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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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dc.contributor.author McMillan, Sarah Renee, 1984-
dc.date.accessioned 2010-02-09T21:39:13Z
dc.date.available 2010-02-09T21:39:13Z
dc.date.issued 2010-02-09T21:39:13Z
dc.date.submitted December 2009
dc.identifier.uri http://hdl.handle.net/1928/10324
dc.description.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. en_US
dc.language.iso en_US en_US
dc.subject cerebral palsy en_US
dc.subject constraint induced movement therapy en_US
dc.subject CIMT en_US
dc.subject Occupational Therapy en_US
dc.subject pediatric en_US
dc.subject.lcsh Constraint-induced movement therapy--Case studies.
dc.subject.lcsh Constraint-induced movement therapy--Longitudinal studies.
dc.subject.lcsh Cerebral palsied children--Rehabilitation--Case studies.
dc.subject.lcsh Cerebral palsied children--Rehabilitation--Longitudinal studies.
dc.title Constraint induced movement therapy : a longitudinal case study en_US
dc.type Thesis en_US
dc.description.degree Master's of Occupational Therapy en_US
dc.description.level Masters en_US
dc.description.department University of New Mexico. Occupational Therapy Program en_US
dc.description.advisor Burtner, Patricia A.
dc.description.committee-member Phillips, John
dc.description.committee-member Keenan, Kristina
dc.description.committee-member Crowe, Terry K.

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