Adapted Constraint Induced Therapy

Clinical Rehabilitation published research on an adapted version of constraint-induced movement therapy to promote functioning in children with cerebral palsy. Sixteen children with cerebral palsy (mean age 5 years 6 months) participated in constraint induced therapy for 2 weeks. The control group received the usual rehabilitation services during the 2 weeks. The intervention group had the non-involved extremity restricted for 10 hours per day with 3 hours of intensive training with the affected extremity. The experimental group also received bimanual functional training for one week following the constraint therapy. The self care domain of the Pediatric Evaluation of Disability Inventory and an adapted version of the Jebsen—Taylor test were completed at the start of the intervention, following completion of the intervention and at one month follow up.

Results indicated higher gains in the experimental group for functional skills and Independence. No differences were found in manual dexterity between the two groups.

References: Marina de Brito Brandão, Marisa Cotta Mancini, Daniela Virgínia Vaz, Ana Paula Pereira de Melo, and Sérgio Teixeira Fonseca Adapted version of constraint-induced movement therapy promotes functioning in children with cerebral palsy: a randomized controlled trial Clin Rehabil 2010 24: 639-647