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The influence of early modified constraint-induced movement therapy training on the longitudinal development of hand function in children with unilateral cerebral palsy
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Centre for Rehabilitation Research, Örebro County Council, Örebro, Sweden. (REAL)ORCID iD: 0000-0001-5418-3154
2015 (English)In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 57, no 1, 89-94 p.Article in journal (Refereed) Published
Abstract [en]

Aim: There is evidence that modified Constraint-Induced Movement Therapy (mCIMT) has a short-term positive effect on hand function in children with unilateral cerebral palsy (CP), but the long-term effect is unknown. The aim was to investigate whether or not a single block of mCIMT (2 hours/day during 2 months) at age 2-3 years influences the course of development of bimanual hand function at about 8 years of age.

Methods: A convenience sample of 45 children (girls, n = 21) with unilateral CP and mean age 32 months was included (mCIMT group, n = 26; reference group, n = 19). Brain lesion characteristics were available for 32 children. The children were measured repeatedly with the Assisting Hand Assessment (AHA) for a mean period of 4 years and 6 months. Development curves were created and compared with a non-linear mixed effects model.

Results: Children receiving mCIMT had an upper limit of development that was 8.5 AHA units higher than the reference group (p = 0.022). When controlling for brain lesion characteristics and baseline in a subgroup of 32 children, the difference was considerably smaller and no longer significant.

Conclusion: mCIMT might have a positive impact on long-term development, but the results are inconclusive. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2015. Vol. 57, no 1, 89-94 p.
Keyword [en]
cerebral palsy, hand function, intervention, longitudinal
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
URN: urn:nbn:se:oru:diva-36215DOI: 10.1111/dmcn.12589ISI: 000346279600020PubMedID: 25236758Scopus ID: 2-s2.0-84916243777OAI: oai:DiVA.org:oru-36215DiVA: diva2:741911
Funder
Swedish Research Council, K2009-63X14534-07-3 K2012-69X-14534-10-2
Note

Funding Agencies:

Promobilia Foundation

Sunnerdahl Foundation

Norrbacka-Eugeniastiftelsen

Centre for Health Care Sciences at Karolinska Institutet

Strategic Research Programme in Care Sciences at Karolinska Institutet

Karolinska Innovations

Available from: 2014-08-29 Created: 2014-08-29 Last updated: 2017-10-18Bibliographically approved

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Holmefur, Marie
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