Can constraint induced movement therapy improve In-Hand Manipulation skills: a single subject design

This study describes a single subject design (ABA) that shows the effective use of constraint induced movement therapy in improvement of quality and performance of in-hand manipulation skills for a 10 year old boy and a 9 years old girl with hemiplegic cerebral palsy, as Dickerson (2007) showed it in arm movement and function. Objective: To determine the effectiveness of CIMT by the use of C-statistic analysis and visual analysis. The first step was to design a child friendly group activity and home based intervention program through occupation. The possible effectiveness of CIMT was evaluated by daily measurements and video recording of 6 sub skills of in-hand manipulation according to Pont category (2009) in defined activity. Practice Implication: For making the treatment more cost effective, families can produce a simple clinical setting at home and participate in their child treatment plan actively. Conclusion: A client center intervention will facilitate the use and quality of fingers and hand motion. Also a group activity can motivate participants to participate more and better.