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The Effects of Submerged Constraint-Induced Movement Therapy on Upper Limb Function and Activities of Daily Living for Children With Hemiplegic Cerebral Palsy

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2010, 18(2), pp.121-131
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics

Chon Seung-Chul 1 오덕원 2

1우송대학교 작업치료학과
2대전대학교

Accredited

ABSTRACT

Objective : This study aimed to determine the effects of submerged constraint-induced movement therapy (CIMT) on the upper limb function and activities of daily living for subjects with hemiplegic cerebral palsy. Methods : This study used a single-subject experimental design, alternating with multiple baselines across individuals. Three children with hemiplegic cerebral palsy volunteered for the study. Participants1, 2, and 3performed 4, 7, and 10 sessions each during the baseline phase, and 14, 11, and 8 sessions during the intervention phase, respectively. An outcome assessment was made using a Box and Block Test (BBT) and Pediatric Motor Activity Log (PMAL). Results : The BBT scores of participants 1, 2, and 3 improved 27%, 14%, and 7.6% during a submerged CIMT, respectively; however, there was not much improvement, 16%, 6%, and 0%, with conventional CIMT. The PMAL scores improved 8%, 31%, and 17% for submerged CIMT, and 25%, 15%, and 11% with conventional CIMT. In addition, there were significant differences in the BBT and PMAL scores between the two CIMT types (p<.01). Conclusion : The findings suggest that submerged CIMT has a more adaptable effect than conventional CIMT. Future studies are required in this field.

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