Constraint-Induced Movement Therapy for Children With Brain Tumors

Sparrow, Jessica; Zhu, Liang; Gajjar, Amar; Mandrell, Belinda N.; Ness, Kirsten K.

doi:10.1097/pep.0000000000000331

Cited by 12 publications

(22 citation statements)

References 30 publications

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“…Although other alternatives may be used to treat these disorders, some of them do not follow published protocols or require expensive equipment and complex management [16,17]. On the other hand, CIMT, in addition to its low cost, already has consistent evidence of its effectiveness in several clinical conditions [1][2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have shown the benefits of applying CIMT in patients with cerebral palsy to improve the affected limb's function, but it is also significantly efficient when compared to other rehabilitation methods [6,[30][31][32]. The study by Sparrow et al [5] performed with children with brain tumor sequelae, showed beneficial results both qualitatively and quantitatively in the movement of the trained upper limb; in addition, the gains were maintained in the follow-up evaluations for three months.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown the effectiveness of this therapeutic intervention due to improvements in the functional performance of the impaired upper limb in children with cerebral cancer, cerebral palsy or spinal cord injury. In adults, this effectiveness was proven in the treatment of the upper limbs of stroke victims and patients with general dysfunctions of the central nervous system [1,[3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Constraint-induced movement therapy in a patient with ataxia after cerebellar tumor resection

2019

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Introduction: Constraint-induced movement therapy (CIMT) is a very modern method used in rehabilitation to treat individuals with functional impairment of the upper limbs. Objective: To apply the CIMT method and evaluate its effects in a patient with ataxia after removal of a cerebellar tumor. Method: This is a longitudinal interventional study of the case report type. The participant complained of tremors and difficulty writing and typing with the right hand as a result of the cerebellar tumor’s removal. She was subjected to CIMT daily in three-hour sessions for 10 days. The participant was evaluated with the Motor Activity Log (MAL) and the Wolf Motor Function Test (WMFT). Results: There was an improvement in the quantity, quality, speed, accuracy and strength with which the participant performed the tasks according to the MAL and WMFT scales. Improvement in writing was also identified and the report of better use of the member for daily tasks demonstrated the patient’s satisfaction after the end of therapy. Conclusion: This case report demonstrated the benefits of the application of the CIMT method in a patient with ataxia as a consequence of a rare cerebellar tumor, improving task execution time, strength and functional improvement of the affected upper limb.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Constraint-induced movement therapy in a patient with ataxia after cerebellar tumor resection

2019

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“…Upon the emergence of CIMT, pediatric constraint-induced movement therapy (pCIMT) was developed to analyze the specific benefits of CIMT in pediatrics. For more than 15 years, pCIMT has been a beneficial intervention for children with diagnoses that include, but are not limited to: CP, brain tumors [9], acquired brain injury [10], and Erb-Klumpke palsy [11].…”

Section: Introductionmentioning

confidence: 99%

Improved Hand Function in Children with Cerebral Palsy with Repeat Doses of Group Based Hybrid Pediatric Constraint-Induced Movement Therapy

et al. 2022

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The study’s aim is to analyze the improved hand function and bimanual performance with unilateral cerebral palsy (CP) from repeat doses of an augmented, group-based pediatric constraint-induced movement therapy (pCIMT) camp. Fifteen children with unilateral CP (ages 5–15 years, 9 male, 6 female, Manual Abilities Classification System (MACS) I = 3, MACS II = 11, and MACS III = 1) participated in two sessions of an annual pCIMT camp. Participants attended 10 days of camp where they received group-based training wearing a constraint for a total of 50 h, received bilateral, occupation-based activities for 10 h (60 h total) including 30 min each day on the Hocoma Armeo®Spring. The Assisting Hand Assessment (AHA) was administered pre-intervention and post-intervention. Our results discovered a mean interval dose 1 and 2 was 511 days. Dose 1 mean AHA score at baseline was 55.93 ± 12.78 and 66.53 ± 12.85 at post. Dose 2 mean AHA score as 58.13 ± 12.80 and post 66.53 ± 12.82. In conclusion, there was an overall significant bimanual functional improvement based on AHA scores that indicate, regardless of which camp session, scores improved from pre-intervention to post-intervention. There was a generalized upward trend in improved hand function of a group-based pCIMT, and diminished effects between doses were reversed with repeat doses.

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“…Constraint-induced movement therapy helps improve upper-limb function in individuals who have suffered from stroke or any other central nervous system damage by constraining them to use their affected limb while the non-affected side is restrained. Numerous studies have shown that this technique is an effective treatment that produces big improvements [12][13][14][15][16] but it was unclear why this technique is effective 17,18 . Taub et al…”

Section: Introductionmentioning

confidence: 99%

Changes in Manual Therapy Techniques from the Perspective of Physical Therapists

Rojas¹,

Jones

Goetz³

et al. 2022

Preprint

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Objective: Prior research has focused on comparing the effects of manual therapy techniques used in physical therapy in different conditions to determine which technique is more effective and less invasive for the patient. However, no focus has been placed on identifying and evaluating the changes in manual therapy techniques. This study aims to evaluate the changes in manual therapy techniques from the perspective of current and retired physical therapists who are or were licensed in Washington state. Methods: Eighteen participants completed a modified Physical Therapy Profile Questionnaire (PTPQ) to explore their experience with manual therapy techniques and whether they implemented changes in their practice of these techniques. Results: The results suggest that changes in manual therapy techniques occur as physical therapists gain and develop more experience working with many clients and treating different conditions. Joint mobilization, taping, and muscle energy techniques were the most used and recommended manual therapy techniques by physical therapists in this sample. There was no significant correlation between the years of practice and the number of manual therapy techniques selected by participants (r = -0.044, p = 0.887). Conclusions: This study suggests that changes and adjustments in manual therapy techniques have occurred throughout time as physical therapists gain practice in the field and can identify what manual technique will produce a better patient outcome in a specific patient.

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Constraint-Induced Movement Therapy for Children With Brain Tumors

Cited by 12 publications

References 30 publications

Constraint-induced movement therapy in a patient with ataxia after cerebellar tumor resection

Constraint-induced movement therapy in a patient with ataxia after cerebellar tumor resection

Improved Hand Function in Children with Cerebral Palsy with Repeat Doses of Group Based Hybrid Pediatric Constraint-Induced Movement Therapy

Changes in Manual Therapy Techniques from the Perspective of Physical Therapists

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