Can Constraint Induced Movement Therapy Improve In-Hand Manipulation Skills: A Single Subject Design

Objectives: This study describes a single subject design (ABA) that shows the effective use of constraint induced movement therapy in improvement of quality and performance of in-hand manipulation skills for a ۱۰ year old boy and a ۹ years old girl with hemiplegic cerebral palsy, as Dickerson (۲۰۰۷) showed it in arm movement and function. Methods: To determine the effectiveness of CIMT by the use of C-statistic analysis and visual analysis. Approach: The first step was to design a child friendly group activity and home based intervention program through occupation. The possible effectiveness of CIMT was evaluated by daily measurements and video recording of ۶ sub skills of in-hand manipulation according to Pont category (۲۰۰۹) in defined activity. Results: For making the treatment more cost effective, families can produce a simple clinical setting at home and participate in their child treatment plan actively. Discussion: A client center intervention will facilitate the use and quality of fingers and hand motion. Also a group activity can motivate participants to participate more and better.

کلیدواژه ها:

Constraint induced movement therapy ، In hand manipulation skills ، Hemiplegia ، Upper limb