The effect of the incorporation of modified constraint-induced movement therapy and bimanual intensive therapy on quality of upper limb function of hemiplegic cerebral palsy
Oral Presentation XML
Paper ID : 1774-11THCONF
1university of tehran,faculty of physical education
2استادیار دانشگاه ولیعصر رفسنجان
3Associate Professor at Tehran University
Introduction: Constraint Induced Movement Therapy (CIMT) and bimanual approach (BIM training) are promising treatment for improving the upper limb function in children with spastic hemiplegia. CIMT involved restraint of the non-involved upper extremity and intensive practice with the involved upper extremity. BIM training is complementary to other treatments of the upper extremity and improves bimanual coordination .Using structured task practice embedded in bimanual play and functional activities. The purpose of this research was the effect of the incorporation of modified constraint-induced therapy (MCIMT) and BIM on quality of upper limb function of hemiplegic cerebral palsy.
Methodology: In this study, 8 hemiplegic cerebral palsy children 5-8 years with a mean age 7.2±0.3 were used. After identification and selection of samples, using the QUEST test to evaluated the quality of their upper limbs moderated .The participants were then trained for 21 consecutive days using a MCIMT and BIM method. The Constraint- Induced Movement Therapy approach was to adjust the healthy hands of the subjects by using the splint for 3 hours a day, and they were given the exercises that they had to take with the affected hand.The BIM training was carried out manually every 3 hours in the home and under the supervision of the parents. Subjects exercises with the use of MCIMT in the morning and in the evening did bimanual compression method. After the intervention, the upper limb function was measured using the QUEST test, and then, after a 2-month no training period, the retention of the effect of these exercises was re-established with the same test. In order to analyze the data, analysis of repeated measure was used.
Results: the results show that after 21 session intervention in the sub-scale gripping and Separate movements were significantly different (P≥0.05). However, there was no significant difference in the open protection and weight bearing subscales (P>0.05). Also, after a 2 month period of No training, the QUEST test was again performed and the results showed that in retention, subscales of the gripping and Separate movements, in addition to having a meaningful difference with the pre-test and post-test, Even significant improvements were observed in the post-test, but there was no change in the open protection and weight bearing subscales.
Discussion: The findings suggest that the combination of MCIMT and BIM It improves the skills of gripping and Separate movements, but does not affect the ability to open protection and weight bearing subscales.