THERAPEUTIC EFFECTS OF CONSTRAINT INDUCED MOVEMENT THERAPY VS BIMANUAL TRAINING IN CHILDREN WITH CEREBRAL PALSY: A SYSTEMATIC REVIEW

Victoria Adeyinka, Melinda LaBarre, Alexa Plevyak, Maureen Rinehimer

Abstract


Constraint Induced Movement Therapy (CIMT) and Bimanual training (BIT) have been shown to improve function of the affected upper extremity of children with spastic hemiplegic cerebral palsy. Purpose: The purpose of this review is to understand the utilization and therapeutic effects of CIMT vs. BIT, while indicating possible factors influencing the efficacy of the interventions. Method: An analysis was conducted between the years of 2015 to 2016 utilizing multiple medical databases. Results: Twelve articles were used in this study for the systematic review based off of the inclusion criteria.  Conclusions: Overall CIMT and BIT have been shown to have significant effects on increasing function especially when combined with different factors such as environment, frequency, and age when compared to standard therapy treatments. Clinical application: Understanding the interaction between the aforementioned factors can help guide clinicians toward the most time and cost effective treatment techniques in order to improve the functional outcome of children with cerebral palsy. This knowledge may be useful in developing future modifications to existing practice to improve the overall quality of life during the developmental years of this population.

 


Keywords


Cerebral Palsy; Constraint Induced Movement Therapy; Bimanual Therapy; Children, home environment; Infants

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