Effectiveness of Modified Constraint Induced Movement Therapy along with Conventional Physiotherapy on Upper Extremity Function for Children with Hemiplegic Type of Cerebral Palsy

To determine the effectiveness of modified CIMT on upper extremity function for children with hemiplegic type of cerebral palsy (CP). This research was pre-experimental research design. Twelve (12) children (age: 2 to 8 years) from pediatric physiotherapy clinics from Savar, CRP with hemiplegic type of cerebral palsy were included in this study. Modified constraint was applied to unaffected hand. The intervention was given for 3 hours/day including 30 minutes of therapy time and home program which could split into different sessions of no less than 30 minutes duration for consecutive two (2) weeks. Conventional physiotherapy treatment was also given this experimental group in official therapy session time period. Pre and Post outcome was measured by using Wilcoxon sign ranked test on QUEST (Quality of upper extremity skill test) and PMAL (pediatric motor activity log) were taken. Significant differences between Pre and Post values of all components of QUEST and PMAL (P=0.00) showing the effectiveness of MCIMT in improving upper extremity function and in ADL activities. This is statistically as well as clinically significant improvements in both motor function and functional use of the affected upper extremity in children between the ages of 2 and 8 years with hemiplegic CP.