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Constraint induced movement therapy : a longitudinal case study


Please use this identifier to cite or link to this item: http://hdl.handle.net/1928/10324

Constraint induced movement therapy : a longitudinal case study

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Title: Constraint induced movement therapy : a longitudinal case study
Author: McMillan, Sarah Renee, 1984-
Advisor(s): Burtner, Patricia A.
Committee Member(s): Phillips, John
Keenan, Kristina
Crowe, Terry K.
Department: University of New Mexico. Occupational Therapy Program
Subject: cerebral palsy
constraint induced movement therapy
Occupational Therapy
LC Subject(s): Constraint-induced movement therapy--Case studies.
Constraint-induced movement therapy--Longitudinal studies.
Cerebral palsied children--Rehabilitation--Case studies.
Cerebral palsied children--Rehabilitation--Longitudinal studies.
Degree Level: Masters
Abstract: Purpose. Constraint-induced movement therapy (CIMT) involves use of a constraint on the non-affected extremity and intensive therapy comprised of shaping and repetition during functional activities to improve quality and quantity of use of the affected extremity. The literature has shown that CIMT is effective and two articles support the use of 2 doses of CIMT. The current study investigated if 3 doses of CIMT over 5 years continued to produce improvements in functional use for a boy with hemiplegic cerebral palsy (CP). Methods. One child, with spastic hemiplegic CP, met inclusion criteria of a minimum of 20° of active wrist extension and 10° of active finger extension in the hemiplegic hand. Grip strength, pinch strength, modified Nine Hole Peg Test, Box and Blocks, Canadian Occupational Performance Measure, Pediatric Evaluation of Disability Inventory, Melbourne Assessment of Unilateral Upper Limb Function, and the modified House Functional Classification System were conducted pre-,during, post-, and 3 months post-intervention. The child wore a bivalve cast during waking hours and participated in 4 hours of therapy 5 days/week for 2 weeks. Results. Improvements in strength, functional use, and participation were seen across all three doses. There were no significant changes in mobility or social skills following any of the doses. Conclusions. This study supports the use of CIMT for up to 3 doses during childhood. More research needs to be conducted to determine the optimal length, intensity, and frequency of doses; optimal time in the child's development; optimal impairment levels; and if CIMT is best used alone or in conjunction with other protocols.
Graduation Date: December 2009
URI: http://hdl.handle.net/1928/10324

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