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Effects of Constraint-induced Movement Therapy on Upper-extremity Function of Children with Hemiplegic Cerebral Palsy

LIANG Wei;XU Kai-shou;HE Lu;YAN Xiao-hua;GAO Chun-hua;Department of Neuro-rehabilitation, Guangzhou Women and Children's Medical Center;  
Objective: To evaluate the effects of a modified version of constraint-induced movement therapy(CIMT) on upper-extremity function of children with hemiplegic cerebral palsy. Methods: Forty-six children with hemiplegic cerebral palsy were randomly allocated to constraint therapy group(n=23), and control group(n=23). The patients in both the groups received routine rehabilitation therapy, while the ones in the constraint therapy group was treated with CIMT additionally. All participants were measured by the modified Ashworth scale(MAS) and Carroll upper extremities functional test(UEFT) before and at the end of 4th and 8th week after the treatment. Results: There was a significant difference in MAS score between baseline and after 8 weeks' treatment in the constraint therapy group(P0.05). When compared with the UEFT scores before treatment, the UEFT scores of both the groups were improved significantly(P0.05). At the end of 4th and 8th week after the treatment, the UEFT scores in the constraint therapy group were significantly higher than those in the control group(P0.05). Conclusion:CIMT can improve upper-extremity function of children with hemiplegic cerebral palsy.
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