خلاصة:
Objectives: Hemiplegia is a non-progressive damage in premature growing brain which causes movement disorders in one side of the body. The objective of present research is to study the method of modified constraints induced movement therapy (CIMT) which can be appropriate on unimanual and bimanual functions of children with Hemiplegia. Method: This single-blinded, randomized, control trial study performed on twenty-eight participants who were selected based on specific inclusion criteria and divided into two groups of CIMT and conventional therapy. Intervention at CIMT was done six hours every day, for 10 days, whereas another group received conventional occupational therapy. Results: To analyze the data, independent-sample t-test and paired-sample t-test were used. Results showed that significant differences in variables of unimanual function, Jebson Taylor test and dexterity of involved hand in CIMT group, but, these variables did not show any difference in conventional group. Also bimanual functions in CIMT demonstrated significant difference in variables of bimanual function, bilateral coordination, and caregivers’ perception (how much) and (how well), whereas this variables did not show any difference in pre-test and post-test of conventional therapy. Conclusion: Child friendly CIMT has fairly good effects on unimanual function and some variables of bimanual function of children with hemiplegia.
ملخص الجهاز:
Iranian Rehabilitation Journal, Vol. 8, No. 12, December 2010 Original Article Effect of Child friendly Constraint Induced Movement Therapy on unimanual and bimanual function in hemiplegia Seyed Mohammad Sadegh Hosseini, MSc Hamedan University of Medical Sciences, Hamedan, Iran Hossein Sourtiji, MSc* Esfahan University of Medical Sciences, Esfahan, Iran Atefeh Taghizadeh, MSc student Pediatric Neurorehabilitation Research Center, University Social Welfare and Rehabilitation Sciences, Tehran, Iran.
The objective of present research is to study the method of modified constraints induced movement therapy (CIMT) which can be appropriate on unimanual and bimanual functions of children with Hemiplegia.
Results showed that significant differences in variables of unimanual function, Jebson Taylor test and dexterity of involved hand in CIMT group, but, these variables did not show any difference in conventional group.
Keywords: pediatric constraint movement therapy, hemiplegia, bimanual function, unimanual function Introduction One child out of three children who suffer from cerebral palsy is hemiplegic.
Method This research has been performed with single- blinded, randomized, control trial, on 28 participants which are selected based on inclusion criteria and divided in two groups of constraints induced movement therapy (age range of 92 ± 16/33) and conventional therapy (85 ± 17/51).
comparison of pre-test and post-test means in both groups Variables CIMT Conventional Therapy t P value t P value Unimanual function(non-involved hand) -1.
Methods of constraint-induced movement therapy for children with hemiplegic cerebral palsy: development of a child-friendly intervention for improving upper-extremity function.