EFFECTS OF CLASSIC CONSTRAINT INDUCED MOVEMENT THERAPY AND ITS MODIFIED FORM ON QUALITY OF LIFE OF CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY
Main Article Content
Keywords
Constraint induced movement therapy, Cerebral palsy, CPQOL, QUEST
Abstract
Objective: To see the effects of classic constraint induced movement therapy (CCIMT) and its modified form (MCIMT) on quality of life of children with hemiplegic cerebral palsy (HCP).
Methods: A RCT was conducted in NIRM hospital, Islamabad. Children (n=40) with hemiplegic CP were randomly allocated in CCIMT and MCIMT. 4-12 years old children with ipsilateral, bilateral or severely asymmetrical impairment having wrist extension (20°) and fingers flexion (10°) were included. CCIMT group received 6 hrs of daily task training of affected hand, five days a week for 3 weeks. MCIMT group received same protocol as CCIMT group for 2 weeks, but MCIMT group received 2 hrs of daily task training involving both hands, 5 days a week, for 1 week. The outcomes tools, CP (Quality Of Life) and Kid screen were used at baseline, mid and post treatment assessment.
Results: Both treatment approaches equally improved psychosocial life of children with HCP. On CPQOL tool, two domains (participation & physical health and Family health) showed significant difference (p vale=0.042 and p value=0.025 respectively) favouring the CCIMT. But there was no significant difference was found regarding other domains of tools.
Conclusion: It concluded that both treatment approaches are effective to enhance the quality of life (psychosocial life) of children with HCP.
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Mamoona Tasleem Afzal
Lecturer (Institute of Rehabilitation Science, Shaheed Zulfiqar Ali Bhutto Medical University,Islamabad)
Nisar Fatima
Assistant Professor at The university of Faisalabad, Faisalabad
Samiya Asghar
Institute riphah International University Islamabad
Abdul Maajid Khokhar
Lecturer at Riphah International University Faisalabad
Fareeha Kausar
Senior lecturer at Riphah College of rehabilitation and allied health sciences
Azka Kainat
Clinical physiotherapist at Riphah Rehabilitation and Research Center, Pakistan Railway General Hospital, Rawalpindi
Mubara rehman
Principal (yusra institute of rehabilitation sciences,Islamabad)
Mian Waleed Ahmed
Lecturer at Pak-Austria Fachhochschule
Ayesha Javed
Assistant Professor at Women Institute of Rehabilitation Sciences, Abbottabad
Dr. Tamjeed Ghaffar
Lecturer GCUF, Faisalabad, Pakistan