Modified constraint-induced movement therapy for a 12-month-old child with hemiplegia: a case report

Am J Occup Ther. 2008 Jul-Aug;62(4):430-7. doi: 10.5014/ajot.62.4.430.


Objective: This case report describes the use of modified constraint-induced movement therapy (CIMT) to improve upper-limb function in a 12-month-old child with right hemiplegia. It also describes parent concerns about CIMT and documents the short- and long-term effects of modified CIMT.

Method: The participant was assessed 5 times over a 7.5-month period using the Peabody Developmental Motor Scales-2, Pediatric Motor Activity Log, Toddler Amount of Use Test, and Knox Parent Questionnaire. CIMT included a nonremovable cast worn on the unaffected arm and approximately 8 hr per week of occupational and physical therapy for 2 weeks.

Results: Benefits of improved upper-limb function measured immediately after CIMT were sustained at 6 months' follow-up. No adverse events related to cast use were reported.

Discussion: The findings from this case report suggest that CIMT was a safe intervention associated with improving upper-limb function for this young child with hemiplegia.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Palsy / complications
  • Female
  • Hand / physiopathology
  • Hemiplegia / etiology
  • Hemiplegia / physiopathology
  • Hemiplegia / therapy*
  • Humans
  • Infant
  • Motor Skills
  • Occupational Therapy / methods*
  • Restraint, Physical*