‘Remind‐to‐move’ treatment versus constraint‐induced movement therapy for children with hemiplegic cerebral palsy: a randomized controlled trial

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Abstract
Aim: To evaluate ‘remind‐to‐move’ (RTM) treatment by comparing it with constraint‐induced movement therapy (CIMT) and conventional rehabilitation of the upper extremity in children with hemiplegic cerebral palsy (CP).Method: Seventy‐three children (44 males, 29 females; mean age 11y 8mo, standard deviation [SD] 3y 1mo) – with 20, 38, and 15 in Manual Ability Classification System levels I,II, andIIIrespectively – were recruited from three special schools and randomly selected for anRTM(n=25) orCIMT(n=24) programme (for 75h over 3wks) or for conventional rehabilitation (n=24). The Jebsen–Taylor Hand Function Test, the Bruininks–Oseretsky Test of Motor Proficiency (Subtest 3), the Caregiver Functional Use Survey, and arm movement duration captured by accelerometers were used at the baseline, post‐test, and 1‐month and 3‐month follow‐ups.Results: Both theRTMandCIMTtreatments achieved significant gains in manual capacities and spontaneous hand use immediately after the intervention compared with conventional rehabilitation, but there were no significant differences between the two interventions.Interpretation: TheRTMtreatment demonstrated similar therapeutic effects withCIMTin manual dexterity and functional hand use, but both interventions were superior to conventional rehabilitation.RTMis recommended as an alternative treatment for the hemiplegic upper extremity in children withCP.
Funding Information
  • University Grants Committee (5608/12M)

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