Steven M. Cope, Heather C. Forst, Denise Bibis, Xue-Cheng Liu; Modified Constraint-Induced Movement Therapy for a 12-Month-Old Child With Hemiplegia: A Case Report. Am J Occup Ther 2008;62(4):430-437. doi: 10.5014/ajot.62.4.430.
Download citation file:
© 2019 American Occupational Therapy Association
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.
This PDF is available to Subscribers Only
For full access to this pdf, sign in to an existing account, or purchase an annual subscription.