A Critical Review of Constraint‐Induced Movement Therapy and Forced Use in Children With Hemiplegia

Charles, Jeanne; Gordon, Andrew M.

doi:10.1155/np.2005.245

Cited by 134 publications

(108 citation statements)

References 69 publications

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“…Using the same basic method, more improvements have been demonstrated in young children with CP [20]. Moreover the choice of intervention come in agreement with who stated that CIMT was an effective approach for treating developmental disregard in patients with unilateral motor involvement [21]. In addition to, the present study cope with several systematic reviews and randomized controlled trials (RCTs) had demonstrated that CIMT improved functional performance and ADL in children with CP which came in agreement with the results of the present study that showed significant difference in scores of PMAL-R post training in favor to group (A) reflecting improvement in functional upper limb movement [9,22].…”

Section: Resultssupporting

confidence: 61%

Constraint Induced Movement Therapy and Real-World Arm Use in Children With Hemiparesis

Sayed¹,

Kamal²,

Khalil³

2017

IJPR

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Section: Resultssupporting

confidence: 61%

Constraint Induced Movement Therapy and Real-World Arm Use in Children With Hemiparesis

Sayed¹,

Kamal²,

Khalil³

2017

IJPR

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“…Paediatric mCIT appears promising but the previously available data relates predominantly to preschool children with congenital hemiparesis, mild spasticity, and at least some residual hand function. 17 The children who took part in the present study were older, with more severe motor impairment, and a mixture of dystonia and spasticity. Despite a chronic, often severe, functional impairment of hand function (no active grasp in half the cases), all participants made functional improvements years after AIS and apparent plateauing of recovery.…”

Section: Discussionmentioning

confidence: 89%

Modified constraint‐induced movement therapy after childhood stroke

Gordon¹,

Connelly

Neville³

et al. 2006

Develop Med Child Neuro

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The aim of this pilot study was to investigate feasibility, tolerability, and effect of modified constraint‐induced movement therapy (mCIT) in children with hemiparesis after arterial ischaemic stroke (AIS). Children with chronic hemiparesis and impaired hand function after AIS had mCIT for 2 hours a day, 5 days a week for 4 weeks. Pre‐ and post‐therapy assessments included indices of sensorimotor function, quality of upper limb movement, functional therapy goals, and child and parent interviews. Of eight participants initially recruited, six (one male, five females) completed mCIT (median age 12y 3mo; range 6y 10mo–15y 2mo). Hemiparesis was predominantly spastic in three participants and dystonic in the others; all had severely impaired hand function. After mCIT there were no significant improvements in sensorimotor function or quality of upper limb movement. However, all children improved in individual therapy goals related to functional performance. Children and parents were positive about mCIT. The use of mCIT is a promising intervention for children with chronic acquired hemiparesis. In this severely impaired group functional improvements were seen after therapy despite unchanged sensorimotor measures.

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“…Training that focuses on promoting the usage of the affected leg, such as the training method presented in this paper, is called unilateral training or constraint-induced movement therapy [23], [24]. On the other hand, training that realizes coordinated movements between both the legs, such as the one developed in our previous study, is called bilateral training [25].…”

Section: Unilateral and Bilateral Trainingmentioning

confidence: 99%

Integrated Sit-to-Stand and Stand-to-Sit Training System Providing Biofeedback Information and Physical Assistance to Hemiplegic Patients

Shiraishi

Kawamoto

Sankai

2017

SICE Journal of Control, Measurement, and System Integration

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: This paper proposes a novel sit-to-stand and stand-to-sit (STS) training system for hemiplegic patients with clonus. Most hemiplegic patients depend on the unaffected leg and perform plantar flexion involuntarily during STS movements. The developed system integrates a visual biofeedback method with a movement assistance mechanism. The system provides users' ground reaction force (GRF) through a monitor and supports STS movements by moving the seat. We also proposed STS training with physical inhibition by using the developed orthosis to manage clonus. We performed an experiment on a hemiplegic patient who experienced clonus in the affected leg to verify that the user was able to increase the GRF of the heel part (GRFh) of the affected leg while performing STS movements using the system and that the system employing the orthosis reduced clonus. The results showed that GRFh in the intervention test that employed the proposed system was greater than that in the baseline test without the system. We also verified that a significant difference existed between the baseline and intervention test results (p < 0.05). In addition, when the orthosis was used, the participant was able to prevent muscle cramps resulting from the clonus by avoiding the contraction of the affected leg muscles. The results indicated that STS training using the system helped the user to increase GRFh and reduce the clonus. In addition, from the viewpoint of motor learning, we deduced that an integrated assistive system with informatics-based biofeedback and physical human-machine interaction would be effective in reconstructing the feedback loop in users' central nervous system.

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A Critical Review of Constraint‐Induced Movement Therapy and Forced Use in Children With Hemiplegia

Cited by 134 publications

References 69 publications

Constraint Induced Movement Therapy and Real-World Arm Use in Children With Hemiparesis

Constraint Induced Movement Therapy and Real-World Arm Use in Children With Hemiparesis

Modified constraint‐induced movement therapy after childhood stroke

Integrated Sit-to-Stand and Stand-to-Sit Training System Providing Biofeedback Information and Physical Assistance to Hemiplegic Patients

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