Constraint Induced Movement Therapy on Infantile Hemiplegia

Study Overview
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Brief Summary
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The purpose of this study is to assess the functionality of the affected upper limb in infantile hemiplegia by applying a protocol of modified constraint-induced movement therapy.

Official Title
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Effects of Modified Constraint Induced Movement Therapy on Infantile Hemiplegia

Conditions
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Hemiplegia

Intervention / Treatment
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* Procedure: mCIMT
* Procedure: Unimanual therapy without constraint UTWC


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children's Hemiplegia Medical diagnosis. Aged between 4 and 8 years. Lack of activity of the affected upper extremity. Overcoming 10th extension at the metacarpophalangeal and interphalangeal joint. Complete the 20 º of wrist extension of the affected upper extremity. Adequate cognitive development to understand verbal commands given for the execution of tasks. Cooperation in the execution of tasks. Exclusion Criteria: To Have vision problems that prevent them from carrying out the intervention. Having significant balance changes that endanger the child fall to bring a restriction in the affected upper limb. Submit uncontrolled seizures. To Have received botulinum toxin prior to 6 months prior to the intervention.

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 8 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: UTWC (control group)<br>the control group performs the same tasks than the experimental group, but without healthy hand constraint/containment. | Procedure: Unimanual therapy without constraint UTWC<br>* affected upper limb use without constraint of healthy hand<br>|
| Experimental: mCIMT<br>The study is conducted over a period of 5 weeks of treatment, using a movement restriction time healthy upper extremity of 2 hours daily. The restriction applied in the study is performed with the closed hand position and thumb inside the fist through a transparent film that reaches the wrist joint. In periods mCIMT, monitored the activities designed to enhance their functionality, based on motivation, avoiding frustrations are made. | Procedure: mCIMT<br>* affected upper limb use with constraint of the healthy hand<br>* Other names: Modified constraint-induced movement therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline on the Quality of Upper Extremity Skills Test (QUEST) at week 5. |  | Baseline, week 5. | 
| Change from baseline on the Shuee Evaluation at week 5 |  | baseline, week 5 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline on visual-motor coordination at week 5. | Circuit described by Mak in 2010 | Baseline, week 5. | 
| Change from baseline on Grip strength at week 5. |  | Baseline, week 5. | 
| Change from baseline on the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) at week 5. |  | Baseline, week 5. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Upper extremity, Physical therapy modalities