The constraint-induced movement therapy (CIMT): Interest of theme group in pediatric as practiced since 2012

Abstract

Since 2012, we have admitted groups of 3 to 5 children with hemiplegia, aged from 7 to 18 years old, classified Manual ability classification system (MACS) 2 to 4. The children received 5 to 8 days of unilateral constraint (8 hours per day) and 2 days of bimanual training. Each day they received 4 hours of active rehabilitation based on repetition, shaping and goal oriented tasks. Child has previously determined a personal goal that will be validated at the challenge's ceremony with the awarding of diplomas. Each “camp” has a theme to ensure consistency and motivation for young people. Our results will be illustrated by a clinical case, the scales used are the Melbourne assessment of unilateral upper limb function (Melbourne), the Shrinners Hospital Upper Extremity Evaluation (SHUEE), the ABILHAND-kids and the box and block test. The CIMT construct is complex, and much remains unknown. Formalizing an individual functional goal is the key to motivate young people and to use the results in their daily life. The challenge's ceremony and the presentation of diplomas create emulation. Bimanual training at the end of the program seems to be very important.