Constraint-Induced Movement Therapy for Children With Hemiplegia After Traumatic Brain Injury

Cimolin, Verônica; Beretta, Elena; Piccinini, Luigi; Turconi, Anna Carla; Locatelli, Federica; Galli, Manuela; Strazzer, Sandra

doi:10.1097/htr.0b013e3182172276

Cited by 60 publications

(92 citation statements)

References 39 publications

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“…Consistent with a few previous studies in pediatric patients with brain injury of different etiologies [8,28,29], CIMT resulted in an improved performance at the functional scales administered. Although such an improvement was more evident at the end of the rehabilitation period, a further amelioration of the affected upper limb function was also detected 6 months after cessation of therapy.…”

Section: Discussionsupporting

confidence: 77%

“…Moreover, the use of ICA for the analysis of RS data ensures an automatic exclusion of all noise sources, including those related to participants' movements, from the components of interest [40]. Third, owing to ethical considerations, and similarly to the majority of previous studies [8,28,29], we did not monitor a group of untreated patients with similar clinical and imaging characteristics. As a consequence, we cannot differentiate the effect of CIMT from spontaneous recovery following brain injury.…”

Section: Discussionmentioning

confidence: 99%

“…These sessions lasted 3 h: during the first part (1.5 h), the therapist interacted with children and prompted them to perform unimanual activities with an appropriate level of difficulty; in the second part, parents were instructed to interact with their own children who were asked to perform unilateral tasks based on playing and daily-life activities. Parents were trained to carry out similar 3-h sessions at home on the other 4 days of the week [8].…”

Section: Treatmentmentioning

confidence: 99%

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MRI Predicts Efficacy of Constraint-Induced Movement Therapy in Children With Brain Injury

et al. 2013

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Using resting state (RS) functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI), we identified the predictors of clinical improvement following constraint-induced movement therapy (CIMT) in pediatric patients with chronic hemiplegia.From 14 children with congenital or acquired brain injury and 10 sex-and age-matched healthy controls, brain dual-echo, DTI and RS fMRI sequences were acquired before CIMT. The Quality of Upper Extremities Skills Test and the Gross Motor Function Measure (GMFM) were administered at baseline, at the end of CIMT (10 weeks), and after 6 months. Mean diffusivity and fractional anisotropy (FA) were measured in the lesion responsible for the clinical symptomatology, the affected and unaffected corticospinal tract (CST), motor transcallosal fibers, and uncinate fasciculus (as an internal control). Independent component analysis was used to identify the sensorimotor RS network. The ability of baseline MRI variables to predict clinical changes over time was assessed using multivariate linear models. At baseline, patients had increased mean diffusivity in the symptomatic lesion and decreased FA in the symptomatic lesion, affected corticospinal tract, and motor transcallosal fibers. A reduced RS functional connectivity was found in the bilateral cerebellum, left precentral gyrus, and right secondary sensorimotor cortex. At follow up, Quality of Upper Extremities Skills Test and GMFM scales improved significantly. Baseline average lesion FA predicted clinical improvement at week 10, and baseline functional connectivity of the right secondary sensorimotor cortex and cerebellum predicted GMFM improvement at month 6. DTI and RS fMRI offer promising and objective markers to predict clinical outcomes following CIMT in pediatric patients with congenital or acquired hemiplegia.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

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MRI Predicts Efficacy of Constraint-Induced Movement Therapy in Children With Brain Injury

et al. 2013

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“…Applications of this technique were found in multiple sclerosis [6] and in Cerebral Palsy [7] with encouraging results on gait pattern and upper limb functionality. Results were also found to support the use of this type of taping application to improve the lower-limb functionality in subjects with JHS/EDS-HT.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Neuromuscular Taping Along With Conventional Physical Therapy in Post Amputation Phantom Pain Management: An Experimental Study

Kutty¹,

Gebremichael²

2017

IJPR

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Background: Neuro Muscular Taping (NMT) is a biomechanical therapy method using decompressive and compressive stimuli to obtain positive effects in the musculoskeletal, vascular, lymphatic and neurological systems. Application of an elastic tape on the skin will evoke direct therapeutic effect both local and distant by reflex. The application of NMT with an eccentric and decompressive technique rises the skin and dilates the interstitial spaces and consequently improves circulation and absorption of liquids reduces subcutaneous pressure. The aim of this study is to assess the efficacy of Neuromuscular taping on the treatment of Phantom pain in post amputation subjects in Mekelle ortho-physiotherapy centre, Physiotherapy Department, Tigray region, Northern Ethiopia, 2015-16. Materials and Methods:The study population consisted of 32 subjects between 10 and 80 years of age. Subjects who underwent lower limb amputation and having phantom pain syndrome in Mekelle-ortho physiotherapy center, Mekelle and meeting the inclusion criteria were included in the study. The 32 subjects were allocated in to two groups of which, one is experimental group (16 subjects who were treated with neuromuscular taping treatment along with conventional physiotherapy) and second control group (16 subjects who were treated with conventional physiotherapy alone). Results:To check the effectiveness of neuromuscular taping, the results of both groups were compared with each other i.e. between the groups it revealed a statistical association, i.e. (df =16, p=0.005 level, group A= 0.059 & group B =0.501). These finding clearly suggested that for lower limb amputation patient conventional physiotherapy is effective in reduction of pain but along with neuromuscular taping it stands to very effective in reducing phantom pain in post amputation subjects and VAS scale parameters reduction resulted in 6-7 treatment sessions that is less than in 8-10 treatment sessions when compared to control group. Conclusion:To conclude the results using the conventional physiotherapy with neuromuscular taping in the management of phantom pain in lower limb amputation subjects were found to be very effective than conventional physiotherapy alone. Hence, it is highly recommended that neuro muscular taping can be included in the treatment protocol for lower limb amputation subjects having phantom pain syndrome along with conventional physiotherapy.

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“…In fact, they may pose serious challenges to daily life contexts (i.e., home, medical and rehabilitative settings), since they are frequently unable to correctly manage the positive stimulation by their-own and they are inadequate to be involved within conventional and traditional programs [1,2]. Thus, these children may be not capable of: (a) regulate the amount and the type of stimulation available, and (b) positively interact or communicate with their partners (e.g., parents and caregivers), with negative outcomes on their quality of life [3,4].…”

mentioning

confidence: 99%

Assistive Technology-based Programs for Promoting Independence of Post-coma Children

Stasolla¹,

Boccasini²,

Albano³

et al. 2016

Int J Neurorehabilitation Eng

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Constraint-Induced Movement Therapy for Children With Hemiplegia After Traumatic Brain Injury

Abstract: Our results suggest that the CIMT program can improve movement efficiency and upper limb function in children after TBI. The integration of the clinical outcomes and upper limb kinematics revealed to be crucial in detecting the effects of the CIMT programme.

Cited by 60 publications

References 39 publications

MRI Predicts Efficacy of Constraint-Induced Movement Therapy in Children With Brain Injury

MRI Predicts Efficacy of Constraint-Induced Movement Therapy in Children With Brain Injury

Efficacy of Neuromuscular Taping Along With Conventional Physical Therapy in Post Amputation Phantom Pain Management: An Experimental Study

Assistive Technology-based Programs for Promoting Independence of Post-coma Children

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