Original Research Article
Year: 2023 | Month: April | Volume: 13 | Issue: 4 | Pages: 106-117
DOI: https://doi.org/10.52403/ijhsr.20230414
Effectiveness of Constraint Induced Movement Therapy Versus Bimanual Training in Children with Unilateral Cerebral Palsy
Isukapalli Bhargavi1, Kiran Prakash Pappala2, Patchava Apparao3, Ch. Ganapathi Swamy4
1,2,3,4Department of Physiotherapy, GSL College Of Physiotherapy, GSL Medical College, Rajamahendravaram, Dr. YSR University of Health Sciences, Andhra Pradesh, India
Corresponding Author: Isukapalli Bhargavi
ABSTRACT
BACKGROUND: Cerebral palsy is defined as "a series of permanent impairments of the development of movement and posture, generating activity restrictions". This study mainly focusses on improving function of upper extremity by implementing treatment protocols Constraint Induced Movement Therapy and Bimanual Training. The main aim of the study was to compare the effectiveness of constraint induced movement therapy and bimanual training to improve the function of upper extremity in children with Unilateral Cerebral Palsy.
METHODS: Prospective Study Design. 64 subjects were randomly allocated into two groups. Each group containing 32 subjects. Group-I (n=32) Constraint Induced Movement Therapy and Group-II (n=32) Bimanual Training. Participants received 5 sessions per week for 4 weeks. The outcome measures of this intervention were measured by using Jebsen Taylor Hand Function Test.
RESULTS: ANOVA was used to compare the mean significance difference between both groups and within the groups by taking Pre-Test, Intermediate Test and Post-Test scores. Statistical analysis of the data revealed that between the groups and within the group comparison, both groups showed improvement in all parameters. But Constraint Induced Movement Therapy showed significant improvement.
CONCLUSION: From the finding of this study, it can be recommended that the Constraint Induced Movement Therapy may be opted for improving hand function in children with Unilateral Cerebral Palsy as an adjuvant treatment technique for Unilateral Cerebral Palsy children.
Key words: Constraint Induced Movement Therapy, Bimanual Training, Jebsen Taylor Hand Function Test, Unilateral Cerebral Palsy.