Effect of Constraint-Induced Movement Therapy Along with Conventional Therapy and Conventional Therapy Alone on Upper Extremity Spasticity in Children with Cerebral Palsy

Abstract

Objective: To evaluate the effect of constraint-induced movement therapy along with conventional therapy and conventional therapy alone on upper extremity spasticity and quality of life in children with cerebral palsy. Methodology: Quasi experimental study. The research was carried out at Faisal Hospital and Children Hospital & Institute of Child Health in Faisalabad from April, 2022 to July 2022. After informed consent and complete evaluation, individuals who fulfill the inclusion criteria were considered for the study. A sample size of 46 were allocated within two groups with one receiving constraint induced movement therapy along with conventional therapy and other receiving conventional therapy alone three times a week for 4 weeks. The results were assessed at the first (week 0), second (week 2), and fourth (week 4) weeks following therapy using the modified Ashworth scale and the cerebral palsy quality of life questionnaire. Results: The mean MAS scores (pre-treatment p > 0.05) was significantly at the second and fourth weeks following therapy (post treatment p 0.05) there was a statistically significant improvement in the mean CPQOL scores (post treatment p < 0.05) Conclusion: Both groups were proven efficient in reducing spasticity and demonstrated improvement in quality of life, however substantial improvement in results was reported in CIMT group. Keywords: Cerebral Palsy, Spasticity, Health related Quality of life, Constraint Induced Movement Therapy, Conventional therapy.

Keywords

• cerebral palsy
• spasticity
• health related quality of life
• constraint induced movement therapy,
• conventional therapy.