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Effects of Constraint-Induced Movement Therapy for the Upper-extremity Function in Children With Cerebral Palsy Suffering From Hemiplegia: Meta-analysis

오영주 1 조바회 2 Lee Jaeshin 3

1건양대학교병원 작업치료실
2서울특별시 어린이병원 작업치료실
3건양대학교

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ABSTRACT

Objective : The purpose of this study was to determine through a meta-analysis the effect of Constraint-InducedMovement Therapy for the upper-extremity function in children with cerebral palsy suffering from hemiplegia. Methods : The data were collected using domestic and foreign search engines. The fourteen studies selected werepublished from 2006 to 2013. The studies that meet the selection criteria were conducted through a qualitativeassessment using the PEDro score. The average and standard deviations and the sample size of the pre-test andpost-test, depending on the topic, were determined through a meta-analysis. Results : The fourteen studies that meet the selection criteria were 6 points over the PEDro score and involved527 study participants. The effect size of the affected upper-extremity function, amount of use, and quality asindicated by a “large effect size,” was statistically significant (p<.001). The effect size of the dissociatedmovement, visual motor integration, and bilateral hand use as indicated by a “medium effect size,” was alsostatistically significant (p<.05). Conclusion : Constraint-Induced Movement Therapy is more effective than conventional therapy for improving theupper-extremity function of children with cerebral palsy suffering from hemiplegia. This evidence can be used toimprove the upper-extremity function of such children in a clinical setting.

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