scholarly journals The Pirate Group Intervention Protocol: Description and a Case Report of a Modified Constraint-induced Movement Therapy Combined with Bimanual Training for Young Children with Unilateral Spastic Cerebral Palsy

2011 ◽  
Vol 19 (2) ◽  
pp. 76-87 ◽  
Author(s):  
Pauline B. Aarts ◽  
Margo van Hartingsveldt ◽  
Patricia G. Anderson ◽  
Ingrid van den Tillaar ◽  
Jan van der Burg ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Young Children ◽  
Group Intervention ◽  
Movement Therapy ◽  
Spastic Cerebral Palsy ◽  
Constraint Induced Movement Therapy ◽  
Intervention Protocol ◽  
Bimanual Training

scholarly journals Bound for Success: A Systematic Review of Constraint-Induced Movement Therapy in Children With Cerebral Palsy Supports Improved Arm and Hand Use

2009 ◽  
Vol 89 (11) ◽  
pp. 1126-1141 ◽  
Author(s):  
Hsiang-han Huang ◽  
Linda Fetters ◽  
Jennifer Hale ◽  
Ashley McBride
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Outcome Measures ◽  
Movement Therapy ◽  
The Body ◽  
Activity Level ◽  
International Classification Of Functioning ◽  
Critical Threshold ◽  
Constraint Induced Movement Therapy ◽  
Intervention Protocol

BackgroundConstraint-induced movement therapy (CIMT) is a potentially effective intervention for children with hemiplegic cerebral palsy (CP).PurposeThe objectives of this systematic review are: (1) to investigate whether CIMT is supported with valid research of its effectiveness and (2) to identify key characteristics of the child and intervention protocol associated with the effects of CIMT.Data Sources and Study SelectionA search of MEDLINE (1966 through March 2009), Entrez PubMed (1966 through March 2009), EMBASE (1980 through March 2009), CINAHL (1982 through March 2009), PsychINFO (1887 through March 2009), and Web of Science (1900 through March 2009) produced 23 relevant studies.Data Extraction and SynthesisThe 2 objectives of the review were addressed by: (1) scoring the validity and level of evidence for each study and calculating evidence-based statistics, if possible, and (2) recording and summarizing the inclusion and exclusion criteria, type and duration of constraint, intervention and study durations, and outcomes based on the International Classification of Functioning, Disability and Health (ICF).LimitationsOnly studies published in journals and in English were included in the systematic review.ConclusionsStudies varied widely in type and rigor of design; subject, constraint, and intervention characteristics; and ICF level for outcome measures. One outcome measure at the body functions and structure level and 4 outcome measures at the activity level had large and significant treatment effects (d≥.80), and these findings were from the most rigorous studies. Evidence from more-rigorous studies demonstrated an increased frequency of use of the upper extremity following CIMT for children with hemiplegic CP. The critical threshold for intensity that constitutes an adequate dose cannot be determined from the available research. Further research should include a priori power calculations, more-rigorous designs and comparisons of different components of CIMT in relation to specific children, and measures of potential impacts on the developing brain.

scholarly journals Upper limb therapy in children with cerebral palsy (CP) – The Pirate Group

2017 ◽  
Vol 31 (4) ◽  
pp. 57-67
Author(s):  
Marta Pawlak ◽  
Beata Wnuk ◽  
Daniela Kowalicka ◽  
Aleksandra Rosłoniec
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Movement Therapy ◽  
Limb Function ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy ◽  
Significant Difference ◽  
Children With Cerebral Palsy ◽  
Bimanual Training ◽  
Spastic Hemiplegia

Abstract Introduction: Children with cerebral palsy (CP) in the form of spastic hemiplegia experience numerous difficulties concerning an affected upper limb such as reaching for objects, gripping or manipulating them. These limitations affect their everyday activity. Conducting an effective and simultaneously an interesting therapy aimed at meeting the child’s individual needs and improving upper limb function is a challenge for a physiotherapist. The aim of the study was to assess the effectiveness of upper limb therapy carried out within the project titled “The Pirate Group” based on Constraint-Induced Movement Therapy (CIMT) and Bimanual Training (BIT) conducted in a specially arranged environment. Material and methods: The research included 16 children with CP in the form of spastic hemiplegia. Mean age of the study participants was 4.23 years. The children underwent a two-week Constraint-Induced Movement Therapy (CIMT) combined with Bimanual Training (BIT). In order to evaluate the effects of the therapy, each child underwent the Assisting Hand Assessment (AHA) prior to the therapy and after its completion. Results: Statistical analysis revealed a significant difference (p<0.05) between the results of AHA prior to and after the therapy (t(14)=9.12, p<0.0001). An improvement in the affected upper limb function was noted in all the children participating in the research. Conclusions: The project titled “The Pirate Group”, based on CIMT and BIT is an effective therapeutic intervention which improves spontaneous activity of the affected upper limb in children with hemiplegia.

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