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- Title
Treatment of Congenital Hemiparesis With Pediatric Constraint-Induced Movement Therapy.
- Authors
Taub, Edward; Griffin, Angi; Uswatte, Gitendra; Gammons, Kristin; Nick, Jennifer; Law, Charles R.
- Abstract
To determine efficacy of pediatric Constraint-Induced Movement therapy, 20 children with congenital hemiparesis (ages 2 to 6 years) were randomly assigned to receive the treatment or usual care. Controls crossed over to the therapy after 6 months. Children receiving the therapy first exhibited emergence of more new classes of motor patterns and skills (eg, crawling, thumb-forefinger prehension; 6.4 vs 0.02, P < .0001, effect size d = 1.3), and demonstrated significant gains in spontaneous use of the more affected arm at home (2.2 vs 0.1, P < .0001, d = 3.8) and in a laboratory motor function test. Depending on the measure, benefits were maintained (range, no loss to 68% retention over 6 months). When controls crossed over to the therapy, they exhibited improvements as great as or greater than those receiving therapy first. Thus, Constraint-Induced Movement therapy appears to be efficacious for young children with hemiparesis consequent to congenital stroke.
- Subjects
MOVEMENT disorders in children; CONSTRAINT-induced movement therapy; HEMIPARESIS; CRAWLING &; creeping; CASE-control method; GENETIC disorders in children; THERAPEUTICS
- Publication
Journal of Child Neurology, 2011, Vol 26, Issue 9, p1163
- ISSN
0883-0738
- Publication type
Article
- DOI
10.1177/0883073811408423