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Effectiveness of modified constraint-induced movement therapy compared to hand arm bimanual intensive therapy on quality of upper extremity function in hemiplegic cerebral palsy children -- an experimental study
Harikishor Babu J, Raja Srinivas M, Kowshik, Datta Sai P
NeuroQuantology 2023;21(1):888-925
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Cerebral palsy (CP) is the most frequent cause of physical disability in children. Hemiplegic cerebral palsy is characterized by motor impairments largely confined to one side of the body. Nevertheless, even the less-affected upper extremity (UE) has subtle motor impairments and importantly, bimanual deficits can be seen when children with hemiplegia are asked to perform tasks that involve specific spatial-temporal demands between the two hands. OBJECTIVES: To assess the significant difference of effectiveness of modified constraint induced movement therapy compared to ham arm bimanual intensive therapy on quality of upper extremity function in hemiplegic cerebral palsy children. METHODOLOGY: An experimental study was conducted on 30 subjects of age group 4 to 8 years, fulfilling the inclusion criteria. The quality of upper extremity skill test was performed and score noted down. T test was used to examine the relationship between the parameter evaluation. RESULTS: Pre post comparison in grip Group A and group B shows statistically significant with p value of 0.000, 0.000 respectively. Pre post comparison in PRTEE Group A and group B showsstatistically significant with p value of 0.000, 0.000 respectively. CONCLUSION: From our study we conclude that majority of the group A and group B, both were shows improvement as compared with the control group c, but group A were more significant as compared with the group B.

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