Constraint Induced Movement Therapy on Infantile Hemiplegia

CEU San Pablo University

Status: Completed

Conditions: Hemiplegia

Treatments: Procedure: Unimanual therapy without constraint UTWC; Procedure: mCIMT

Study type: Interventional

Funder types: Other

Identifiers

NCT02178371

CEU-006

Details and patient eligibility

About

The purpose of this study is to assess the functionality of the affected upper limb in infantile hemiplegia by applying a protocol of modified constraint-induced movement therapy.

Enrollment: 16 patients

Sex: All

Ages: 4 to 8 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children's Hemiplegia Medical diagnosis.
• Aged between 4 and 8 years.
• Lack of activity of the affected upper extremity.
• Overcoming 10th extension at the metacarpophalangeal and interphalangeal joint.
• Complete the 20 º of wrist extension of the affected upper extremity.
• Adequate cognitive development to understand verbal commands given for the execution of tasks.
• Cooperation in the execution of tasks.

Exclusion criteria

• To Have vision problems that prevent them from carrying out the intervention.
• Having significant balance changes that endanger the child fall to bring a restriction in the affected upper limb.
• Submit uncontrolled seizures.
• To Have received botulinum toxin prior to 6 months prior to the intervention.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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16 participants in 2 patient groups

UTWC (control group)

Experimental group

Description:

the control group performs the same tasks than the experimental group, but without healthy hand constraint/containment.

Treatment:

Procedure: Unimanual therapy without constraint UTWC

mCIMT

Experimental group

Description:

The study is conducted over a period of 5 weeks of treatment, using a movement restriction time healthy upper extremity of 2 hours daily. The restriction applied in the study is performed with the closed hand position and thumb inside the fist through a transparent film that reaches the wrist joint. In periods mCIMT, monitored the activities designed to enhance their functionality, based on motivation, avoiding frustrations are made.

Treatment:

Procedure: mCIMT