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Constraint-induced therapy for a child with hemiplegic cerebral palsy: A case report

  • Samuel R. Pierce
    Affiliations
    Departments of Physical Therapy (Pierce, Schaumburg) and of Occupational Therapy (Daly, Gallagher), and the Stroke and Neurological Disease Program (Gershkoff), MossRehab Hospital; and Jefferson Medical College (Gershkoff), Philadelphia, PA.
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  • Kendall Daly
    Affiliations
    Departments of Physical Therapy (Pierce, Schaumburg) and of Occupational Therapy (Daly, Gallagher), and the Stroke and Neurological Disease Program (Gershkoff), MossRehab Hospital; and Jefferson Medical College (Gershkoff), Philadelphia, PA.
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  • Kara G. Gallagher
    Affiliations
    Departments of Physical Therapy (Pierce, Schaumburg) and of Occupational Therapy (Daly, Gallagher), and the Stroke and Neurological Disease Program (Gershkoff), MossRehab Hospital; and Jefferson Medical College (Gershkoff), Philadelphia, PA.
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  • Arthur M. Gershkoff
    Affiliations
    Departments of Physical Therapy (Pierce, Schaumburg) and of Occupational Therapy (Daly, Gallagher), and the Stroke and Neurological Disease Program (Gershkoff), MossRehab Hospital; and Jefferson Medical College (Gershkoff), Philadelphia, PA.
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  • Susan W. Schaumburg
    Affiliations
    Departments of Physical Therapy (Pierce, Schaumburg) and of Occupational Therapy (Daly, Gallagher), and the Stroke and Neurological Disease Program (Gershkoff), MossRehab Hospital; and Jefferson Medical College (Gershkoff), Philadelphia, PA.
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      Abstract

      Pierce SR, Daly K, Gallagher KG, Gershkoff AM, Schaumburg SW. Constraint-induced therapy for a child with hemiplegic cerebral palsy: a case report. Arch Phys Med Rehabil 2002;83:1462-3. A 12-year-old boy with hemiplegic cerebral palsy (CP) presented with decreased function in his left upper extremity. He was treated with a 3-week protocol of constraint-induced therapy (CIT) consisting of six 2-hour sessions of physical and occupational therapy, plus home practice. Improvements in upper-extremity function were found in the mean and median time for completion of the Wolf Motor Function Test immediately posttreatment and at 8-month follow-up. Also, improvements in functional use of the arm were documented with the Assessment of Motor and Process Skills and by patient self-report of use of the upper extremity at home. The results suggest that CIT may be useful in the treatment of upper-extremity dysfunction in hemiplegic CP. Larger, experimentally controlled investigations of the efficacy of CIT and the mechanism of recovery in patients with CP are warranted. The effects of the duration and intensity of CIT protocols need additional study to increase its clinical application. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation

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