Article

AIM: To evaluate 'remind-to-move' (RTM) treatment by comparing it with
constraint-induced movement therapy (CIMT) and conventional rehabilitation of the
upper extremity in children with hemiplegic cerebral palsy (CP). METHOD: Seventy-three children (44 males, 29 females; mean age 11y 8mo, standard
deviation [SD] 3y 1mo) - with 20, 38, and 15 in Manual Ability Classification
System levels I, II, and III respectively - were recruited from three special
schools and randomly selected for an RTM (n=25) or CIMT
(n=24) programme (for 75h
over 3wks) or for conventional rehabilitation (n=24).
The Jebsen-Taylor Hand
Function Test, the Bruininks-Oseretsky Test of Motor Proficiency (Subtest 3), the
Caregiver Functional Use Survey, and arm movement duration captured by
accelerometers were used at the baseline, post-test, and 1-month and 3-month
follow-ups. RESULTS: Both the RTM and CIMT treatments achieved significant gains
in manual capacities and spontaneous hand use immediately after the intervention
compared with conventional rehabilitation, but there were no significant
differences between the two interventions.
INTERPRETATION:
The RTM treatment
demonstrated similar therapeutic effects with CIMT in manual dexterity and functional hand use, but both interventions were superior to conventional rehabilitation. RTM is recommended as an alternative treatment for the hemiplegic
upper extremity in children with CP.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS