Effects of Modified Constrained Induced Movement Therapy to Improve the Upper Limb Functional Activities and Gross Manual Dexterity on Hemiparetic Cerebral Palsy Children

Seema Nagarani

doi:10.4172/2376-0281.1000169

Abstract

Background: cerebral palsy is a neuro developmental disorder. It has various types. Hemiparetic cerebral palsy is a type in which the children have limitations in capacity to use the impaired upper limb on daily life activities. This study aims to find out the effects of modified Constraint induced Movement therapy (modified CIMT) to improve the upper limb functional activities and gross manual dexterity among the children with hemiparetic cerebral palsy. Methods: 10 children with hemiparetic cerebral palsy were undergone to modified CIMT. Interventions lasted for 4weeks, 4hrs/day, Peadiatric Motor Activity Log(PMAL) to assess the children's upper limb functional activities and box and block to assess gross manual dexterity were used before and after intervention. Results: The results showed significant improvements on functional measures of PMAL and gross manual dexterity of box and block. Conclusion: modified CIMT is an effective therapy to improve the upper limb functional activities and gross manual dexterity on the children with hemiparetic cerebral palsy.

Highlights

Cerebral palsy (CP) is a neuro developmental disorder caused by non-progressive lesion in the immature brain
The prevalence of cp is approximately 2- 2.5 per 1000 births, with hemiplegia accounting for approximately 25% of all new cases worldwide
The aim of the study was to find out the effectiveness of modified Constraint induced movement therapy to improve the upper limb

Summary

Introduction

Cerebral palsy (CP) is a neuro developmental disorder caused by non-progressive lesion in the immature brain. It may occur before, during or after birth. The early central nervous system damage results in physical disabilities and sensory impairments. The prevalence of cp is approximately 2- 2.5 per 1000 births, with hemiplegia accounting for approximately 25% of all new cases worldwide. CP is mainly classified to the spastic, ataxic, dystonic, and choreoathetosis. Hemiplegia is a type of spastic cerebral palsy [1,2,3]

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