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Article type: Research Article
Authors: Haynes, Marjorie Prim; | Phillips, Dawn;
Affiliations: NDT Pediatric Therapy, Rockingham, NC, USA | Division of Physical Therapy, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA | Functional Outcome Specialist, Genzyme Corporation, Chapel Hill, NC, USA
Note: [] Corresponding author: Marjorie Prim Haynes, PT, DPT, PCS, C/NDT, NDT Pediatric Therapy, 207 Fairway Drive, Rockingham, NC 28379, USA. Tel.: +1 910 895 7850; Cell: +1 910 995 6656; Fax: +1 910 895 7850; E-mail: [email protected]
Abstract: Modified Constraint Induced Movement Therapy (CIMT) and Neuro-Developmental Treatment (NDT) are both intervention strategies that focus on active practice to optimize function. CIMT involves constraint of the less involved upper extremity during function and NDT includes facilitation of optimal postural control and symmetry to enhance the ability to complete a given motor function. The purpose of this article is to describe an intervention protocol for children with hemiplegia that integrates key NDT and CIMT principles. Two children participated in a modified CIMT (mCIMT)/NDT program 2 hours a day for two months. The children wore a constraint on the less involved arm and participated in guided play with early intervention members and parents. Play was individualized to developmental level and incorporated principles of NDT. Function was measured pre- and post-intervention using the PDMS-2, QUEST, ACQUIRE Therapy Motor Patterns, and ACQUIRE Functional Activities. Both children demonstrated motor skill acquisition, improved quality of functional use, and increased frequency of bilateral hand use. Parents found the protocol challenging but manageable in their daily routines. The inclusion of NDT principles within a mCIMT protocol may be an effective intervention to maximize functional motor skill acquisition in children with hemiplegia. Additional research is warranted to support this intervention.
Keywords: Cerebral palsy, hemiplegia, Constraint Induced Movement Therapy, Modified Constraint Induced Movement Therapy, Neuro-Developmental Treatment, infant toddler program, early intervention services
DOI: 10.3233/PRM-2012-0203
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 5, no. 2, pp. 117-124, 2012
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