title: Modified Constraint-Induced Movement Therapy as a Home-Based Intervention for Children With Cerebral Palsy.
abstract: OBJECTIVE
  This study was designed to investigate the benefit to upper limb function of a home-based version of pediatric constraint-induced movement therapy, which was delivered across 2 months.
  
  
  METHODS
  Nine children (mean age: 6 years, 9 months) with hemiplegic cerebral palsy participated in this A1-B-C-A2 design, where A1 and A2 were nonintervention phases. In phases B and C, participants wore a splint on the unaffected hand. In phase C, motivating feedback through a computer game was added.
  
  
  RESULTS
  The Melbourne Assessment of Unilateral Upper Limb Function and the Quality of Upper Extremity Skills Test scores were significantly higher at the end of phases B (P = .037 and P = .006, respectively) and C (P = .001 and P = .001, respectively). Melbourne scores remained higher at the end of phase A2 (P = .001).
  
  
  CONCLUSIONS
  A nonintensive form of home-based constraint-induced movement therapy was found to be effective. Improvements were larger after the second month of intervention.
authors.affiliation: School of Occupational Therapy (Dr Psychouli), Technological Educational Institute of Athens, Greece; School of Medicine (Dr Kennedy), University of Southampton, Southampton, United Kingdom.
authors.forename: Pavlina
authors.initials: P
authors.lastname: Psychouli
authors.forename: Colin R
authors.initials: CR
authors.lastname: Kennedy
mesh_terms: D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D026741:Physical Therapy Modalities; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology; D018910:Video Games