title: Efficacy of constraint-induced therapy on functional performance and health-related quality of life for children with cerebral palsy: a randomized controlled trial.
abstract: To better generalize training effects to the context of daily living, home-based constraint-induced therapy has been proposed. Therapeutic success of constraint-induced therapy is limited as to whether the improvements in functional performance can be transferred to quality of life. This randomized controlled trial aimed to investigate the efficacy of home-based constraint-induced therapy on functional performance and health-related quality of life. Twenty-two children with spastic unilateral cerebral palsy (6-8 years, 10 boys) were randomly assigned to receive constraint-induced therapy or traditional rehabilitation. Home-based constraint-induced therapy had immediate and maintaining effects on motor efficacy and functional performance and induced greater gains in health-related quality of life in the long run than in the short term. The home-based constraint-induced therapy protocol (relatively moderate intensity and shortened constraint time), which might balance the effectiveness and compliance of participants and caregivers, may be an effective alternative to conventional constraint-induced therapy.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, ROC.
authors.forename: Yi-jung
authors.initials: YJ
authors.lastname: Hsin
authors.forename: Fei-Chuan
authors.initials: FC
authors.lastname: Chen
authors.forename: Keh-chung
authors.initials: KC
authors.lastname: Lin
authors.forename: Lin-ju
authors.initials: LJ
authors.lastname: Kang
authors.forename: Chia-ling
authors.initials: CL
authors.lastname: Chen
authors.forename: Chung-yao
authors.initials: CY
authors.lastname: Chen
mesh_terms: D000203:Activities of Daily Living; D000704:Analysis of Variance; D002547:Cerebral Palsy / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D002648:Child; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009048:Motor Skills / Q000502:physiology*; D010045:Outpatients; D011788:Quality of Life; D012149:Restraint, Physical / Q000379:methods*; D013624:Taiwan; D016896:Treatment Outcome