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Efficacy of Constraint-Induced Movement Therapy Intervention for Children with Cerebral Palsy

Efficacy of Constraint-Induced Movement Therapy Intervention for Children with Cerebral Palsy. Andria Vetsch Mentor: Dr. Jane Case-Smith The Ohio State University, Occupational Therapy Division and University of Wisconsin-River Falls. Introduction. Cerebral Palsy(CP) Spastic Hemiplegic CP

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Efficacy of Constraint-Induced Movement Therapy Intervention for Children with Cerebral Palsy

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  1. Efficacy of Constraint-Induced Movement Therapy Intervention for Children with Cerebral Palsy Andria Vetsch Mentor: Dr. Jane Case-Smith The Ohio State University, Occupational Therapy Division and University of Wisconsin-River Falls

  2. Introduction • Cerebral Palsy(CP) • Spastic Hemiplegic CP • Constraint-Induced Movement Therapy(CIMT) • Features of CIMT • Constraint of the non-affected limb • Forced use of the involved upper extremity • Intensive treatment • Education of parents 4,5

  3. Past Research • Improved hand-movement efficiency • Hands to midline • forearm supination and pronation • transferring a cube between hands • ulnar/palmer grasping with the hands • Investigated the protocol (length, frequency of treatment, populations participating) • Lack of research on fidelity of treatment 2 1,3,5

  4. Purpose 1) Assess the consistency in which therapists administer CIMT in a pediatric hospital outpatient setting. 2) Assess inter-rater reliability of the fidelity measure used to score these consistencies. 3) Evaluate the effects of CIMT on a cohort of children with hemiparetic CP

  5. Methods

  6. Mean Score for Pre-Post Test Mean scores

  7. Conclusion • Pre-Post test scores improved • Consistency can lead to improved efficacy of therapy • Promote the development of new skills and help to generalize skills in a variety of settings • Developing a fidelity measure for CIMT and tracking child outcomes

  8. Further Research • Continue to assess the administration of CIMT • Continue to research the effects of CIMT

  9. Questions? Thanks to SROP at Ohio State, Dr. Jane Case-Smith, and the University of Wisconsin River-Falls McNair Program for the opportunity to participate in this unique research project.

  10. References • Case-Smith, J., and O’Brien,JC. Occupational Therapy for Children. 6th ed. Maryland Heights, MO: Mosby/Elsevier, (2010) Print. • DeLuca, Stephanie C., Karen Echols, Charles R. Law, and Sharon L. Ramey. "Intensive Pediatric Constraint-Induced Therapy for Children With Cerebral Palsy: Randomized, Controlled, Crossover Trial." Journal of Child Neurology 21.11 (2006): 931-38. Print. • Deluca,SC,Echols,K,Ramey,SL, Taub,E. Pediatric constraint-induced movement therapy for a young child: tow episodes of care. PhyTher. (2003): 1003-1013Print. • 4. Gordon,Andrew M., Charles,Jeanne, Wolf, Steven L. "Methods of Constriant-Induced Therapy for Children with Hemiplegic Cerebral Palsy: Development of a Child-Friendly Intervention for Improving Upper-Extremity Function."Phys. Med. Rehabilitaion86(2005): 837-44. Print. • 5. Taub, Edward, Sharon Landesman Ramey, Stephanie DeLuca, and Karen Echols. "Efficacy • of Constraint-Induced Movement Therapy for Children with Cerebral Palsy with • Asymmetric Motor Impairment." Pediatrics 113.2 (2004): 305-12. Print.

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