Intervention bimanual stimulates the abilities in infants with asymmetry

Abstract Introduction: The cerebral palsy and brachial plexus injury may cause asymmetry in the use of upper limbs (UL). This condition requires early treatment to reduce impact child's life; therefore, several proposed interventions aim increase their functional independence. Constraint-Induced Movement Therapy (CIMT) Hand-Arm Bimanual Intensive (HABIT) have been widely considered effective improve hand function. Objective: Investigate effects an intervention protocol based on CIMT HABIT theoretical foundations stimulation manual function infants with UL asymmetry. Methods: Five (6-24 months) participated study. To evaluate motor we used Pediatric Motor Activity Log (PMAL-R) Manual Function Evaluation (AMIGO), assess caregiver's perception participation infant daily tasks, Disability Assessment Inventory (PEDI). All evaluations occurred before, immediately after intervention, four months for follow-up recording, were analyzed descriptively by Jacobson- Truax method. Results: results between evaluation reevaluation demonstrated evolution all aspects studied. In PEDI self-care session, average 38.6 (±8.4) - 44.2 (±7.4); Mobility: 28.8 (±20.3) 36.28 (±21.7); Social Function: 40.1 (±10.2) 42.3 (±8.9). PMAL-R quantity quality evidence a highly positive clinical significance infants. Conclusion: application modified restriction resulted reliable clinically significant changes cases.