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Pediatr Phys Ther. 2001 Summer;13(2):68-76.

Effects of constraint-induced therapy on hand function in children with hemiplegic cerebral palsy.

Author information

1
Department of Biobehavioral Sciences, Teachers College (J.C., G.L., A.M.G.) and Department of Rehabilitation Medicine, College of Physicians and Surgeons (A.M.G.), Columbia University, New York, NY.

Abstract

PURPOSE:

The effects of constraint-induced therapy on hand function of the involved upper extremity were examined in three children with hemiplegic cerebral palsy.

METHODS:

In these case reports, the noninvolved upper extremities of the children were constrained six hours daily for 14 consecutive days. Hand function, strength, sensation, and fingertip force coordination were examined pre- and postintervention.

RESULTS:

The results indicated that there was an improvement in hand function for two of the three children and an improvement in two-point discrimination threshold values for all children. While there was no consistent change in fingertip force coordination during precision grip across children, one child demonstrated a consistent decrease in duration of temporal phases of fingertip force coordination and two children demonstrated a reorganization of the grip-lift synergy of the involved hand.

CONCLUSION AND CLINICAL IMPLICATIONS:

Improvement in hand function is not captured by any one measure. The effectiveness of this intervention is promising but may be dependent on the severity of the impairment.

PMID:
17053660

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