Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series

Constraint-induced movement therapy (CIMT) has shown positive results in children with hemiplegic cerebral palsy (CP). However, studies on neural basis of such functional gains are limited. This study reports the event-related potential (ERP) changes in two children with hemiplegic CP after receivin...

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Autores principales: Karen P.Y. Liu, Michael C.C. Kuo, Kin-Hung Ting
Formato: article
Lenguaje:EN
Publicado: Shahid Beheshti University of Medical Sciences 2020
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Acceso en línea:https://doaj.org/article/b3b34f18b6f34120a7b52d5017c8f923
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spelling oai:doaj.org-article:b3b34f18b6f34120a7b52d5017c8f9232021-11-16T10:50:32ZMotor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series2383-18712383-209610.34172/icnj.2021.09https://doaj.org/article/b3b34f18b6f34120a7b52d5017c8f9232020-12-01T00:00:00Zhttps://journals.sbmu.ac.ir/neuroscience/article/view/32176/26390https://doaj.org/toc/2383-1871https://doaj.org/toc/2383-2096Constraint-induced movement therapy (CIMT) has shown positive results in children with hemiplegic cerebral palsy (CP). However, studies on neural basis of such functional gains are limited. This study reports the event-related potential (ERP) changes in two children with hemiplegic CP after receiving CIMT for three weeks. Both cases were nine years old, had a diagnosis of left hemiplegic CP, had normal intelligence, and were able to extend the wrist at least 20° and the metacarpophalangeal joint at least 10° from full flexion. Before and after the three-week intervention, the children participated in ERP sessions with a choice reaction task to capture the changes in neural mechanism after intervention. Both children exhibited improvement in reaction time (RT) in both hand tasks after the intervention. The improvement was larger in the affected hand than the unaffected hand. Improved accuracy rate (AC) and shortened P300 latencies in the affected hand were also demonstrated in both cases. Topographical maps showed that in centro-parietal regions, patterns shifted from central and left-lateralized to more central and right-lateralized. CMIT was a useful method in improving upper limb function in our cases.Karen P.Y. LiuMichael C.C. KuoKin-Hung TingShahid Beheshti University of Medical Sciencesarticleconstraint-induced movement therapycerebral palsyupper limb functional regainevent-related potentialsMedicineRENInternational Clinical Neuroscience Journal, Vol 8, Iss 1, Pp 44-47 (2020)
institution DOAJ
collection DOAJ
language EN
topic constraint-induced movement therapy
cerebral palsy
upper limb functional regain
event-related potentials
Medicine
R
spellingShingle constraint-induced movement therapy
cerebral palsy
upper limb functional regain
event-related potentials
Medicine
R
Karen P.Y. Liu
Michael C.C. Kuo
Kin-Hung Ting
Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series
description Constraint-induced movement therapy (CIMT) has shown positive results in children with hemiplegic cerebral palsy (CP). However, studies on neural basis of such functional gains are limited. This study reports the event-related potential (ERP) changes in two children with hemiplegic CP after receiving CIMT for three weeks. Both cases were nine years old, had a diagnosis of left hemiplegic CP, had normal intelligence, and were able to extend the wrist at least 20° and the metacarpophalangeal joint at least 10° from full flexion. Before and after the three-week intervention, the children participated in ERP sessions with a choice reaction task to capture the changes in neural mechanism after intervention. Both children exhibited improvement in reaction time (RT) in both hand tasks after the intervention. The improvement was larger in the affected hand than the unaffected hand. Improved accuracy rate (AC) and shortened P300 latencies in the affected hand were also demonstrated in both cases. Topographical maps showed that in centro-parietal regions, patterns shifted from central and left-lateralized to more central and right-lateralized. CMIT was a useful method in improving upper limb function in our cases.
format article
author Karen P.Y. Liu
Michael C.C. Kuo
Kin-Hung Ting
author_facet Karen P.Y. Liu
Michael C.C. Kuo
Kin-Hung Ting
author_sort Karen P.Y. Liu
title Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series
title_short Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series
title_full Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series
title_fullStr Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series
title_full_unstemmed Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series
title_sort motor task processing after constraint-induced movement therapy in children with cerebral palsy: a case series
publisher Shahid Beheshti University of Medical Sciences
publishDate 2020
url https://doaj.org/article/b3b34f18b6f34120a7b52d5017c8f923
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