Modified Constraint-Induced Movement Therapy for a 12-Month-Old Child With Hemiplegia: A Case Report

Cope, Steven M.; Forst, Heather C.; Bibis, Denise; Liu, Xuecheng

doi:10.5014/ajot.62.4.430

Cited by 46 publications

(35 citation statements)

References 21 publications

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“…Evidence from randomized controlled studies indicates that CIMT effectively improves hand function in children with unilateral CP over two years of age (Sakzewski, Ziviani, & Boyd, 2014). It is reasonable to assume that such training would benefit young children as well, as indicated by results from some case studies (Coker, Lebkicher, Harris, & Snape, 2009;Cope, Forst, Bibis, & Liu, 2008;Lowes et al, 2013).…”

mentioning

confidence: 96%

Improvements in bimanual hand function after baby-CIMT in two-year old children with unilateral cerebral palsy: A retrospective study

Nordstrand

Holmefur

Kits

et al. 2015

Research in Developmental Disabilities

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mentioning

confidence: 96%

Improvements in bimanual hand function after baby-CIMT in two-year old children with unilateral cerebral palsy: A retrospective study

Nordstrand

Holmefur

Kits

et al. 2015

Research in Developmental Disabilities

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“…The increased use of the affected extremities with CIMT is suggested to be due to an expansion in the contralateral cortical area that controls this extremity's motion and the development of new ipsilateral areas. This is reported to form the neural basis for the continuation of the use of the affected extremity after the treatment (Morris & Taub (Cope et al, 2008). Although all these studies provide important data showing that CIMT is useful for the hemiplegic upper extremity, the advantages and disadvantages of the method are still being discussed.…”

Section: Constrained Induced Movement Therapymentioning

confidence: 99%

Physical Management of Children with Cerebral Palsy

Günel¹,

Turker²,

Özal³

et al. 2014

Cerebral Palsy - Challenges for the Future

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“…Gordon et al, 2006], while others have extended treatment to 2 months [Eliasson et al, 2005]. In addition, some therapy sessions have been provided on an individual basis [Crocker et al, 1997;DeLuca et al, 2003;Karman et al, 2003;Miller and Hale, 2005;Dickerson and Brown, 2007;Naylor and Bower, 2005;Cope et al, 2008;Fergus et al, 2008;Martin et al, 2008] while others are group based [Eliasson et al, 2003;Gordon et al, 2006;Charles and Gordon, 2007], or have combined both group and individual treatment sessions [Kuhnke et al, 2008]. Treatment environments have included home, clinic, and camp models, while interventionists have also varied from study to study including mostly Occupational and Physical Therapists but also trained caregivers, aides, and teachers.…”

Section: Application Of Cimt With Children With Hemiparesismentioning

confidence: 99%

Constraint‐induced movement therapy (CIMT): Pediatric applications

Brady

Garcia

2009

Dev Disabil Res Revs

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The purpose of this article is to describe theoretical and research bases for constraint‐induced movement therapy (CIMT), to discuss key features and variations in protocols currently in use with children, and to review the results of studies of efficacy. CIMT has been found to be an effective intervention for increasing functional use of the hemiparetic upper extremity in adults with chronic disability from stroke. CIMT developed out of behavioral research on the phenomenon of “learned nonuse” of an upper extremity, commonly observed following sensory and/or motor CNS injury, in which failure to regain use persists even after a period of partial recovery. CIMT includes three key elements: (1) constraining the use of the less‐impaired upper extremity (UE); (2) intensive, repetitive daily therapist‐directed practice of motor movements with the impaired UE for an extended period (2–3 weeks); and (3) shaping of more complex action patterns through a process of rewarding successive approximations to the target action. Mechanisms responsible for success are thought to be separate but complementary, that is, operant conditioning (reversal of learned nonuse) and experience‐driven cortical reorganization. CIMT has recently been extended to children with hemiparesis secondary to perinatal stroke or other CNS pathology. Numerous case studies, as well as a small number of randomized controlled or controlled clinical trials have reported substantial gains in functional use of the hemiplegic UE following CIMT with children. Protocols vary widely in terms of type of constraint used, intensity and duration of training, and outcome measures. In general, all report gains in functional use, with minimal or no adverse effects. Continued research is needed, to clarify optimal protocol parameters and to further understand mechanisms of efficacy. © 2009 Wiley‐Liss, Inc. Dev Disabil Res Rev 2009;15:102–111.

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Modified Constraint-Induced Movement Therapy for a 12-Month-Old Child With Hemiplegia: A Case Report

Abstract: The findings from this case report suggest that CIMT was a safe intervention associated with improving upper-limb function for this young child with hemiplegia.

Cited by 46 publications

References 21 publications

Improvements in bimanual hand function after baby-CIMT in two-year old children with unilateral cerebral palsy: A retrospective study

Improvements in bimanual hand function after baby-CIMT in two-year old children with unilateral cerebral palsy: A retrospective study

Physical Management of Children with Cerebral Palsy

Constraint‐induced movement therapy (CIMT): Pediatric applications

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