Modified constraint-induced movement therapy as a home-based intervention for children with cerebral palsy
Kennedy, Colin R.
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Purpose: This study was designed to investigate the benefit to upper limb function of a home-based version of pediatric constraint-induced movement therapy, which was delivered across 2 months. Methods: Nine children (mean age: 6 years, 9 months) with hemiplegic cerebral palsy participated in this A1-B-C-A2 design, where A1 and A2 were nonintervention phases. In phases B and C, participants wore a splint on the unaffected hand. In phase C, motivating feedback through a computer game was added. Results: The Melbourne Assessment of Unilateral Upper Limb Function and the Quality of Upper Extremity Skills Test scores were significantly higher at the end of phases B (P =.037 and P =.006, respectively) and C (P =.001 and P =.001, respectively). Melbourne scores remained higher at the end of phase A2 (P =.001). Conclusions: A nonintensive form of home-based constraint-induced movement therapy was found to be effective. Improvements were larger after the second month of intervention.