[Pediatrics. Upper limb treatment in congenital hemiparesis: progress and perspectives]

Area of Science:

• Neurology
• Pediatrics
• Rehabilitation Medicine

Context:

• Congenital hemiparesis represents a significant challenge in pediatric motor development.
• The upper limb is frequently affected, impacting functional outcomes.
• Recent advancements have transformed rehabilitation strategies.

Purpose:

• To review the evolution of upper limb rehabilitation for congenital hemiparesis.
• To highlight the impact of new therapeutic modalities.

Summary:

• Focal chemical denervation using intramuscular botulinum toxin is a key innovation.
• Novel techniques like constraint-induced movement therapy (CIMT) enhance motor recovery.
• Robotic reeducation offers objective and intensive therapeutic interventions.

Impact:

• These advancements offer improved functional outcomes for children with hemiparesis.
• The integration of these techniques represents a paradigm shift in pediatric neurorehabilitation.
• Further research continues to refine these effective treatment approaches.