Pediatric Constraint-Induced Movement Therapy: A Promising Intervention for Childhood Hemiparesis

Experimental and clinical evidence is accumulating that supports the assertion that the damaged human brain is capable of responding to sensory stimulation in a sufficient manner to result in sustainable and useful benefits. The intensity and duration of therapeutic maneuvers that elicit improvement...

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Bibliographic Details
Published in:Topics in stroke rehabilitation 2009-09, Vol.16 (5), p.339-345
Main Authors: Pidcock, Frank S., Garcia, Teressa, Trovato, Melissa K., Schultz, Scott, Brady, Kathleen D.
Format: Article
Language:English
Subjects:
Adolescent
Brain damage
Child
Child, Preschool
Clinical Trials as Topic
constraint
Databases, Factual - statistics & numerical data
hemiparesis
Humans
Infant
Infant, Newborn
Motor ability
Movement
Paresis - rehabilitation
pediatric stroke
Pediatrics
Physical Therapy Modalities
Restraint, Physical - methods
Retrospective Studies
Stroke
Therapy
Young Adult
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Description
Summary:Experimental and clinical evidence is accumulating that supports the assertion that the damaged human brain is capable of responding to sensory stimulation in a sufficient manner to result in sustainable and useful benefits. The intensity and duration of therapeutic maneuvers that elicit improvement are under active investigation. Recent studies in animals, adults, and children with hemiparesis have shown that constraint of the less involved upper limb coupled with a behavioral program that repetitively encourages graded unilateral movements can result in long-term "new" functional activities. Constraint-induced movement therapy (CIMT) is a promising approach for treatment of children with stroke-related hemiparesis from either prenatal or postnatal causes due to the enhanced neuroplasticity of the brain during early life.
ISSN:1074-9357
1945-5119
DOI:10.1310/tsr1605-339