Comparison of Constrained Induced Movement Therapy and Bimanual Training on Functional Outcome of Hemiplegic Cerebral Palsy
DOI:
https://doi.org/10.37762/jgmds.9-4.304Keywords:
constrained induced movement therapy, bimanual training, functional outcome, cerebral palsyAbstract
OBJECTIVES
The aim of this study was to compare the effects of constrained induced movement therapy (CIMT) and Bimanual
Intensive Training (BIT) on functional outcomes of hemiplegic cerebral palsy children.
METHODOLOGY
Cerebral palsy children with age groups of 5 to 12 years were included with a total sample size of 38. Simple
random sampling was done, and data was collected from Islamabad. Two groups were formed and named group
A: constrained induced movement therapy with 19% and group B: bimanual training with 19% respectively. The
functional outcome for the CIMPT and for the BIT group was assessed on the pretest and post-test score
evaluation of QUEST and JTHF tests.
RESULTS
Statistically significant (p <0.05) improvement was found in The Quality of Upper Extremity Skills Test (QUEST)
and Jebsen-Taylor Test of Hand Function (JTHF) in the between -group analysis. For within the group analysis
the p-value <0.05 suggests that there was a significant diffe rence in within-group analysis too. The values for
grasp and dissociated movements suggest that QUEST post-test values are impactful in the CMIT group whereas
in the BIT group simultaneous and spontaneous movement was increased but JTHF post -test values were more
significant in CMIT.
CONCLUSION
BIT is more beneficial for both hand’s simultaneous and spontaneous movement, whereas CMIT is more
beneficial for grip and overcoming the “learned-nonuse” phenomena in cerebral palsy children.
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Copyright (c) 2022 Esha Khan, Humail Iqbal, Arif Hussain, Ambreen Zahid, Madeeha Shafiq, Marium Khalid, Rabbiya Zaman, Reema Altaf
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