Does intensive upper limb treatment modality Hybrid Constrained Induced Movement Therapy (H-CIMT) improve grip and pinch strength or fatigability of the affected hand?
To investigate the effects of Hybrid-Constrained Induced Movement Therapy (H-CIMT), defined as CIMT combined with Bimanual Intensive Movement Therapy (BIMT), on grip and pinch strength and fatigability we measured grip and pinch strength and fatigability during clinical H-CIMT.



The children participated in a H-CIMT model organized in a therapeutic summer-camp. Children received 90 hours of intensive treatment. Grip and pinch strength and fatigability was measured and fatigue was calculated according to a Static Fatigue Index (SFI).



Pinch strength significantly increased, grip strength did not increase significantly. A non-significant decrease was seen in SFI in pinch and grip.



H-CIMT showed to be effective in increasing muscle pinch strength in the AH. Effectiveness in decreasing muscle fatigue during grip and pinch tests is not yet shown although there was a tendency towards a decrease in muscle fatigue. However, the long-term effects on these aspects are also important in future research.
Adelante Centre of Expertise in Rehabilitation and Audiology, Valkenburg and Hoensbroek, The Netherlands.
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Brauers
Adelante Centre of Expertise in Rehabilitation and Audiology, Valkenburg and Hoensbroek, The Netherlands.|Department Functioning and Rehabilitation, CAPHRI, FHML, UM Maastricht, The Netherlands.
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Geijen
Adelante Centre of Expertise in Rehabilitation and Audiology, Valkenburg and Hoensbroek, The Netherlands.
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Speth
Adelante Centre of Expertise in Rehabilitation and Audiology, Valkenburg and Hoensbroek, The Netherlands.|Department Functioning and Rehabilitation, CAPHRI, FHML, UM Maastricht, The Netherlands.|Master of Specialised Physical Therapy, AVANSplus, Breda, The Netherlands.
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Rameckers
D000293:Adolescent; D002547:Cerebral Palsy / Q000503:physiopathology / Q000534:rehabilitation*; D002648:Child; D005260:Female; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D008297:Male; D018763:Muscle Fatigue / Q000502:physiology*; D026741:Physical Therapy Modalities; D052581:Pinch Strength; D012149:Restraint, Physical / Q000379:methods*; D016896:Treatment Outcome; D034941:Upper Extremity
BIMT; H-CIMT; cerebral palsy; static fatigue index; strength