Drs. HR Rostami and RA Malamiri of the D Department ofOccupational Therapy, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Ahvaz , Iran. have determined the effects of treatment environment (home and clinic) on results of modified constraint-induced movement therapy (modified CIMT) in children withspastic hemiplegic cerebral palsy. Method: In a single-blinded, randomized, controlled trial, 14 children with spastic hemiplegic cerebral palsy (5 females, 9 males; mean age: 74 months) received 15 hours of modified CIMT, occurring three times/week for 10 sessions every other day in two randomly assigned groups. Each session lasts one and half hours. Treatment environment for intervention group (n = 7) was home and for control group (n = 7) was clinic. Measures were conducted pre, post and 3 months after treatment period by pediatrics motor activity log and subtests 5 (upper limb coordination) and 8 (upper limb speed and dexterity) of Bruininks-Oseretsky test of motor proficiency. Sample randomization and data analysis by analysis of variance with repeated measures were conducted by SPSS-16 software in α level set at p < 0.05. Results: All subjects showed significant improvement (p < 0.01) in post-test measures except subtest 5 of Bruininks-Oseretsky test of motor proficiency. In contrast to clinic group, subjects in home showed significantly continued improvement at follow-up session in all measures. Conclusions: Modified CIMT is effective in improving upper limb function in children with spastic hemiplegic cerebral palsy. In addition, more improved performance in homepartment Drs. HR Rostami and RA Malamiri of thee group places the practice in natural context as the preferred method fortreatment of these children., The newly developed Hand, Arm, Leg and 3DTutors have proven extremely effective for therapy with Cerebral palsy patients. These innovative devices aim to optimize motor, sensory and cognitive performance to allow the patient to better perform everyday functional tasks and improve quality of life. The system uses intensive active exercises with augmented feedback. Using dedicated software the Tutors also provide objective and quantitative evaluations allowing the therapist to customize the most efficient program for the patient. Already being implemented in leading U.S. and foreign hospitals and clinics the HandTutor, ArmTutor, LegTutor and 3DTutor are available for use by children as well as adults and can be used at home via tele rehabilitation.ofOccupational Therapy, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences , Ahvaz , Iran. have determined the effects of treatment environment (home and clinic) on results of modified constraint-induced movement therapy (modified CIMT) in children withspastic hemiplegic cerebral palsy. Method: In a single-blinded, randomized, controlled trial, 14 children with spastic hemiplegic cerebral palsy (5 females, 9 males; mean age: 74 months) received 15 hours of modified CIMT, occurring three times/week for 10 sessions every other day in two randomly assigned groups. Each session lasts one and half hours. Treatment environment for intervention group (n = 7) was home and for control group (n = 7) was clinic. Measures were conducted pre, post and 3 months after treatment period by pediatrics motor activity log and subtests 5 (upper limb coordination) and 8 (upper limb speed and dexterity) of Bruininks-Oseretsky test of motor proficiency. Sample randomization and data analysis by analysis of variance with repeated measures were conducted by SPSS-16 software in α level set at p < 0.05. Results: All subjects showed significant improvement (p < 0.01) in post-test measures except subtest 5 of Bruininks-Oseretsky test of motor proficiency. In contrast to clinic group, subjects in home showed significantly continued improvement at follow-up session in all measures. Conclusions: Modified CIMT is effective in improving upper limb function in children with spastic hemiplegic cerebral palsy. In addition, more improved performance in home group places the practice in natural context as the preferred method fortreatment of these children.
The newly developed Hand, Arm, Leg and 3DTutors have proven extremely effective for therapy with Cerebral palsy patients. These innovative devices aim to optimize motor, sensory and cognitive performance to allow the patient to better perform everyday functional tasks and improve quality of life. The system uses intensive active exercises with augmented feedback. Using dedicated software the Tutors also provide objective and quantitative evaluations allowing the therapist to customize the most efficient program for the patient. Already being implemented in leading U.S. and foreign hospitals and clinics the HandTutor, ArmTutor, LegTutor and 3DTutor are available for use by children as well as adults and can be used at home via tele rehabilitation.
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