Bimanual therapy and constraint-induced movement therapy are equally effective in improving hand function in children with congenital hemiplegia

Journal of Physiotherapy
Leanne Sakzewski

Abstract

Does constraint-induced movement therapy (CIMT) improve hand function in children with congenital hemiplegia compared to bimanual therapy? Randomised trial with concealed allocation and blinded outcome assessment. 6 CIMT and bimanual therapy day camps were conducted at a University in the United States. Children with congenital hemiplegia aged 3.5 to 10 years, with basic movement and grasp in their paretic hand, and who attended mainstream school. Health problems not associated with cerebral palsy, severe hypertonia, and recent surgery or botulinum toxin therapy were exclusion criteria. Randomisation of 44 participants allocated 22 to the CIMT group and 22 to the bimanual therapy group. The groups were matched for age and hand function. Both groups received 90 hours of therapy, delivered in day-camps with 2-5 children in each group. Participants completed 6 hours of therapy a day for 15 consecutive weekdays. Treatment was delivered by physiotherapists, occupational therapists, and students enrolled in health related courses. Participants worked individually and in groups. The CIMT group had their less affected hand restrained in a sling and performed age appropriate fine and gross motor unimanual activities The bimanual therapy...Continue Reading

Citations

Dec 3, 2014·Archives of Physical Medicine and Rehabilitation·Melissa G Chung, Warren D Lo
Jul 13, 2013·Developmental Neurorehabilitation·Mickaël DinomaisSylvie Nguyen
Jul 6, 2014·Topics in Stroke Rehabilitation·Angela WolfMaureen Whitford
Aug 18, 2016·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Megan L AuldG Lorimer Moseley
May 9, 2014·Journal of Child Neurology·Mary Law, Johanna Darrah
Feb 13, 2016·Neurorehabilitation and Neural Repair·Kathleen M FrielAndrew M Gordon
May 23, 2018·Developmental Neurorehabilitation·Caroline AdlerMartin Staudt
Apr 2, 2019·The Cochrane Database of Systematic Reviews·Brian J HoareChristine Imms

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