Research Review on CIMT and Bimanual Therapy for Children with Cerebral Palsy
Pediatric Physical Therapy published a systematic review comparing modified constraint-induced movement therapy (CIMT) and intensive bimanual therapy in upper limb function in children with unilateral cerebral palsy. After searching 4 electronic databases from 2009-2015, eight articles met the inclusion criteria with a total of 221 participants who received either intensive bimanual therapy or modified CIMT.
The results indicated the following:
- both intensive bimanual therapy and modified CIMT improved quality of unimanual movement, bimanual capacity, and movement efficiency.
- a weak, specific recommendation for intensive bimanual therapy in improving movement quality
- a specific but weak recommendation favoring intensive bimanual therapy to improve the child’s performance on parent-reported outcomes.
Reference: Klepper, S. E., Krasinski, D. C., Gilb, M. C., & Khalil, N. (2017). Comparing Unimanual and Bimanual Training in Upper Extremity Function in Children With Unilateral Cerebral Palsy. Pediatric Physical Therapy, 29(4), 288-306.
Read more about unilateral cerebral palsy:
Motor Learning in Children with Unilateral Cerebral Palsy
Goal-Directed OT Programs for Unilateral Cerebral Palsy
Tactile Function of Children with Cerebral Palsy
CIMT, Bimanual Therapy, and OT Home Programs
Therapeutic Play Activities for Children digital download includes 100 play activity pages and 12 tip sheets. The play activities encourage the development of fine motor skills, bimanual skills, rolling, crawling, tall kneeling, standing balance and cruising with a strong focus on children with cerebral palsy. FIND OUT MORE INFORMATION.
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