IJCRR - 6(17), September, 2014
EFFECT OF MODIFIED CONSTRAINT INDUCED MOVEMENT THERAPY ON HAND FUNCTION OF HEMIPLEGIC CEREBRAL PALSY
Author: Pranali Thakkar
Introduction: From the last few years constraint induced movement therapy (CIMT), as an intervention, has received a great deal of attention for children with Hemiplegic cerebral palsy (CP). To date, evidence on this treatment has been very poor and limited so additional research required. For various reasons, traditional form of therapy was neither considered feasible nor do child and family friendly for that we had use a modified form of CIMT Objective: To determine the effectiveness of modified CIMT on hand function of hemiplegic CP children characterized by restraining the unaffected hand with short glove up to wrist. Methodology: 10 children (age: 2 to 8 years) from pediatric physiotherapy clinics from Vadodara and Ahmedabad with hemiplegic CP were included in the study. Modified constraint was applied to unaffected hand. The intervention was given for 3 hrs/ day including 30 minutes of therapy time and home program which could split into different sessions of no less than 30 minutes duration for consecutive 4 weeks. Pre and Post outcome measure by using QUEST (Quality of upper extremity skill test) and PMAL (pediatric motor activity log) were taken. Result: Significant difference between Pre and Post values of all components of PMAL and QUEST (P < 0.05) showing the effectiveness of mCIMT in improving hand function and in ADL activities. Conclusion: mCIMT yields statistically as well as clinically significant improvements in both motor function and functional use of the affected upper extremity in children between the ages of 2 and 8 years with hemiplegic CP.
Keywords: Hemiplegic CP, Modified CIMT, Hand function
Pranali Thakkar. EFFECT OF MODIFIED CONSTRAINT INDUCED MOVEMENT THERAPY ON HAND FUNCTION OF HEMIPLEGIC CEREBRAL PALSY International Journal of Current Research and Review. 6(17), September, 29-36
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