke patients. Rasch-based validation and relationship to upper limb impairment. Stroke, 2001;32:1627-1634.
  17. Morris D & Taub E. Constraint-induced therapy approach to restoring function after neurological injury.. Topics in Stroke Rehabilitation, 2001;8(3):16-30.
  18. Sakzewski L, Ziviani J and Boyd R. Efficacy of upper limb therapies for unilateral cerebral palsy: a metaanalysis. Pediatrics 2014;133(1):e175–204.
  19. Ziviani J, Poulsen A, Hansen C. Movement skills proficiency and physical activity: a case for Engaging and Coaching for Health (EACH)-Child. Australian Occupational Therapy Journal 2009;56(4):259-65.
  20. Sakzewski L., Ziviani J., Fabott D., Macdonnell A., Graeme J., & Boyd R. Randomized trial of constraint-induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia. Developmental Medicine and Child Neurology, 2011;5:313-320.
  21. Charles J, Gordon A. A critical review of constraint-induced movement therapy and forced use in children with hemiplegia. Neural Plast 2005;12:245-61.
  22. Lin K, Wang T., Wu C., Chen C., Chang K., Lin Y., & Chen Y. Effects of home-based constraint-induced therapy versus dose-matched control intervention on functional outcomes and caregiver well-being in children with cerebral palsy. Research in developmental disabilities, 2011;32(5):1483-1491.
  23. Taub E, Griffin A, Nick J, Gammons K, Uswatte G, Law C. Pediatric CI therapy for stroke-induced hemiparesis in young children. Dev Neurorehabil. 2007;10:3-18.

Cite this article: Asmaa Osama Sayed, Hebatallah Mohamed Kamal, Nagham Mohamed Kamal Khalil. CONSTRAINT INDUCED MOVEMENT THERAPY AND REAL-WORLD ARM USE IN CHILDREN WITH HEMIPARESIS. Int J Physiother Res 2017;5(3):2095-2100. DOI: 10.16965/ijpr.2017.149
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