The current issue of Pediatrics has published a systemic review on the therapeutic management of congenital hemiplegia in children. Twelve studies and 7 systemic reviews were analyzed. Intramuscular Botox A injections and occupational therapy, neurodevelopmental therapy and casting, constraint induced movement therapy, and hand arm bi-manual intensive training all showed small to medium treatment effects. There were large treatment effects from the botox A injections and upper limb training.
Reference: Sakzewski, Leanne, Ziviani, Jenny, Boyd, Roslyn
Systematic Review and Meta-analysis of Therapeutic Management of Upper-Limb Dysfunction in Children With Congenital Hemiplegia
Pediatrics 2009 123: e1111-e1122
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