title: Efficacy of constraint-induced movement therapy and bimanual training in children with hemiplegic cerebral palsy in an educational setting.
abstract: We examined the efficacy of modified constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive therapy (HABIT) in a special education preschool/kindergarten in Israel. Twelve children (1.5-7 years) with congenital hemiplegic cerebral palsy were randomized to receive modified CIMT (n = 6) or HABIT (n = 6). Occupational and physical therapists administered usual and customary care for 8 weeks; children then crossed over to receive CIMT or HABIT 2 hr/day, 6 days/week for 8 weeks from their occupational therapist. The Assisting Hand Assessment and Quality of Upper Extremity Skills Test were administered 2 months prior to the intervention, immediately before, immediately after intervention, and 6 months after the first baseline assessment. Both groups demonstrated no change during baseline and comparable improvement following CIMT and HABIT (p < .001), which was maintained at 6-month follow-up. Results suggest that modified CIMT and HABIT provided in school-based settings can lead to improvements in quality of bimanual skill and movement patterns.
authors.affiliation: 1Meshi Kindergarten , Jerusalem , Israel.
authors.forename: Nava
authors.initials: N
authors.lastname: Gelkop
authors.forename: Dikla Gol
authors.initials: DG
authors.lastname: Burshtein
authors.forename: Anat
authors.initials: A
authors.lastname: Lahav
authors.forename: Amichi
authors.initials: A
authors.lastname: Brezner
authors.forename: Saleh
authors.initials: S
authors.lastname: Al-Oraibi
authors.forename: Claudio L
authors.initials: CL
authors.lastname: Ferre
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Gordon
mesh_terms: D001132:Arm / Q000503:physiopathology; D002547:Cerebral Palsy / Q000503:physiopathology / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D019988:Children with Disabilities / Q000534:rehabilitation*; D005260:Female; D006225:Hand / Q000503:physiopathology; D006429:Hemiplegia / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D007223:Infant; D007557:Israel; D008297:Male; D009068:Movement / Q000502:physiology; D026201:Musculoskeletal Manipulations / Q000379:methods*; D009788:Occupational Therapy; D012149:Restraint, Physical; D016896:Treatment Outcome
keywords: Bimanual training; cerebral palsy; constraint-induced movement therapy; hand function; hemiplegia; intervention studies