Chinese Journal of Rehabilitation Theory and Practice ›› 2010, Vol. 16 ›› Issue (2): 174-176.

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Modified Constraint Induced Movement Therapy for Children with Post-traumatic Brain Syndrome: a Case Report

XING Chun-yan, SUN Ke-xing.   

  1. Shanghai Putuo Central Hospital, the Affiliated Hospital of Acupuncture and Moxibustion College of Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
  • Received:2009-07-16 Revised:2009-10-13 Published:2010-02-25 Online:2010-02-25

Abstract: ObjectiveTo explore a suitable model for the upper-limb rehabilitation of children with post-traumatic brain syndrome following hemiplegia.MethodsA 5-year-old child with right hemiplegia, post-traumatic brain syndrome, was selected under certain information consent of his guardian. Training program was strictly executed in compliance with constraint-induced movement therapeutic principles to restrain the non-involved upper extremity while intensively perform abundant and repetitive training for the involved hand. Specific training prescription is targeted massage plus occupational therapy together 30 min once and functional plus entertainment training at home for 3 weeks, once a day, 5 days a week. Time of restraining non-involved extremity is 10 hours a day. Assessment of therapeutic effects was through following forms, Peabody Developmental Motor Scales-2(PDMS-2), The Hemiplegic Upper Limb Function Evaluation of Ueda, Brunnstrom Scale and therapist's diary.ResultsThe capability of involved hand was improved obviously. The score of the PDMS-2 enhanced. The outcome judged by The Hemiplegic Upper Limb Function Evaluation of Ueda and Brunnstrom Scale was much better than before.ConclusionModified constraint-induced movement therapy has positive effects on functional promotion of upper extremity of children with hemiplegia.

Key words: children, hemiplegia, rehabilitation, physical therapy, modified constraint-induced movement therapy