To determine efficacy of pediatric Constraint-Induced Movement therapy, 20 children with congenital hemiparesis (ages 2 to 6 years) were randomly assigned to receive the treatment or usual care. Controls crossed over to the therapy after 6 months. Children receiving the therapy first exhibited emergence of more new classes of motor patterns and skills (eg, crawling, thumb-forefinger prehension;...

Constraint induced movement therapy (CIMT) has emerged as a popular treatment for hemiparesis in children. Although clinical programs are of varying lengths and intensities and the method of constraint varies, in general, positive results are reported. Despite the difficulty inherent in studying the effects of any therapy in children, due the variability and complexity of brain injury and the a...

A randomized crossover trial of a new form of pediatric rehabilitation was conducted with 18 children with hemiparesis. Half were randomly assigned to receive pediatric constraint-induced therapy involving constraint of the functional upper extremity and intensive therapy with the hemiparetic upper extremity. Controls received conventional physical and occupational therapy and then were crossed...

Background: There is extensive literature to support the efficacy of both pediatric constraint-induced movement therapy (pCIMT) and hand-arm bimanual intensive (HABIT) for children with hemiplegic cerebral palsy. In addition, there increasing evidence training caregivers (parents other care providers) carry out interventions in home. The Family Activity Adaptation Model (FAAM) presents guidelin...