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High-dose constraint-induced movement therapy effective in cerebral palsy


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Journal
Pediatrics
Reuters Health - 05/11/2021 - Children with hemiparetic cerebral palsy can achieve better long-term improvements when they receive three hours of constraint-induced movement therapy five days a week for one month than with standard physical and occupational therapy, a randomized clinical trial found. For the trial, researchers randomized 118 children ranging from 2 to 8 years old with hemiparetic cerebral palsy to one of four intervention groups: 30 or 60 hours of constraint-induced movement therapy (CIMT) combined with a cast or a splint. A control group received only usual care consisting of standard physical therapy and occupational therapy sessions. The lower dose of CIMT consisted of 2.5-hour sessions three days a week for one month. At six months, children who received the higher dose of CIMT with either a cast or a splint had significantly greater improvements in a wide range of upper extremity skills such as moving, manipulating, and grasping objects and sel...


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