Treatment of congenital hemiparesis with pediatric constraint-induced movement therapy

Academic Article


  • To determine efficacy of pediatric Constraint-Induced Movement therapy, 20 children with congenital hemiparesis (ages 2 to 6 years) were randomly assigned to receive the treatment or usual care. Controls crossed over to the therapy after 6 months. Children receiving the therapy first exhibited emergence of more new classes of motor patterns and skills (eg, crawling, thumb-forefinger prehension; 6.4 vs 0.02, P <.0001, effect size d = 1.3), and demonstrated significant gains in spontaneous use of the more affected arm at home (2.2 vs 0.1, P <.0001, d = 3.8) and in a laboratory motor function test. Depending on the measure, benefits were maintained (range, no loss to 68% retention over 6 months). When controls crossed over to the therapy, they exhibited improvements as great as or greater than those receiving therapy first. Thus, Constraint-Induced Movement therapy appears to be efficacious for young children with hemiparesis consequent to congenital stroke. © The Author(s) 2011.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Taub E; Griffin A; Uswatte G; Gammons K; Nick J; Law CR
  • Start Page

  • 1163
  • End Page

  • 1173
  • Volume

  • 26
  • Issue

  • 9