Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic Cerebral Palsy (CP)

Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic CP

The combination of the constraint-induced movement therapy (CIMT) method as a complement to hand arm bimanual training (HABIT) will improve the frequency and quality of cooperative hand use and function in children with hemiplegic CP.

Inclusion Criteria:

• active wrist extension/dorsiflexion of at least 20;
• MACS 1-3;
• GMFCS 1-2;
• enrolled in regular or remedial level education with ability to understand instructions and participate without parent presence.

Exclusion criteria:

• seizures;
• severely increased muscle tone; or hemi arm to good;
• orthopedic surgery on the upper extremity;
• botulin toxin injections within the past half year to the upper extremity;
• inability to understand instructions or cognitive/behavior/concentration.