Studies comparing the efficacy of constraint-induced movement therapy and bimanual training in children with unilateral cerebral palsy: a systematic review

Dev Neurorehabil. 2013;16(2):133-43. doi: 10.3109/17518423.2012.702136. Epub 2012 Sep 4.

Abstract

Objective: To review studies comparing the efficacy of constraint-induced movement therapy (CIMT) and bimanual training (BIT) in improving the hemiplegic arm functioning and overall functional performance for children with unilateral cerebral palsy (CP).

Methods: Systematic searches of electronic databases, reference lists and journals identified seven studies that met pre-determined inclusion criteria. These studies were analysed in terms of participants, treatment activities and regime, outcome measures and results of intervention.

Results: Both CIMT and BIT produced similar improvements in the bimanual and unimanual capacities of the affected arm and overall functional performance.

Conclusions: CIMT yields more improvements in the unimanual capacity of the impaired arm compared with BIT. A potential benefit of BIT is that participants may see more improvement in both bimanual performance and self-determined overall life goals. A combination of CIMT and BIT could be an option on improving arm function for children with unilateral CP in future.

Publication types

  • Comparative Study
  • Review
  • Systematic Review

MeSH terms

  • Cerebral Palsy / physiopathology
  • Cerebral Palsy / rehabilitation*
  • Child
  • Exercise Therapy / methods*
  • Humans
  • Restraint, Physical
  • Treatment Outcome
  • Upper Extremity / physiopathology