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Research Article  |   July 2008
Modified Constraint-Induced Movement Therapy for a 12-Month-Old Child With Hemiplegia: A Case Report
Author Affiliations
  • Steven M. Cope, ScD, OT, Associate Professor, Department of Occupational Therapy, Concordia University Wisconsin, 12800 North Lake Shore Drive, Mequon, WI 53097; steven.cope@cuw.edu
  • Heather C. Forst, MA, OTR/L, Occupational Therapist, Developmental and Rehab Services, Children’s Hospitals and Clinics of Minnesota–St. Paul
  • Denise Bibis, PT, is Physical Therapist, Lutheran Social Services, Milwaukee, WI
  • Xue-Cheng Liu, PhD, MD, is Associate Professor, Musculoskeletal Functional Assessment Center, Department of Orthopedic Surgery, Children’s Hospital of Wisconsin, Medical College of Wisconsin
Article Information
Pediatric Evaluation and Intervention / Children and Youth
Research Article   |   July 2008
Modified Constraint-Induced Movement Therapy for a 12-Month-Old Child With Hemiplegia: A Case Report
American Journal of Occupational Therapy, July/August 2008, Vol. 62, 430-437. doi:10.5014/ajot.62.4.430
American Journal of Occupational Therapy, July/August 2008, Vol. 62, 430-437. doi:10.5014/ajot.62.4.430
Abstract

OBJECTIVE. This case report describes the use of modified constraint-induced movement therapy (CIMT) to improve upper-limb function in a 12-month-old child with right hemiplegia. It also describes parent concerns about CIMT and documents the short- and long-term effects of modified CIMT.

METHOD. The participant was assessed 5 times over a 7.5-month period using the Peabody Developmental Motor Scales–2, Pediatric Motor Activity Log, Toddler Amount of Use Test, and Knox Parent Questionnaire. CIMT included a nonremovable cast worn on the unaffected arm and approximately 8 hr per week of occupational and physical therapy for 2 weeks.

RESULTS. Benefits of improved upper-limb function measured immediately after CIMT were sustained at 6 months’ follow-up. No adverse events related to cast use were reported.

DISCUSSION. The findings from this case report suggest that CIMT was a safe intervention associated with improving upper-limb function for this young child with hemiplegia.