Author/Authors :
Rassafiani, Mehdi University of social welfare and Rehabilitation sciences, Tehran , Sabour Eghbali MostafaKhan, Hajar University of social welfare and Rehabilitation sciences, Tehran , Hosseini, Seyed Ali University of social welfare and Rehabilitation sciences, Tehran , Akbarfahimi, Nazila University of social welfare and Rehabilitation sciences, Tehran , Hosseini,Seyed Sadegh University of social welfare and Rehabilitation sciences, Tehran , Sortiji, Hossein University of social welfare and Rehabilitation sciences, Tehran , Nobakht, Zahra University of social welfare and Rehabilitation sciences, Tehran
Abstract :
Objectives: This study aimed to compare the combination of CIMT and BIM training with CIMT in Fine
Motor Skills of Children with Hemiplegic cerebral palsy.
Method: 24 children with hemiplegic cerebral palsy aged between 60 and 120 months participated in this
RCT study. They were randomly assigned into CIMT and BIM training (n=12, four males, eight females;
mean age±standard deviation =93.58±14.24) and CIMT alone (n=12, six males, six females; mean
age±standard deviation = 94.00±18.97) groups. The children in the CIMT and BIM group were received a
combination of CIMT and bi-manual training in addition to current occupational therapy. Each session
was started with restraint on non-involved upper extremity and practicing with the involved upper
extremity for three hours. This was followed with bi-manual training for another three hours. The children
in CIMT group received CIMT. Each session was started with restraint on non-involved upper extremity
and practicing with the involved upper extremity for six hours. This process lasted for 10 out of 12
consecutive days for both groups. Fine motor skills, upper limb function and muscle tone were assessed
using Bruininks-Oseretsky Test of Motor Proficiency, Jebsen-Taylor Test of Hand Function and Modified
Ashworth Scale respectively.
Results: Fine motor skills and upper limb function of these children in CIMT and HABIT and CIMT
alone groups had significantly improved (P<0.05). However, these changes were not significantly
different between the two groups before and after intervention (P>0.05).
Discussion: Results showed that these two treatment approaches improved fine motor skills in the
hemiplegic children with cerebral palsy. None of the interventions are better than the other one.
Therefore, it is suggested to use a combination of CIMT and BIM training instead of CIMT alone in order
to make the tasks more attractive and easier for the children.
Keywords :
rehabilitation , bimanual training , constraint induced movement therapy , hemiplegic , cerebral palsy
