Modified constraint-induced movement therapy during hospitalization in children with perinatal brachial plexus palsy: A randomized controlled trial

Eren, Beyhan; Saygı, Evrim Karadağ; Tokgoz, Duygu; Leblebicier, Merve Akdeniz

doi:10.1016/j.jht.2019.12.008

Cited by 8 publications

(5 citation statements)

References 34 publications

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“…They concluded that after six months of systematic therapy, the AROM was close to normal, and the patient achieved Grade 5 muscle power [ 18 ]. In their study, Eren et al discovered that mCIMT promotes more functional improvements than traditional rehabilitation programs and improves forearm supination and elbow flexion AROMs, forearm supination function, gross motor abilities, and handgrip strength of the afflicted limb [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Virtual Reality and Functional Electrical Stimulation on a Seven-Year-Old Child With Erb's Palsy: A Case Report

Singh,

Sharath,

Bhutada

et al. 2024

Cureus

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Erb's palsy usually commonly arises from incidents such as falls, collisions, birth trauma, and shoulder injuries in children. It impairs upper extremity muscle function, which has an impact on the quality of life and social interaction. Physical therapy is beneficial in preserving and enhancing upper extremity function, improving the quality of life. In this case report, a seven-year-old female child with complaints of weakness in the right upper limb demonstrated a notable increase in the strength and function of the upper extremities after four weeks of structured rehabilitation using virtual reality and functional electrical stimulation.

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Section: Discussionmentioning

confidence: 99%

The Role of Virtual Reality and Functional Electrical Stimulation on a Seven-Year-Old Child With Erb's Palsy: A Case Report

Singh,

Sharath,

Bhutada

et al. 2024

Cureus

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“…[ 34 ] In a randomized controlled study of 39 patients by Eren et al, it was concluded that mCIMT was effective in improving functional status and was recommended for use in routine clinical practice. [ 35 ]…”

Section: Discussionmentioning

confidence: 99%

The effect of the modified constraint-induced movement therapy on the upper extremity functions of obstetric brachial plexus palsy patients

Kuran¹

2022

Sisli Etfal

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Objectives: Functional limitation of the upper extremity (UE) in obstetrical brachial plexus paralysis (OBPP) restricts a child’s participation in daily living and social activities. In treatment, the participation of UE in rehabilitation is important. Constraint-induced movement therapy (CIMT) is a promising rehabilitation approach that is used to improve the UE functions of patients with neurological dysfunctions. Methods: This single-blinded randomized controlled clinical trial includes 30 pediatric patients diagnosed with chronic OBPP aged between 2 and 12 years. The patients were divided into two groups as a modified CIMT group and a control group. Patients in both groups underwent classical rehabilitation treatment 4 times a week for 8 weeks. Range of motion (ROM), stretching, strengthening, and proprioceptive exercises were given to both control and CIMT group. The patients in the CIMT group had to wear constraining arm slings 2 h per day and 4 days a week for 8 weeks. The patients were evaluated both before and after treatment using the Mallet classification system and the Melbourne unilateral upper limb assessment-2 (The MA2) scale. Results: In both groups, the Mallet and MA2 scores significantly increased after the treatment process. However, the percentage of improvement was higher for the CIMT group. Conclusion: Modified CIMT improves the joint ROM and the functional use of the extremity among OBPP-diagnosed children. This improvement is greater in the CIMT group compared to the improvement in the control group. Implementation of CIMT in a routine rehabilitation process may be helpful.

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“…It should be performed six or seven days a week, while the splint that restricts the healthy limb should remain for several hours a day (e.g. for six hours as indicated by Eren) [12] . More clinical studies are needed for safe conclusions regarding the efficacy of a particular method.…”

Section: Discussion-conclusionmentioning

confidence: 99%

“…The results showed significant improvement in both groups, with a remarkable superiority of the intervention group in restoring the function and mobility of the affected upper limb (Mallet scale measurements before and after the intervention: abduction from 3.06 ± 0.59 to 4.26 ± 0.45, p = .001, external rotation from 2.66 ± 0.48 to 4.06 ± 0.25, p = .001, hand to neck from 2.40 ± 0.50 to 3.93 ± 0.59, p < .001, hand to spine from 2.40 ± 0.50 to 4.13 ± 0.35, p < .001, hand to mouth from 2.73 ± 0.79 to 4.26 ± 0.45, p < .001). The recent single blind randomized study by Eren et al [12] aims to compare the effect of CIMT and conventional physiotherapy on the function of the affected upper limb. The 39 patients who participated were divided into two groups.…”

Section: Literature Reviewmentioning

confidence: 99%

Comparison of the efficacy of electrotherapy and neuromuscular retraining techniques in restoring function of children with obstetric palsy

Bekou¹,

Iakovidis²,

Chasapis³

et al. 2021

Int. J. Adv. Res. Med.

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Background: Obstetric palsy (OP) is defined as the paralysis or paresis of all or part of the upper limb that occurs in the newborn during childbirth. It can be treated surgically and conservatively. Physiotherapy and in particular electrotherapy and neuromuscular retraining techniques help to restore the function of the upper limb. The purpose of this review is to describe and compare recent research data on the efficacy of electrotherapy and neuromuscular retraining techniques in the rehabilitation of infants with OP. The Google Scholar and PubMed databases were searched in English and Greek with the following keywords: obstetric palsy, physiotherapy, electrotherapy, rehabilitation. The review included clinical trials, case studies and systematic reviews. The review included 10 articles: three clinical trials, two case studies, two research articles and three systematic reviews. Conclusions: Electrotherapy and neuromuscular retraining techniques are equally useful methods for treating OP. Electrotherapy is applied during the acute stage, while the techniques begin in the 2 nd week of life with the most common choices being the Vojta and Bobath methods and in older age the Proprioceptive Neuromuscular Facilitation and Constraint-Induced Movement Therapy.

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Modified constraint-induced movement therapy during hospitalization in children with perinatal brachial plexus palsy: A randomized controlled trial

Cited by 8 publications

References 34 publications

The Role of Virtual Reality and Functional Electrical Stimulation on a Seven-Year-Old Child With Erb's Palsy: A Case Report

The Role of Virtual Reality and Functional Electrical Stimulation on a Seven-Year-Old Child With Erb's Palsy: A Case Report

The effect of the modified constraint-induced movement therapy on the upper extremity functions of obstetric brachial plexus palsy patients

Comparison of the efficacy of electrotherapy and neuromuscular retraining techniques in restoring function of children with obstetric palsy

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