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KMID : 0603920100180020121
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Journal of Korean Academy of Occupational Therapy
2010 Volume.18 No. 2 p.121 ~ p.131
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The Effects of Submerged Constraint-Induced Movement Therapy on Upper Limb Function and Activities of Daily Living for Children With Hemiplegic Cerebral Palsy
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Chon Seung-Chul
Oh Duck-Won
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Abstract
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Objective : This study aimed to determine the effects of submerged constraint-induced movement therapy (CIMT) on the upper limb function and activities of daily living for subjects with hemiplegic cerebral palsy.
Methods : This study used a single-subject experimental design, alternating with multiple baselines across individuals. Three children with hemiplegic cerebral palsy volunteered for the study. Participants1, 2, and 3 performed 4, 7, and 10 sessions each during the baseline phase, and 14, 11, and 8 sessions during the intervention phase, respectively. An outcome assessment was made using a Box and Block Test (BBT) and Pediatric Motor Activity Log (PMAL).
Results : The BBT scores of participants 1, 2, and 3 improved 27%, 14%, and 7.6% during a submerged CIMT, respectively; however, there was not much improvement, 16%, 6%, and 0%, with conventional CIMT. The PMAL scores improved 8%, 31%, and 17% for submerged CIMT, and 25%, 15%, and 11% with conventional CIMT. In addition, there were significant differences in the BBT and PMAL scores between the two CIMT types (p<.01).
Conclusion : The findings suggest that submerged CIMT has a more adaptable effect than conventional CIMT. Future studies are required in this field.
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KEYWORD
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Activities of daily living, Cerebral palsy, Constraint-induced movement therapy, Submerged treatment, pper limb’s function, Water
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