Pilot study of the efficacy of constraint-induced movement therapy for infants and toddlers with cerebral palsy

Linda Pax Lowes; Marianne Mayhan; Teresa Orr; Nancy Batterson; Jill Alyce Tonneman; Angela Meyer; Lindsay Alfano; Wei Wang; Cara N. Whalen; Mary Ann Nelin; Warren David Lo; Jane Case-Smith

doi:10.3109/01942638.2013.810186

Pilot study of the efficacy of constraint-induced movement therapy for infants and toddlers with cerebral palsy

Linda Pax Lowes
, Marianne Mayhan
, Teresa Orr
, Nancy Batterson
, Jill Alyce Tonneman
, Angela Meyer
, Lindsay Alfano
, Wei Wang
, Cara N. Whalen
, Mary Ann Nelin
, Warren David Lo
, Jane Case-Smith

Research output: Contribution to journal › Article › peer-review

38 Scopus citations

Abstract

The evidence for Constraint-Induced Movement Therapy (CIMT) effectiveness for infants and toddlers with unilateral cerebral palsy is minimal. We performed a pilot study of CIMT using one-month usual care, one-month intervention, and one-month maintenance (return to usual care) phases on five infants (7- to 18-month old). For the CIMT phase, the infants received 2 hr of occupational therapy and 1 hr of parent-implemented home program for five days/week. The infants were casted for the first 23 days, and bimanual therapy was provided for the last three days. Fine motor skills for the more affected arm and gross motor skills improved significantly during the CIMT; these gains were maintained at one-month follow-up. Individual infant data show mixed effects. This pilot study provides initial evidence that CIMT is feasible for infants with unilateral cerebral palsy, and presents preliminary data for CIMT on fine and gross motor performance.

Original language	English
Pages (from-to)	4-21
Number of pages	18
Journal	Physical and Occupational Therapy in Pediatrics
Volume	34
Issue number	1
DOIs	https://doi.org/10.3109/01942638.2013.810186
State	Published - Feb 2014

Keywords

Cerebral palsy
Cohort studies
Compliance
Health systems
Infant development
Intervention studies
Motor development
Outcomes
Service delivery

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10.3109/01942638.2013.810186

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Lowes, L. P., Mayhan, M., Orr, T., Batterson, N., Tonneman, J. A., Meyer, A., Alfano, L., Wang, W., Whalen, C. N., Nelin, M. A., Lo, W. D., & Case-Smith, J. (2014). Pilot study of the efficacy of constraint-induced movement therapy for infants and toddlers with cerebral palsy. Physical and Occupational Therapy in Pediatrics, 34(1), 4-21. https://doi.org/10.3109/01942638.2013.810186

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title = "Pilot study of the efficacy of constraint-induced movement therapy for infants and toddlers with cerebral palsy",

abstract = "The evidence for Constraint-Induced Movement Therapy (CIMT) effectiveness for infants and toddlers with unilateral cerebral palsy is minimal. We performed a pilot study of CIMT using one-month usual care, one-month intervention, and one-month maintenance (return to usual care) phases on five infants (7- to 18-month old). For the CIMT phase, the infants received 2 hr of occupational therapy and 1 hr of parent-implemented home program for five days/week. The infants were casted for the first 23 days, and bimanual therapy was provided for the last three days. Fine motor skills for the more affected arm and gross motor skills improved significantly during the CIMT; these gains were maintained at one-month follow-up. Individual infant data show mixed effects. This pilot study provides initial evidence that CIMT is feasible for infants with unilateral cerebral palsy, and presents preliminary data for CIMT on fine and gross motor performance.",

keywords = "Cerebral palsy, Cohort studies, Compliance, Health systems, Infant development, Intervention studies, Motor development, Outcomes, Service delivery",

author = "Lowes, \{Linda Pax\} and Marianne Mayhan and Teresa Orr and Nancy Batterson and Tonneman, \{Jill Alyce\} and Angela Meyer and Lindsay Alfano and Wei Wang and Whalen, \{Cara N.\} and Nelin, \{Mary Ann\} and Lo, \{Warren David\} and Jane Case-Smith",

year = "2014",

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doi = "10.3109/01942638.2013.810186",

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Lowes, LP, Mayhan, M, Orr, T, Batterson, N, Tonneman, JA, Meyer, A, Alfano, L, Wang, W, Whalen, CN, Nelin, MA, Lo, WD & Case-Smith, J 2014, 'Pilot study of the efficacy of constraint-induced movement therapy for infants and toddlers with cerebral palsy', Physical and Occupational Therapy in Pediatrics, vol. 34, no. 1, pp. 4-21. https://doi.org/10.3109/01942638.2013.810186

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AU - Orr, Teresa

AU - Batterson, Nancy

AU - Tonneman, Jill Alyce

AU - Meyer, Angela

AU - Alfano, Lindsay

AU - Wang, Wei

AU - Whalen, Cara N.

AU - Nelin, Mary Ann

AU - Lo, Warren David

AU - Case-Smith, Jane

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N2 - The evidence for Constraint-Induced Movement Therapy (CIMT) effectiveness for infants and toddlers with unilateral cerebral palsy is minimal. We performed a pilot study of CIMT using one-month usual care, one-month intervention, and one-month maintenance (return to usual care) phases on five infants (7- to 18-month old). For the CIMT phase, the infants received 2 hr of occupational therapy and 1 hr of parent-implemented home program for five days/week. The infants were casted for the first 23 days, and bimanual therapy was provided for the last three days. Fine motor skills for the more affected arm and gross motor skills improved significantly during the CIMT; these gains were maintained at one-month follow-up. Individual infant data show mixed effects. This pilot study provides initial evidence that CIMT is feasible for infants with unilateral cerebral palsy, and presents preliminary data for CIMT on fine and gross motor performance.

AB - The evidence for Constraint-Induced Movement Therapy (CIMT) effectiveness for infants and toddlers with unilateral cerebral palsy is minimal. We performed a pilot study of CIMT using one-month usual care, one-month intervention, and one-month maintenance (return to usual care) phases on five infants (7- to 18-month old). For the CIMT phase, the infants received 2 hr of occupational therapy and 1 hr of parent-implemented home program for five days/week. The infants were casted for the first 23 days, and bimanual therapy was provided for the last three days. Fine motor skills for the more affected arm and gross motor skills improved significantly during the CIMT; these gains were maintained at one-month follow-up. Individual infant data show mixed effects. This pilot study provides initial evidence that CIMT is feasible for infants with unilateral cerebral palsy, and presents preliminary data for CIMT on fine and gross motor performance.

KW - Cerebral palsy

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KW - Health systems

KW - Infant development

KW - Intervention studies

KW - Motor development

KW - Outcomes

KW - Service delivery

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Pilot study of the efficacy of constraint-induced movement therapy for infants and toddlers with cerebral palsy

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Keywords

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