Constraint-Induced Movement Therapy
Movement (CI) therapy has been found to be a promising treatment for
substantially increasing the use of extremities affected by such
neurologic injuries as stroke and traumatic brain injury in adults. The
purpose of this study was to determine the applicability of this
intervention to young children with cerebral palsy.
randomized, controlled clinical trial of pediatric CI therapy in which
18 children with diagnosed hemiparesis associated with cerebral palsy
(7-96 months old) were randomly assigned to receive either pediatric CI
therapy or conventional treatment. Pediatric CI therapy involved
promoting increased use of the more-affected arm and hand by intensive
training (using shaping) of the more-impaired upper extremity for 6
hours/day for 21 consecutive days coupled with bivalved casting of the
child's less-affected upper extremity for that period. Children's
functional upper-extremity skills were assessed in the laboratory
(blinded scoring) and at home (parent ratings) just prior, after, and 3
weeks posttreatment. Treated children were followed for 6 months.
receiving pediatric CI therapy compared with controls acquired
significantly more new classes of motoric skills (9.3 vs 2.2);
demonstrated significant gains in the mean amount (2.1 vs 0.1) and
quality (1.7 vs 0.3) of more-affected arm use at home; and in a
laboratory motor function test displayed substantial improvement
including increases in unprompted use of the more-affected upper
extremity (52.1% vs 2.1% of items). Benefits were maintained over 6
months, with supplemental evidence of quality-of-life changes for many
CI therapy produced major and sustained improvement in motoric function
in the young children with hemiparesis in this study.
Make an appointment today with one of our occupational specialist for this exciting service, 503-895-1320.