Effectiveness of adapted constraint induced movement therapy for home use in improving upper extremity outcomes for a child with cerebral palsy

Date of Completion

6-2-2017

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Cerebral Palsy, Children, Motion Therapy, Continuous Passive, Upper Extremity Deformities, Congenital

Abstract

Descriptive single subject cast study design was used in this research. The study conducted at the house of the respondent in Imus, Cavite. Using a purposive sampling technique, a 12-year old female diagnosed with cerebral palsy spastic quadriplegia underwent a pre-assessment test before the actual implementation of adapted CIMT for home use and a post-assessment test after the intervention. There were two (2) instruments used in the study, these are a) QUEST (quality of Upper Extremity Skills Test and b) Goniometric Range Motion (ROM) outcome measure. The researchers used a comprehensive descriptive analysis to interpret and analyze the data/s collected. They also used objective inspection as an approach to analyze the data which involves graphing the data and making a judgment as to whether and to what extent the independents variable affected the dependent variable. The researchers concluded that the use of adapted CIMT for home use in improving the upper extremity function of a childwith hemiplegic cerebral palsy was not effective as seen in the results of QUEST and ROM. It was further supported by the results in chapter 3 which showed little to no difference when the data before the application of adapted CIMT was compared to the data after application of adapted CIMT as seen in the QUEST outcome measure. Additionally, ROM measurement only showed little improvement after comparing the measurement before and after application of adapted CIMT. Improvements were noticed upon right shoulder flexion and abduction, shoulder extension internal and external rotation, right elbow flexion, fight forearm supination, ight wrist flexion and extension, right MCP extension, right PIP flexion and extension.

First Advisor

Jerlin Amistoso-Huele

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