Constraint-induced movement therapy for children with hemiplegia after traumatic brain injury: A quantitative study

Veronica Cimolin, Elena Beretta, Luigi Piccinini, Anna Carla Turconi, Federica Locatelli, Manuela Galli, Sandra Strazzer

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: The aims of this study are to quantify the movement limitation of upper limbs in hemiplegic children with traumatic brain injury (TBI) by using a clinical-functional scale and upper limb kinematics and to evaluate the effectiveness of constraint-induced movement therapy (CIMT) on upper limbs. DESIGN: Pre-post study. SETTING: Clinical rehabilitation research laboratory. PARTICIPANTS: Ten children with TBI. MAIN OUTCOME MEASURES: The participants were evaluated by clinical examinations (Gross Motor Function Measure, Besta scale, Quality of Upper Extremities Skills Test, and Manual Ability Classification System) and 3D kinematic movement analysis of the upper limb before the CIMT program (pretest: 0.7 years after the injury) and at the end of the program (posttest: 10 weeks later). RESULTS: After the CIMT, most of the clinical measures improved significantly. Some significant improvements were present in terms of kinematics, in particular, in the movement duration and the velocity of movement execution of both tasks; the index of curvature and the average jerk improved, respectively, during reaching and hand-to-mouth task, while the adjusting sway parameter decreased during the 2 movements. Significant improvements were found in upper limb joint excursion after the rehabilitative programme too. CONCLUSIONS: Our results suggest that the CIMT program can improve movement efficiency and upper limb function in children after TBI. The integration of the clinical outcomes and upper limb kinematics revealed to be crucial in detecting the effects of the CIMT programme.

Original languageEnglish
Pages (from-to)177-187
Number of pages11
JournalJournal of Head Trauma Rehabilitation
Volume27
Issue number3
DOIs
Publication statusPublished - May 2012

Keywords

  • children
  • CIMT
  • kinematics
  • rehabilitation
  • traumatic brain injury
  • upper limbs

ASJC Scopus subject areas

  • Rehabilitation
  • Clinical Neurology
  • Physical Therapy, Sports Therapy and Rehabilitation

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