Effectiveness of Modified Constraint-Induced Movement Therapy Compared With Bimanual Therapy Home Programs for Infants With Hemiplegia: A Randomized Controlled Trial.
Am J Occup Ther
; 72(6): 7206205010p1-7206205010p9, 2018.
Article
em En
| MEDLINE
| ID: mdl-30760393
ABSTRACT
OBJECTIVE:
We examined the effectiveness of modified constraint-induced movement therapy (mCIMT) in treating infants with hemiplegic cerebral palsy and compared therapy outcomes with a nonconstraining bimanual therapy (BIM) of equal intensity.METHOD:
In a single-blinded randomized controlled trial, 33 infants with hemiplegia (mean corrected age = 11.1 mo, standard deviation = 2.2) received either mCIMT (n = 17) or BIM (n = 16). Both interventions included home programs encouraging the use of the affected hand during daily 1-hr play sessions for 8 wk. Outcome measures were administered pre- and posttreatment and included the Mini-Assisting Hand Assessment for babies and the Functional Inventory. At baseline, parents also filled out the Dimensions of Mastery Questionnaire.RESULTS:
Both groups demonstrated a significantly large and equal improvement in hand and gross motor function posttreatment (p < .001) and high treatment compliance.CONCLUSION:
mCIMT and BIM are equally effective methods for treating infants with hemiplegia.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Paralisia Cerebral
/
Extremidade Superior
/
Hemiplegia
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
Limite:
Female
/
Humans
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Infant
/
Male
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article