Effect of modified constraint induced movement therapy on weight bearing and protective extension in children with hemiplegic cerebral palsy

AUTHORS

Masoud Gharib 1 , * , Sayed Ali Hosseyni 2 , Nazila Akbar Fahimmi 2 , Masoud Salehi 3

1 Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Dept. of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 Dept. of Biostatistics, Iran University of Medical Sciences, Tehran, Iran

How to Cite: Gharib M, Hosseyni S A, Akbar Fahimmi N, Salehi M. Effect of modified constraint induced movement therapy on weight bearing and protective extension in children with hemiplegic cerebral palsy, J Kermanshah Univ Med Sci. 2012 ; 15(6):e78895.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 15 (6); e78895
Published Online: March 19, 2012
Article Type: Research Article
Received: May 07, 2011
Accepted: September 06, 2011

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Abstract

Background: Constraint induced movement therapy is one of the new therapeutic interventions that limits the performance of intact upper limb with increased use of the affected limb. Aim of this study was to investigate the effects of  modified constraint induced movement therapy on weight bearing & protective extension in children with hemiplegic cerebral palsy.

Methods: 21 hemiplegic children were selected and randomly divided into experimental and control groups. Common Practices of Occupational Therapy applied for 6 weeks in both groups equally and test group received constrain induced movement therapy for three hours every day. Weight-bearing and protective extension was measured based on quality of test skills of upper limbs (QUEST). Data analyzed using appropriated statistical methods. 

Results: 11 children in the experimental group (7 girls, 4 boys) with mean age 47.2 ± 55.5 months and 10 children in the control group (5 girls, 5 boys) with mean age 19.2 ± 10.5) months were studied. No significant difference observed before and after six weeks intervention between two groups (P>0.05).  There was a significant change before and after six weeks intervention in both subscales (P<0.05).

Conclusion: This study showed that modified constraint induced movement therapy may affect weight bearing, but has no effect on the protective extension.

Keywords

Hemiplegia modified constraint induced movement therapy weight bearing protective extension

© 2012, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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