Efficacy of forced-use therapy in hemiplegic cerebral palsy

In Young Sung, Ju Seok Ryu, Sung Bom Pyun, Seung Don Yoo, Woo Hyun Song, Mi Jeong Park

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Objective: To determine the efficacy of forced-use therapy (FUT) on the improvement of upper-extremity function in children with hemiplegic cerebral palsy (CP). Design: Prospective case series. Setting: Outpatient ambulatory clinic in South Korea. Participants: Thirty-one patients with hemiplegic CP were assigned to the FUT group (n=18) or to the control group (n=13). The mean age of the patients in the FUT group was 33.2 months and in the control group it was 43.2 months. Interventions: The FUT group wore a short-arm Scotchcast on the unaffected arm for 6 weeks and also participated in a conventional rehabilitation program that included stretching exercises and functional occupational therapy for the upper extremity. The control group underwent the conventional rehabilitation program only. Main Outcome Measure: Hand function tests, including the box and block test (BBT), Erhardt Developmental Prehension Assessment (EDPA), and WeeFIM instrument taken before and after 6 weeks of treatment. Results: Before treatment, there was no significant difference between groups in the BBT, EDPA, and WeeFIM scores. After 6 weeks of treatment, however, the FUT group showed significant improvement in the affected arm in the BBT and EDPA scores, compared with the control group (P<.05). The self-care score on the WeeFIM was also significantly improved in the FUT group (P<.05). Conclusions: FUT combined with a conventional rehabilitation program appears to be more effective than a rehabilitation program alone in improving affected hand function in children with hemiplegic CP.

Original languageEnglish
Pages (from-to)2195-2198
Number of pages4
JournalArchives of Physical Medicine and Rehabilitation
Volume86
Issue number11
DOIs
Publication statusPublished - 2005 Nov 1
Externally publishedYes

Fingerprint

Cerebral Palsy
Group Psychotherapy
Rehabilitation
Control Groups
Arm
Upper Extremity
Hand
Therapeutics
Republic of Korea
Occupational Therapy
Self Care
Ambulatory Care Facilities
Outcome Assessment (Health Care)
Exercise

Keywords

  • Cerebral palsy
  • Hemiplegia
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Efficacy of forced-use therapy in hemiplegic cerebral palsy. / Sung, In Young; Ryu, Ju Seok; Pyun, Sung Bom; Yoo, Seung Don; Song, Woo Hyun; Park, Mi Jeong.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 11, 01.11.2005, p. 2195-2198.

Research output: Contribution to journalArticle

Sung, In Young ; Ryu, Ju Seok ; Pyun, Sung Bom ; Yoo, Seung Don ; Song, Woo Hyun ; Park, Mi Jeong. / Efficacy of forced-use therapy in hemiplegic cerebral palsy. In: Archives of Physical Medicine and Rehabilitation. 2005 ; Vol. 86, No. 11. pp. 2195-2198.
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