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Intensive Pediatric Constraint-Induced Therapy for Children With Cerebral Palsy: Randomized, Controlled, Crossover Trial

Pediatric Neuromotor Research Clinic, Civitan International Research Center, University of Alabama at Birmingham, Birmingham, AL, sdeluca{at}uab.edu.

Karen Echols

Department of Physical Therapy, Pediatric Neuromotor Research Clinic, Civitan International Research Center, University of Alabama at Birmingham, Birmingham, AL

Charles R. Law

Department of Pediatrics, University of Alabama at Birmingham and Department of Physical Medicine and Rehabilitation, The Children's Hospital of Alabama, Birmingham, AL

Sharon L. Ramey

Georgetown Center on Health and Education, Georgetown University, Washington, DC

A randomized crossover trial of a new form of pediatric rehabilitation was conducted with 18 children with hemiparesis. Half were randomly assigned to receive pediatric constraint-induced therapy involving constraint of the functional upper extremity and intensive therapy with the hemiparetic upper extremity. Controls received conventional physical and occupational therapy and then were crossed over to receive pediatric constraint-induced therapy. Pediatric constraint-induced therapy produced significantly greater gains than conventional rehabilitation services. (J Child Neurol 2006;21:931—938; DOI 10.2310/7010.2006.00201).

Journal of Child Neurology, Vol. 21, No. 11, 931-938 (2006)
DOI: 10.1177/08830738060210110401


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