HandTutor, ArmTutor, LegTutor and 3DTutor Effective for CP Therapy

Cerebral palsy

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 Drs. HR Rostami and RA Malamiri of the D Department of the Occupational Therapy, Musculoskeletal Rehabilitation Research Center and Ahvaz Jundishapur University of Medical Sciences , Ahvaz , Iran. have determined the effects of treatment environment (home and clinic) on results of modified constraint-induced movement therapy (modified CIMT) in children withspastic hemiplegic cerebral palsy.

Method: Fourteen children with spastic hemiplegic cerebral palsy (the group included 5 females, 9 males with a mean age: 74 months). The group received 15 hours of modified CIMT, occurring three times/week for 10 sessions every other day. The group was divided into  two randomly assigned groups. Each session lasted one and half hours. The treatment environment for intervention group (n = 7) was at home and for control group (n = 7) it was clinic. Measures were obtained pre, post and 3 months after treatment period by pediatrics motor activity log and subtests five (upper limb coordination) and 8 (upper limb speed and dexterity) of Bruininks-Oseretsky test of motor proficiency.

The group concluded that  Modified CIMT is effective in improving the upper limb function in children with spastic hemiplegic cerebral palsy. More improved performance was seen in home patients and the home environment was the preferred method for treatment.

The newly developed Hand, Arm, Leg and 3DTutors have proven extremely effective for therapy with Cerebral palsy patients and for children after stroke. These innovative devices aim to optimize motor, sensory and cognitive performance which allows the child to better perform everyday functional tasks and improve quality of life. The system uses intensive active exercises with augmented feedback. Using the software the physical and occupational therapist to customize the most efficient program for the patient. The Tutor system is already being implemented in leading U.S. and foreign hospitals and clinics. The HandTutor, ArmTutor, LegTutor and 3DTutor are also being used during adult physical rehabilitation.  The Tutor systems is being used world wide through telerehabiliation and is used as an adjunct to CIMT.

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