Constraint-induced movement therapy for upper limb in children with hemiplegic cerebral palsy

Constraint-induced movement therapy may have some effect in improving movement in affected upper limb in children with hemiplegic cerebral palsy.

A Cochrane review included 3 studies with a total of 94 subjects. The results of one RCT showed a trend for positive treatment effect favouring CIMT using the Dissociated Movement subscale of the Quality of Upper Extremity Skills Test (QUEST). Other outcome measures, that were without reported psychometric properties, showed significant treatment effects. A CCT demonstrated a significant treatment effect favouring modified CIMT at two and six months using the Assisting Hand Assessment (AHA). Another trial with inaccurate reporting and ambiguous methodology, showed a significant treatment effect at 6 weeks on the self care component of the WeeFIM using a Forced Use protocol. All other measures showed no significant treatment effect.

Comment: The quality of evidence is downgraded by study quality; inadequate allocation concealment and imprecise results; few patients and wide confidence intervals.

Ədəbiyyat

1. Hoare BJ, Wasiak J, Imms C, Carey L. Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy. Cochrane Database Syst Rev 2007 Apr 18;(2):CD004149.