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Constraint Induced Movement Therapy as a Physical Therapy Intervention for Pediatric Hemiplegia: a Case Report

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Date Issued:
2015
Abstract:
Objective: This case report describes the intervention of constraint induced movement therapy (CI therapy) to improve upper extremity function and hand use in a twenty-five month old child with left hemiplegia. Method: The participant received the recommended CI therapy protocol. Treatment consisted of a uni-valve cast worn on the uninvolved upper extremity for twenty-three hours per day, three hours of intensive therapy in the clinical setting offered five days a week, and a consistent daily home exercise program (HEP) for task practice and carryover at home over a three week period. Assessment measures included the upper extremity Pediatric Motor Activity Log (PMAL) and the Pediatric Arm Function Test (PAFT) as pre and post-test measures and PMAL administration daily during the intervention. Results: The child made significant gains in upper extremity use and hand function. Discussion: The findings from this case report suggest that CI therapy can be effectively utilized in the out-patient clinical setting.
Title: Constraint Induced Movement Therapy as a Physical Therapy Intervention for Pediatric Hemiplegia: a Case Report.
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Name(s): Murphy, Melissa, Author
Marieb College of Health & Human Services, Degree granting institution
Type of Resource: text
Genre: Case Report
Issuance: single unit
Date Issued: 2015
Extent: 37 pgs.
Language(s): English
Abstract: Objective: This case report describes the intervention of constraint induced movement therapy (CI therapy) to improve upper extremity function and hand use in a twenty-five month old child with left hemiplegia. Method: The participant received the recommended CI therapy protocol. Treatment consisted of a uni-valve cast worn on the uninvolved upper extremity for twenty-three hours per day, three hours of intensive therapy in the clinical setting offered five days a week, and a consistent daily home exercise program (HEP) for task practice and carryover at home over a three week period. Assessment measures included the upper extremity Pediatric Motor Activity Log (PMAL) and the Pediatric Arm Function Test (PAFT) as pre and post-test measures and PMAL administration daily during the intervention. Results: The child made significant gains in upper extremity use and hand function. Discussion: The findings from this case report suggest that CI therapy can be effectively utilized in the out-patient clinical setting.
Identifier: Murphy_fgcu_1743_10109 (IID)
Degree Awarded: Doctorate in Physical Therapy
Department: Rehabilitation Sciences
Committee Chair: Ellen Donald, MS, PT
Committee Member: Jacqueline van Duijn, PT, DPT, OCS
Subject(s): Physical therapy
Hemiplegia
Hand
Persistent Link to This Record: http://purl.flvc.org/fgcu/fd/Murphy_fgcu_1743_10109
Use and Reproduction: Creator holds copyright.
Use and Reproduction: http://rightsstatements.org/vocab/InC/1.0/
Host Institution: FGCU