Article

We investigated the feasibility and effectiveness of group-based
constraint-induced movement therapy (CIMT) for children with hemiplegic cerebral
palsy in a clinical setting. METHOD. Seven children received CIMT together under
the guidance of two occupational therapy practitioners, 2.5 hr/day, 5 days/wk for
4 wk. We used the Grasping and Visual-Motor Integration subtests of the Peabody
Developmental Motor Scales to assess the primary outcome and the Functional
Skills and Caregiver Assistance Scales of the Pediatric Evaluation Disability
Inventory to assess the secondary outcome. Children were examined at
preintervention, postintervention, and 1- and 3-mo follow-up. RESULTS. Children
demonstrated significant improvement on all outcome measures after intervention
(all ps < .05, effect sizes = .39-.84), and effects were maintained at 3-mo
follow-up. CONCLUSION. This preliminary study revealed that group-based CIMT for
children with hemiplegic cerebral palsy may be a feasible and effective
alternative to individual CIMT in clinical practice.
CI - Copyright (c) 2013 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS