Article

PURPOSE: To determine the effects of treatment environment (home and clinic) on
results of modified constraint-induced movement therapy (modified CIMT) in
children with spastic hemiplegic cerebral palsy.
METHOD: In a single-blinded,
randomized, controlled trial, 14 children with spastic hemiplegic cerebral palsy
(5 females, 9 males; mean age: 74 months) received 15 hours of modified CIMT,
occurring three times/week for 10 sessions every other day in two randomly
assigned groups. Each session lasts one and half hours. Treatment environment for
intervention group (n = 7) was home and for control group (n = 7) was clinic.
Measures were conducted pre, post and 3 months after treatment period by
pediatrics motor activity log and subtests 5 (upper limb coordination) and 8
(upper limb speed and dexterity) of Bruininks-Oseretsky test of motor
proficiency. Sample randomization and data analysis by analysis of variance with
repeated measures were conducted by SPSS-16 software in alpha level set at p <
0.05. RESULTS: All subjects showed significant improvement (p < 0.01) in
post-test measures except subtest 5 of Bruininks-Oseretsky test of motor
proficiency. In contrast to clinic group, subjects in home showed significantly
continued improvement at follow-up session in all measures. CONCLUSIONS: Modified
CIMT is effective in improving upper limb function in children with spastic
hemiplegic cerebral palsy. In addition, more improved performance in home group
places the practice in natural context as the preferred method for treatment of these children.

Langue : ANGLAIS