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

• Autores: Steven M. Cope, Heather C. Forst, Denise Bibis, Xue-Cheng Liu
• Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 62, Nº. 4, 2008, págs. 430-437
• Idioma: inglés
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• Resumen

  • OBJECTIVE. This case report describes the use of modified constraint-induced movement therapy (CIMT) to improve upper-limb function in a 12-month-old child with right hemiplegia. It also describes parent concerns about CIMT and documents the short- and long-term effects of modified CIMT.

    METHOD. The participant was assessed 5 times over a 7.5-month period using the Peabody Developmental Motor Scales�2, Pediatric Motor Activity Log, Toddler Amount of Use Test, and Knox Parent Questionnaire. CIMT included a nonremovable cast worn on the unaffected arm and approximately 8 hr per week of occupational and physical therapy for 2 weeks.

    RESULTS. Benefits of improved upper-limb function measured immediately after CIMT were sustained at 6 months� follow-up. No adverse events related to cast use were reported.

    DISCUSSION. 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