Saturday, December 19, 2015

Evidence-Based Practice: A Pediatric Constraint-Induced Movement Therapy Study

Photo Credit: Prawny @
Purpose: The purpose of this study was to investigate the application of CIMT to children diagnosed with cerebral palsy (CP-hemiparesis).

Methods. A randomized, controlled clinical trial was conducted.  Nine children received CIMT therapy and 9 received traditional therapy.

Results. The children who received CIMT demonstrated significant improvements with motor skills in the affected arm completed to the children in the traditional group. The benefits were still present after 6 months.

Conclusion. Pediatric CIMT resulted in significantly improved motor function in children diagnosed with CP.

Taub, E., Ramey, S. L., DeLuca, S., Echols, K. (2004). Efficacy of constraint-induced movement therapy for children with
     cerebral palsy with asymmetric motor impairment. Pediatrics, 113(2).

Multicenter Randomized Controlled Trial of Pediatric 
Constraint-Induced Movement Therapy: 6-Month Follow-Up.

Purpose: The current study compared 6 hours per day with 3 hours per day of CIMT over a 21-day period to determine which client would demonstrate the most gains 6 months after the treatment was implemented.

Methods: This was a multisite randomized controlled trial.

Results: Both groups demonstrated significant upper extremity functional gains as a result of therapy.

Conclusion: The 6 hours per day and 3 hours per day treatments both resulted in gains.
Case-Smith, J., DeLuca, S.C., Ramey, S. L. (2012). Multicenter randomized controlled trial of pediatric constraint-induced  movement therapy: 6-month follow-up.  American Journal of Occupational Therapy, 66(1), 15-23.

Efficacy of Constraint-Induced Movement Therapy on Involved Upper Extremity Use in Children with 
Hemiplegic Cerebral Palsy

Purpose: This study investigated the effectiveness of a "child-friendly" constraint-induced movement therapy on the involved upper extremities of children diagnosed with hemiplegic cerebral palsy.

Methods: There were 20 children in the study ranging in age from 4 to 13 years, and the children were divided into an older group and a younger group.  Each participant wore a sling on the uninvolved arm for 6 hours daily over a period of 10 to 12 days.  Therapists who were blinded to the study details conducted assessments of motor skills at the points: after one week, one month, and six months.

Results: Both groups of children made significant motor skill improvements with their involved upper extremities.

Conclusion:  CIMT is an effective treatment for children (of various ages) diagnosed with hemiplegic cerebral palsy.

Gordon, A. M., Charles, J., & Wolf, S. L. (2006). Efficacy of constraint-induced movement therapy on involved upper 
     extremity use in children with hemiplegic cerebral palsy.  Pediatrics, 117(3), e363-373.


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