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The effect of modified constraint-induced movement therapy in children with hemiparetic cerebral palsy. Consecutive or intermittent days?
- Source :
-
Disability & Rehabilitation . Dec2022, Vol. 44 Issue 24, p7500-7507. 8p. - Publication Year :
- 2022
-
Abstract
- To investigate effect of modified constraint-induced movement therapy (mCIMT) administered on consecutive or intermittent days on upper limb function in children with hemiparetic cerebral palsy (CP). Thirty-three children (age range 5–18 y) with hemiparetic CP separated into three groups: consecutive mCIMT group (n = 11), intermittent mCIMT group (n = 11), control group (n = 11). The outcome measures consist of Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Pediatric Balance Scale (PBS), Modified Tardieu Scale (MTS), Jebsen-Taylor Hand Function Test (JTHFT), Children's Hand Use Experience Questionnaire (CHEQ), Abilhand Kids Questionnaire, surface Electromyography (sEMG). The evaluations were made baseline, 10 days after, 5 weeks after the treatment. Improvements were achieved in all groups. The use of upper extremities in daily life activities (p < 0.01), speed of performing the activities (p < 0.001), grasping efficiency (p < 0.001), the amount of a decrease in the children's sense of discomfort while performing activities (p < 0.001) on the affected side in both mCIMT groups were better than the control group. The gain levels in mCIMT groups were similar (p > 0.05). Administration of mCIMT on intermittent days facilitate the adaptation of a child, it was concluded to be a more tolerable method and could be more effective. mCIMT is more effective than low-dose conventional therapeutic interventions in improving paretic upper limb functions in children with hemiparetic CP. The application of mCIMT in the child's natural environment increases the motivation to participate in the treatment. The application of mCIMT on intermittent days will be more easily tolerated in paediatric individuals and will increase participation in the treatment. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ARM physiology
*CONSTRAINT-induced movement therapy
*EXPERIMENTAL design
*KRUSKAL-Wallis Test
*STATISTICS
*MEDICAL quality control
*REHABILITATION centers
*ANALYSIS of variance
*CLINICAL trials
*NOSOLOGY
*PHYSICAL therapy
*CHILDREN with disabilities
*INTERVIEWING
*TREATMENT effectiveness
*COMPARATIVE studies
*PSYCHOLOGICAL tests
*SPASTICITY
*DESCRIPTIVE statistics
*QUESTIONNAIRES
*CHI-squared test
*CEREBRAL palsy
*DATA analysis software
*SEIZURES (Medicine)
*STATISTICAL sampling
*SOCIODEMOGRAPHIC factors
*ELECTROMYOGRAPHY
*FRIEDMAN test (Statistics)
*DATA analysis
*HEMIPLEGIA
*EXERCISE therapy
*CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 44
- Issue :
- 24
- Database :
- Academic Search Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 160623173
- Full Text :
- https://doi.org/10.1080/09638288.2021.2002441