Research Article  |   November 2018
Effectiveness of Modified Constraint-Induced Movement Therapy Compared With Bimanual Therapy Home Programs for Infants With Hemiplegia: A Randomized Controlled Trial
Author Affiliations
  • Rena Chamudot, PhD, OT, is Lecturer, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel, and Occupational Therapy Director, Dvorah Agmon Pre-School Development Center, Jerusalem, Israel. At the time of the study, she was Doctoral Student, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Israel; chamudot@012.net.il
  • Shula Parush, PhD, OT, is Professor Emeritus, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
  • Amihai Rigbi, PhD, is Senior Lecturer, Faculty of Education, and Research Authority, Beit Berl Academic College, Kfar-Sava, Israel
  • Roni Horovitz, MSc, OTR/L, is OTD Candidate, Boston University, Boston, MA. At the time of the study, she was Graduate Student, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Israel
  • Varda Gross-Tsur, PhD, MD, is Professor of Pediatrics, Neuropediatric Unit, Department of Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel, and the Hebrew University of Jerusalem, Jerusalem, Israel
Article Information
Pediatric Evaluation and Intervention / Research Articles
Research Article   |   November 2018
Effectiveness of Modified Constraint-Induced Movement Therapy Compared With Bimanual Therapy Home Programs for Infants With Hemiplegia: A Randomized Controlled Trial
American Journal of Occupational Therapy, November 2018, Vol. 72, 7206205010p1-7206205010p9. doi:10.5014/ajot.2018.025981
American Journal of Occupational Therapy, November 2018, Vol. 72, 7206205010p1-7206205010p9. doi:10.5014/ajot.2018.025981
Abstract

OBJECTIVE. We examined the effectiveness of modified constraint-induced movement therapy (mCIMT) in treating infants with hemiplegic cerebral palsy and compared therapy outcomes with a nonconstraining bimanual therapy (BIM) of equal intensity.

METHOD. In a single-blinded randomized controlled trial, 33 infants with hemiplegia (mean corrected age = 11.1 mo, standard deviation = 2.2) received either mCIMT (n = 17) or BIM (n = 16). Both interventions included home programs encouraging the use of the affected hand during daily 1-hr play sessions for 8 wk. Outcome measures were administered pre- and posttreatment and included the Mini-Assisting Hand Assessment for babies and the Functional Inventory. At baseline, parents also filled out the Dimensions of Mastery Questionnaire.

RESULTS. Both groups demonstrated a significantly large and equal improvement in hand and gross motor function posttreatment (p < .001) and high treatment compliance.

CONCLUSION. mCIMT and BIM are equally effective methods for treating infants with hemiplegia.