Pilot Study of the Efficacy of Constraint-Induced Movement Therapy for Infants and Toddlers with Cerebral Palsy

Pilot Study of the Efficacy of Constraint-Induced Movement Therapy for Infants and Toddlers with Cerebral Palsy

ABSTRACTThe evidence for Constraint-Induced Movement Therapy (CIMT) effectiveness for infants and toddlers with unilateral cerebral palsy is minimal. We performed a pilot study of CIMT using one-month usual care, one-month intervention, and one-month maintenance (return to usual care) phases on five...

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Published in:Physical & occupational therapy in pediatrics Vol. 34; no. 1; pp. 4 - 21
Main Authors: Lowes, Linda Pax, Mayhan, Marianne, Orr, Teresa, Batterson, Nancy, Tonneman, Jill Alyce, Meyer, Angela, Alfano, Lindsay, Wang, Wei, Whalen, Cara N, Nelin, Mary Ann, Lo, Warren David, Case-Smith, Jane
Format: Journal Article
Language:English
Published: England Informa Healthcare 01-02-2014
Taylor & Francis
Subjects:
Cerebral palsy
Cerebral Palsy - physiopathology
Cerebral Palsy - rehabilitation
Child Development
Child, Preschool
cohort studies
compliance
Exercise Movement Techniques - methods
Female
health systems
Humans
Infant
infant development
intervention studies
Male
motor development
Occupational Therapy
outcomes
Pilot Projects
service delivery
Treatment Outcome
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Summary:ABSTRACTThe evidence for Constraint-Induced Movement Therapy (CIMT) effectiveness for infants and toddlers with unilateral cerebral palsy is minimal. We performed a pilot study of CIMT using one-month usual care, one-month intervention, and one-month maintenance (return to usual care) phases on five infants (7- to 18-month old). For the CIMT phase, the infants received 2 hr of occupational therapy and 1 hr of parent-implemented home program for five days/week. The infants were casted for the first 23 days, and bimanual therapy was provided for the last three days. Fine motor skills for the more affected arm and gross motor skills improved significantly during the CIMT; these gains were maintained at one-month follow-up. Individual infant data show mixed effects. This pilot study provides initial evidence that CIMT is feasible for infants with unilateral cerebral palsy, and presents preliminary data for CIMT on fine and gross motor performance.
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Dr. Linda Pax Lowes, PT, PhD, Marianne Mayhan, OTR/L, BS, Teresa Orr, OTR/L, MOT, BS, Nancy Batterson, OTR/L, BS, Jill Alyce Tonneman, OTR/L, BS, Angela Meyer, OTR/L, BS, and Lindsay Alfano, DPT, PCS, BS, are affiliated with the Department of Clinical Therapy, Nationwide Children’s Hospital, Columbus, Ohio. Wei Wang, MS, MAS, is affiliated with the Department of Biostatistics, Nationwide Children’s Hospital, Columbus, Ohio. Cara N Whalen, DPT, BS, is affiliated with the School of Allied Medical Professions, The Ohio State University, Columbus, Ohio. Dr. Mary Ann Nelin, MD, FAAP, is affiliated with the Department of Pediatrics, Nationwide Children’s Hospital, Columbus, Ohio. Dr. Warren David Lo, MD, is affiliated with the Department of Neurology, Nationwide Children’s Hospital, Columbus, Ohio. Jane Case-Smith, EdD, OTR/L, is affiliated with the School of Allied Medical Professions, The Ohio State University, Columbus, Ohio.
ISSN:0194-2638
1541-3144
DOI:10.3109/01942638.2013.810186