Upper limb function and brain reorganization after constraint-induced movement therapy in children with hemiplegia.
Objective: The aims of this study were to (1) investigate the effectiveness of CIMT for children with hemiplegia, (2) determine the feasibility of using fMRI for describing brain activity patterns before and after CIMT and (3) describe changes in brain reorganization after CIMT in children with hemi...
| Publicado en: | Developmental Neurorehabilitation Vol. 13; no. 1; pp. 19 - 31 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images research tables/charts tracings Journal Article |
| Publicado: |
Taylor & Francis Ltd
Feb2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105291274&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105291274 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17518423 2Y75 jtl: Developmental Neurorehabilitation issn: 17518423 maglogo: Y pubinfo: dt: Feb2010 vid: 13 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 105291274 2010535265 10.3109/17518420903236247 NLM20067342 105291274 ppf: 19 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Upper limb function and brain reorganization after constraint-induced movement therapy in children with hemiplegia. aug: au: Cope SM Liu X Verber MD Cayo C Rao S Tassone JC affil: Concordia University Wisconsin, Rehabilitation Science, Mequon USA sug: subj: Brain Physiology Constraint-Induced Therapy Hemiplegia Rehabilitation Upper Extremity Physiology Adolescence Child Clinical Assessment Tools Convenience Sample Descriptive Statistics Female Funding Source Human Magnetic Resonance Imaging Male Multiple Regression Pretest-Posttest Design Questionnaires Treatment Outcomes Videorecording Wilcoxon Rank Sum Test Wisconsin Adolescent: 13-18 years Child: 6-12 years Female Male ab: Objective: The aims of this study were to (1) investigate the effectiveness of CIMT for children with hemiplegia, (2) determine the feasibility of using fMRI for describing brain activity patterns before and after CIMT and (3) describe changes in brain reorganization after CIMT in children with hemiplegia using fMRI. Design: Before and after study with one group. Methods: Ten children aged 7-14 years ( M = 11.0, SD = 2.5) with hemiplegia received CIMT over a 2-week period using a before and after design. Clinical measures included the Melbourne Assessment of Unilateral Upper Limb Function, upper limb kinematics and parent questionnaire. Children were measured with fMRI before and after CIMT. Results: Findings showed that CIMT may be effective at improving upper limb function in some, but not all children; those children with a moderate degree of impairment seemed to benefit the most. fMRI findings correlated moderately with clinical measures. Conclusion: Although unique challenges with fMRI data collection exist for this population, it provides potentially valuable information to better understand mechanisms of change after interventions such as CIMT. pubtype: Academic Journal doctype: diagnostic images research tables/charts tracings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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