Abstract
BACKGROUND: Constraint-induced movement therapy (CIMT) is an established therapeutic method for rehabilitation of adults after stroke. Several studies also showed function improvement of the affected upper limb in patients with unilateral cerebal palsy. OBJECTIVE: This study investigated whether the type of corticospinal (re)organisation influences the effectiveness of CIMT. METHOD: 9 patients who motorically controlled their paretic hand with reorganised ipsilateral tracts of the non-affected brain hemisphere (ipsi-group), and 7 patients with affected brain hemisphere’s sustained corticospinal projection of the paretic hand (contra-group) took part in a 12-day CIMT training camp. Directly before and after the workout session as well as during the follow-up testing with Wolf Motor Function Test (WMFT) was performed. RESULTS: Both groups improved the affected upper limb’s movement quality during WMFT. However, only patients with sustained contralateral tracks needed less time for movement performance. CONCLUSIONS: Diverse kinds of corticospinal (re)organisation respond differently to CIMMT intervention. Presumably CIMT outcome in patients with corticospinal reorganisation could be optimised by additional bimanual exercise.
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