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Constraint-Induced Movement Therapy Effects on Gross Motor Function of a Child With Triplegic Cerebral Palsy

Schrank, Jennifer PT, DPT

doi: 10.1097/PEP.0b013e31827abaf4
Case Report

Background and Purpose: The purpose of this case report is to describe physical therapy interventions used and gross motor functional outcomes achieved during a 3-week course of constraint-induced movement therapy for a child with cerebral palsy.

Case Description: A 10-year-old boy with spastic triplegic cerebral palsy underwent fine and gross motor interventions to force use of the left extremities and right lower extremity.

Intervention: For weeks 1 to 2, he received 2 occupational and physical therapy sessions each week. For weeks 3 to 5, he participated in constraint-induced movement therapy, while wearing a cast 90% of waking hours.

Outcomes: The Gross Motor Function Measure–88 score increased from 44.55% to 62.35% after treatment. Although he improved in one area of the Functional Independence Measure for Children, he demonstrated remarkable progress in his ability to bear weight and shift weight to his involved side in various developmental positions.

This description of the effects of CIMT on gross motor function provides details of the interventions and rationales as well as the outcome measures that were used in the treatment of a 10-year-old boy with triplegic cerebral palsy.

Physical Medicine and Rehabilitation Department, Mayo Clinic Health System–Mankato, Mankato, Minnesota.

Jennifer Schrank, PT, DPT, Physical Medicine and Rehabilitation Department, Mayo Clinic Health System–Mankato, 1025 Marsh St, PO Box 8673, Mankato, MN 56002 (schrank.jennifer@mayo.edu).

At the time this article was written, Jennifer Schrank, PT, DPT, was a student in the Doctorate of Physical Therapy Program at Mayo School of Health Sciences, Rochester, Minnesota.

The author declares no conflicts of interest.

© 2013 Lippincott Williams & Wilkins, Inc.