دورية أكاديمية

Effectiveness of Constraint induced movement therapy as compared to bimanual therapy in Upper motor function outcome in child with hemiplegic Cerebral palsy.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of Constraint induced movement therapy as compared to bimanual therapy in Upper motor function outcome in child with hemiplegic Cerebral palsy.
المؤلفون: Zafer H; Dr. Hira Zafer, DPT, Riphah College of rehabilitation sciences, Riphah International University, Islamabad, Pakistan., Amjad I; Dr. Imran Amjad, DPT, Riphah College of rehabilitation sciences, Riphah International University, Islamabad, Pakistan., Malik AN; Dr. Arshad Nawaz Malik, DPT, Riphah College of rehabilitation sciences, Riphah International University, Islamabad, Pakistan., Shaukat E; Dr. Enfall Shaukat, DPT, Riphah College of rehabilitation sciences, Riphah International University, Islamabad, Pakistan.
المصدر: Pakistan journal of medical sciences [Pak J Med Sci] 2016 Jan-Feb; Vol. 32 (1), pp. 181-4.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Professional Medical Publications Country of Publication: Pakistan NLM ID: 100913117 Publication Model: Print Cited Medium: Print ISSN: 1682-024X (Print) Linking ISSN: 1681715X NLM ISO Abbreviation: Pak J Med Sci Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Karachi, Pakistan : Professional Medical Publications, [2000-
مستخلص: Objective: This study aims at determining the effectiveness of constraint induced movement therapy as compared to bimanual therapy for improving functional status in children with hemiplegic cerebral palsy.
Methods: This study was a randomized control trial, children (n = 20) with spastic hemiplegic cerebral palsy was randomly allocated to CIMT (constraint induced movement therapy) and BMT (bimanual therapy) group. The children with spastic hemiplegia, age between 1.5 and 12 year and having 10 degrees of wrist extension and 10 degrees of finger extension were included in study. Treatment regime was two hours of daily training six days a week for two weeks. Constraint was applied to CIMT group for six hours. The outcome tool QUEST was used for baseline and post treatment assessment.
Result: CIMT had superior outcome as compared to BMT in improving functional status (p=0.007). On QUEST tool grasp and dissociated movements results were significant (p=0.005) and (p=0.028) respectively. Weight bearing and protective extension resulted in no significant outcome (p=0.080) and (p=0.149) respectively. Dissociated movements and grasp are significantly improved but there is no difference for weight bearing and protective extension in CIMT treated group as compared to BMT treated group.
Conclusion: CIMT approach is better in improving functional status of child with cerebral palsy as compared to BMT. Significant improvement in grasp and dissociated movement is noted in group of CIMT while there was no significant improvement in weight bearing and protective extension in CIMT group when compared to BMT. CIMT is considered the appropriate treatment approach for unilateral conditions while BMT for bilateral conditions.
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فهرسة مساهمة: Keywords: Bimanual therapy; Constraint induced movement therapy; Hemiplegic Cerebral Palsy
تواريخ الأحداث: Date Created: 20160330 Date Completed: 20160329 Latest Revision: 20200930
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC4795864
DOI: 10.12669/pjms.321.8491
PMID: 27022371
قاعدة البيانات: MEDLINE