Effectiveness of Modified Constraint-Induced Movement Therapy Compared With Bimanual Therapy Home Programs for Infants With Hemiplegia: A Randomized Controlled Trial

Author:

Chamudot Rena1,Parush Shula2,Rigbi Amihai3,Horovitz Roni4,Gross-Tsur Varda5

Affiliation:

1. Rena Chamudot, PhD, OT, is Lecturer, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel, and Occupational Therapy Director, Dvorah Agmon Pre-School Development Center, Jerusalem, Israel. At the time of the study, she was Doctoral Student, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Israel; chamudot@012.ne

2. Shula Parush, PhD, OT, is Professor Emeritus, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

3. Amihai Rigbi, PhD, is Senior Lecturer, Faculty of Education, and Research Authority, Beit Berl Academic College, Kfar-Sava, Israel

4. Roni Horovitz, MSc, OTR/L, is OTD Candidate, Boston University, Boston, MA. At the time of the study, she was Graduate Student, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Israel

5. Varda Gross-Tsur, PhD, MD, is Professor of Pediatrics, Neuropediatric Unit, Department of Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel, and the Hebrew University of Jerusalem, Jerusalem, Israel

Abstract

Abstract OBJECTIVE. We examined the effectiveness of modified constraint-induced movement therapy (mCIMT) in treating infants with hemiplegic cerebral palsy and compared therapy outcomes with a nonconstraining bimanual therapy (BIM) of equal intensity. METHOD. In a single-blinded randomized controlled trial, 33 infants with hemiplegia (mean corrected age = 11.1 mo, standard deviation = 2.2) received either mCIMT (n = 17) or BIM (n = 16). Both interventions included home programs encouraging the use of the affected hand during daily 1-hr play sessions for 8 wk. Outcome measures were administered pre- and posttreatment and included the Mini-Assisting Hand Assessment for babies and the Functional Inventory. At baseline, parents also filled out the Dimensions of Mastery Questionnaire. RESULTS. Both groups demonstrated a significantly large and equal improvement in hand and gross motor function posttreatment (p < .001) and high treatment compliance. CONCLUSION. mCIMT and BIM are equally effective methods for treating infants with hemiplegia.

Publisher

AOTA Press

Subject

Occupational Therapy

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