Esha Khan, Humail Iqbal, Arif Hussain, Ambreen Zahid, Madeeha Shafiq, Marium Khalid, Rabbiya Zaman, Reema Altaf.
Comparison of Constrained Induced Movement Therapy and Bimanual Training on Functional Outcome of Hemiplegic Cerebral Palsy.
J Gandhara Med Dent Sci Jan ;9(4):9-13.

OBJECTIVES: The aim of this study was to compare the effects of constrained induced movement therapy (CIMT) and Bimanual Intensive Training (BIT) on functional outcomes of hemiplegic cerebral palsy children. METHODOLOGY: Cerebral palsy children with age groups of 5 to 12 years were included with a total sample size of 38. Simpler andom sampling was done, and data was collected from Islamabad. Two groups were formed and named group A: constrained induced movement therapy with 19% and group B: bimanual training with 19% respectively. The functional outcome for the CIMPT and for the BIT group was assessed on the pretest and post-test score evaluation of QUEST and JTHF tests. RESULTS: Statistically significant (p <0.05) improvement was found in The Quality of Upper Extremity Skills Test (QUEST)and Jebsen-Taylor Test of Hand Function (JTHF) in the between -group analysis. For within the group analysis the p-value <0.05 suggests that there was a significant difference in within-group analysis too. The values forgrasp and dissociated movements suggest that QUEST post-test values are impactful in the CMIT group whereas in the BIT group simultaneous and spontaneous movement was increased but JTHF post -test values were more significant in CMIT. CONCLUSION: BIT is more beneficial for both hand’s simultaneous and spontaneous movement, whereas CMIT is more beneficial for grip and overcoming the “learned-nonuse” phenomena in cerebral palsy children.

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