Constraint-induced movement therapy in children aged 5 to 9 years with cerebral palsy: a day camp model

Area of Science:

• Pediatric Rehabilitation
• Neuroscience
• Occupational Therapy

Background:

• Spastic hemiplegic cerebral palsy (CP) affects upper extremity function in children.
• Constraint-induced movement therapy (CIMT) is a promising intervention for CP.
• Adapting CIMT to a day camp model may enhance accessibility and engagement.

Purpose of the Study:

• To evaluate the efficacy of a modified constraint-induced movement therapy (mCIMT) program delivered through a day camp model.
• To assess the impact of mCIMT on upper extremity function, range of motion, and grip strength in young children with spastic hemiplegic CP.
• To investigate caregiver-reported changes in functional abilities and social participation.

Main Methods:

• A 9-day mCIMT intervention was implemented in a day camp setting for 6 children (aged 5-9 years) with spastic hemiplegic CP.
• Assessments included the Quality of Upper Extremity Skills Test (QUEST), range of motion, and grip strength, conducted pre-intervention, post-intervention, and at 3-month follow-up.
• Caregiver perspectives were gathered using the Pediatric Evaluation of Disability Inventory (PEDI) and a parent questionnaire.

Main Results:

• Significant improvements were noted in the "grasps" and "protective extension" components of the QUEST following the mCIMT intervention.
• The Pediatric Evaluation of Disability Inventory (PEDI) indicated enhanced social function among participants.
• All observed functional gains were maintained at the 3-month follow-up assessment, demonstrating lasting effects.

Conclusions:

• The day camp delivery model for mCIMT proved effective in facilitating enduring and significant functional improvements for children with hemiplegic cerebral palsy.
• This adapted mCIMT approach offers a viable and effective strategy for pediatric rehabilitation in children with CP.
• The study highlights the potential of intensive, camp-based therapy models to yield meaningful, long-term benefits.