Effectiveness of constraint induced movement therapy and bimanual therapy in children with hemiplegic cerebral

Abstract

Background: The hemiplegic cerebral palsy results the movement disorders in unilateral side of the body. CIMT and bimanual therapy promotes the unimanual and bimanual function and other function of upper extremity. Objectives: The objectives of this study were-to find out and compare the effectiveness of CIMT and bimanual therapy in muscular tonicity, unimanual function, bimanual function, handle objects and in weight bearing in different position (prone lying, cross-leg sitting, 4-point kneeling) and protective extension in side and backward. Methodology: This study was an experimental type of equivalence trials. Total 20 participants were included in where 10 participants in CIMT group and another 10 participants received bimanual therapy. The treatment dose was 1 hour, 3 days in a week. After 6 weeks follow up test has done. The outcome was measured by MAS, MACS, PAFT, QUEST. The Wilcoxon signed rank and Mann Whitney U test were used to analyze the data. Results: The CIMT group improved all the components of unimanual function (p < 0.05) whereas BT group 50% better in unimanual function. The bimanual function in CIMT improved 100% (p < 0.05), BT group improved 60%. Handle objects were improved in both group (p < 0.05). Weight bearing and protective extension were upgraded in CIMT group (p < 0.05) but in BT group not found better outcome (p > 0.05). Conclusion: This study investigated that CIMT and bimanual therapy are effective intervention in children with hemiplegic cerebral palsy. But CIMT group showed better improvement in all the function for hemiplegic CP. Key word: Hemiplegic Cerebral Palsy, Constraint Induced Movement therapy, Bimanual therapy