The effect of modified constraint-induced movement therapy in children with hemiparetic cerebral palsy. Consecutive or intermittent days?
| Autor: | Tamer Çankaya, Sezen Tezcan |
|---|---|
| Přispěvatelé: | BAİBÜ, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Tezcan, Sezen, Çankaya, Tamer |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Electromyography Cerebral palsy Upper Extremity Surface Electromiyography Physical medicine and rehabilitation medicine Modified-Constraint Induced Movement Therapy Humans Spasticity Child Physical Therapy Modalities Hand function medicine.diagnostic_test business.industry Cerebral Palsy Rehabilitation Hand use Gross Motor Function Classification System medicine.disease Hand Exercise Therapy Constraint-induced movement therapy medicine.anatomical_structure Treatment Outcome Hemiparetic Cerebral Palsy Child Preschool Upper limb medicine.symptom business |
| Zdroj: | Disability and rehabilitation. 44(24) |
| ISSN: | 1464-5165 |
| Popis: | Purpose To investigate effect of modified constraint-induced movement therapy (mCIMT) administered on consecutive or intermittent days on upper limb function in children with hemiparetic cerebral palsy (CP). Materials and methods Thirty-three children (age range 5-18 y) with hemiparetic CP separated into three groups: consecutive mCIMT group (n = 11), intermittent mCIMT group (n = 11), control group (n = 11). The outcome measures consist of Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Pediatric Balance Scale (PBS), Modified Tardieu Scale (MTS), Jebsen-Taylor Hand Function Test (JTHFT), Children's Hand Use Experience Questionnaire (CHEQ), Abilhand Kids Questionnaire, surface Electromyography (sEMG). The evaluations were made baseline, 10 days after, 5 weeks after the treatment. Results Improvements were achieved in all groups. The use of upper extremities in daily life activities (p 0.05). Conclusions Administration of mCIMT on intermittent days facilitate the adaptation of a child, it was concluded to be a more tolerable method and could be more effective.Implications for rehabilitationmCIMT is more effective than low-dose conventional therapeutic interventions in improving paretic upper limb functions in children with hemiparetic CP.The application of mCIMT in the child's natural environment increases the motivation to participate in the treatment.The application of mCIMT on intermittent days will be more easily tolerated in paediatric individuals and will increase participation in the treatment. |
| Databáze: | OpenAIRE |
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