title: Retrospective Analysis of an Ongoing Group-Based Modified Constraint-Induced Movement Therapy Program for Children with Acquired Brain Injury.
abstract: OBJECTIVE
  A pretest-posttest retrospective design was used to evaluate the impact of a group-based modified constraint-induced movement therapy (mCIMT) program on upper extremity function and occupational performance.
  
  
  METHODS
  20 children ages 3 to 18 years with hemiplegia following an acquired brain injury participated in a 2-week group mCIMT program. Upper extremity function was measured with the Assisting Hand Assessment (AHA) and subtests from the Quality of Upper Extremity Skills Test (QUEST). Occupational performance and satisfaction were assessed using the Canadian Occupational Performance Measure (COPM). Data were analyzed using a Wilcoxon signed-ranks test.
  
  
  RESULTS
  Group-based analysis revealed upper extremity function and occupational performance attained statistically significant improvements from pre- to postintervention on all outcome measures (AHA: Z = -3.63, p = <.001; QUEST Grasps: Z = -3.10, p = .002; QUEST Dissociated Movement: Z = -2.51, p = .012; COPM Performance: Z = -3.64, p = <.001; COPM Satisfaction: Z = -3.64, p = <.001). Across individuals, clinically significant improvements were found in 65% of participants' AHA scores. 80% of COPM Performance scores and 70% of COPM Satisfaction scores demonstrated clinically significant improvements in at least one identified goal.
  
  
  CONCLUSIONS
  This study is an initial step in evaluating and providing preliminary evidence supporting the effectiveness of a group-based mCIMT program for children with hemiplegia following an acquired brain injury.
authors.affiliation: a Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Komar
authors.affiliation: a Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Kelsey
authors.initials: K
authors.lastname: Ashley
authors.affiliation: a Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Kelly
authors.initials: K
authors.lastname: Hanna
authors.affiliation: a Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Julia
authors.initials: J
authors.lastname: Lavallee
authors.affiliation: b Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.
authors.forename: Janet
authors.initials: J
authors.lastname: Woodhouse
authors.affiliation: b Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.
authors.forename: Janet
authors.initials: J
authors.lastname: Bernstein
authors.affiliation: b Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.|c Bloorview Research Institute , Toronto , Ontario , Canada.
authors.forename: Matthew
authors.initials: M
authors.lastname: Andres
authors.affiliation: a Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada.|b Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.|c Bloorview Research Institute , Toronto , Ontario , Canada.|d Rehabilitation Sciences Institute , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Nick
authors.initials: N
authors.lastname: Reed
mesh_terms: D000293:Adolescent; D001930:Brain Injuries / Q000150:complications / Q000628:therapy*; D002170:Canada; D002648:Child; D002675:Child, Preschool; D005260:Female; D006429:Hemiplegia / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011615:Psychotherapy, Group / Q000379:methods*; D012149:Restraint, Physical / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology
keywords: brain injury; constraint-induced movement therapy; occupational therapy; pediatrics; rehabilitation