Modified constraint-induced movement therapy during hospitalization in children with perinatal brachial plexus palsy: A randomized controlled trial
| Autor: | Beyhan Eren, Evrim Karadag Saygi, Duygu Tokgoz, Merve Akdeniz Leblebicier |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Restraint Physical 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation law.invention Upper Extremity 03 medical and health sciences Grip strength 0302 clinical medicine Randomized controlled trial law medicine Humans Supinator muscle Single-Blind Method Range of Motion Articular Child Rehabilitation Palsy Hand Strength business.industry Neonatal Brachial Plexus Palsy Recovery of Function Exercise Therapy Hospitalization Constraint-induced movement therapy Treatment Outcome Child Preschool Physical therapy Female 0305 other medical science Range of motion business Brachial plexus 030217 neurology & neurosurgery |
| Zdroj: | Journal of Hand Therapy. 33:418-425 |
| ISSN: | 0894-1130 |
| Popis: | Study Design Prospective single-blind, randomized controlled study. Introduction Children with perinatal brachial plexus palsy (PBPP) have motion limitations in the affected upper extremity. Modified constraint-induced movement therapy (mCIMT) is one of the treatment options used for the improvement of the function of the affected limb. Purpose of the Study The purpose of this study was to compare the effect of mCIMT and conventional therapy in improving active range of motion (ROM) and functional use of the affected upper extremity in children with PBPP with injuries to upper and middle trunks in the hospital environment. Materials 26 patients received conventional rehabilitation program (control group) and 13 patients participated in a mCIMT program (study group). Children had a mean age 56.3 months (range 4-10 years). The mCIMT included 1 hour therapy sessions emphasizing the affected arm use for 14 consecutive days during hospitalization. Their normal arm was also constrained for 6 hour per day. All the patients were assessed at the baseline, one day, one month, and three months after completion of therapy using active ROM, active movement scale, hand dynamometer, box and blocks test. Results The mCIMT group improved more than the control group in shoulder internal rotation, forearm supination, elbow flexion active ROMs, hand grip strength, and in upper extremity function. Conclusion mCIMT has a potential to promote functional gains for children with PBPP; this approach should be widely applied within routine clinical practice. |
| Databáze: | OpenAIRE |
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