Neuropediatrics 2009; 40(6): 269-274
DOI: 10.1055/s-0030-1252049
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

The Short-Term Effects of Combined Modified Constraint-Induced Movement Therapy and Botulinum Toxin Injection for Children with Spastic Hemiplegic Cerebral Palsy

E. S. Park1 , D.-W. Rha1 , J. D. Lee2 , J. K. Yoo1 , W. H. Chang3
  • 1Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 2Division of Nuclear Medicine Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea
  • 3Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Weitere Informationen

Publikationsverlauf

received 23.08.2009

accepted 19.03.2010

Publikationsdatum:
05. Mai 2010 (online)

Abstract

Objective: The aim of this study was to investigate whether modified constraint-induced movement therapy (mCIMT) following a botulinum type A toxin (BoNT-A) injection enhances the effects of the BoNT-A injection into the spastic upper limb of children with hemiplegic cerebral palsy (CP).

Methods: A combined therapy with mCIMT and BoNT-A was given to 17 children in group A. Fifteen children in group B received only the BoNT-A injection. The muscle tone, the movement pattern, and the How Often and the How Well scales in the revised Pediatric Motor Activity Log (revised PMAL) were assessed before and 3 weeks after intervention.

Results: Three participants in group A dropped out due to poor tolerance of mCIMT. There were significant improvements in the muscle tone and the movement patterns for both groups (p<0.05), and the changes were not significantly different between the two groups. The How Often and the How Well scales in the revised PMAL were significantly improved in group A (p<0.05), but not in group B.

Conclusion: A combined therapy of mCIMT and BoNT-A seems to be helpful to enhance the effects of the BoNT-A injection in the functional use of the affected limb in children with hemiplegic CP.

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Correspondence

Won Hyuk ChangMD, MS 

Department of Physical

Medicine and Rehabilitation

Samsung Medical Center

Sungkyunkwan University

School of Medicine

50 Irwon-dong

Gangnam-gu

135-710 Seoul

Republic of Korea

Telefon: +82/2/3410 6068

Fax: +82/2/3410 0052

eMail: iamchangwh@dreamwiz.com

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