Original Research Article
Year: 2021 | Month: February | Volume: 11 | Issue: 2 | Pages: 32-43
Effect of Modified Constraint Induced Movement Therapy and Hand Arm Bimanual Intensive Training on Upper Extremity Skills and Functional Performance in Children with Spastic Hemiplegic Cerebral Palsy
Ankita Bansal1, Shraddha Diwan2
1MPT - Neurology, Consulting Physiotherapist at Nirmaya Physiotherapy and Rehabilitation Center,
Alwar - 301001
2MPT, PhD, Lecturer at S.B.B. College of physiotherapy, V.S. General Hospital, Ellis Bridge,
Ahmedabad - 380006, Gujarat, India.
Corresponding Author: Ankita Bansal
ABSTRACT
Purpose: Spastic hemiplegia results into impairments of upper extremity that leads to activity limitations and affects quality of life. Current rehabilitation focuses on task oriented functional therapy or motor learning approaches. mCIMT and HABIT are training methods focused on the same principles.
Method: 26 participants (age 2-10 years) were matched in regards of age and side of affection to both groups, where subjects in mCIMT group wore a restrictive sling for 6 hours a day and performed repetitive massed practice of unimanual activities with sling: 2 hours per day for 10days. Participants in group HABIT performed intensive bimanual activities for 6 hours a day for 10 days. Outcome measures QUEST and COPM were assessed in both the groups immediately after the intervention and 1 month post intervention.
Results: mCIMT and HABIT groups showed significant improvement from the pretest to immediate posttest in the QUEST and COPM (P < .0001) (15.26 -15.21 for QUEST, 12.64- 13.94 for COPM performances and 14.24- 14.43 for COPM satisfaction for group A-B respectively) which were maintained after 1 month of intervention. Moreover there was no significant difference between both the groups.
Conclusion: Thus authors can conclude that, mCIMT and HABIT can be used equally to increase upper extremity skills and occupational performance in children with spastic hemiplegic cerebral palsy.
Key words: Cerebral Palsy, mCIMT, HABIT, Hand Function, Task oriented approach.